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Clinical Pediatrics
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Special Considerations in the Treatment of Seasonal Allergic Rhinitis in Adolescents: The Role of Antihistamine Therapy

James P. Kemp, M.D.

Division of Immunology and Allergy, University of California School of Medicine, San Diego, California

The symptoms of seasonal allergic rhinitis often develop during adolescence. Teen-age students with seasonal allergic rhinitis may experience decreased academic performance and productivity from the disease or because of the sedative effects of some antihistamines. The pharmacologic effects of nonsedating second-generation antihistamines are compared with those of classical antihistamines. The effects of antihistamines on sedation and motor and cognitive function are discussed. The role of antiinflammatory agents, decongestants, and combination products is reviewed. Potential drug interactions must be considered along with factors such as drug-induced weight gain and the use of antihistamines in potentially pregnant patients in selecting appropriate antihistamine therapy for adolescent patients.

Clinical Pediatrics, Vol. 35, No. 8, 383-389 (1996)
DOI: 10.1177/000992289603500801
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[Abstract] [PDF]