Leicestershire Health Community
Medicines Formulary
 
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3 Respiratory system
03-04-01 Antihistamines

 


Cetirizine Hydrochloride
First Choice
Non sedating

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Loratadine
First Choice
Non sedating

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Chlorphenamine Maleate
Second Choice
Short-term treatment of acute allergic reactions such as drug rash, insect bites and urticaria. Less effective in rhinitis. Use limited by sedation and psychomotor impairment making it unsuitable as a long-term treatment or in daytime activities such as driving.

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Chlorphenamine injection
Restricted
Useful as an adjunct to adrenaline in the emergency treatment of anaphylaxis

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Fexofenadine hydrochloride
Restricted
For those patients who experience sedation on high doses of other recommended choices only.

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Desloratidine
Non Formulary

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Levocetirizine
Non Formulary
Link  Leicestershire Evaluation: Levocetirizine in Allergy
 

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Rupatadine Fumarate
Non Formulary

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Alimemazine
Non Formulary
Current patients should be discussed with the prescribing specialist and not have treatment stopped abruptly without appropriate review.

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