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Correspondence
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Volume 352:1155-1157 March 17, 2005 Number 11
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H1-Antihistamines

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 by Simons, F. E. R.
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To the Editor: Simons (Nov. 18 issue)1 provides a comprehensive review of the advances in drug therapy with histamine H1-receptor antagonists. However, the author states that there is no current evidence supporting the use of such therapy for asthma — a statement possibly biased by selective referencing. There are recent data in the literature that suggest that modern H1-receptor antagonists such as desloratadine, fexofenadine, and levocetirizine have antiinflammatory effects in patients with atopic asthma.2,3,4 Indeed, fexofenadine improves airway hyperresponsiveness and reduces exhaled nitric oxide, improves peak expiratory flow, and reduces albuterol use, to a degree similar to that . . . [Full Text of this Article]




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