Allegra D (Fexofenadine HCl and Pseudoephedrine HCl)
Allegra D Review
Allegra-D is indicated for the relief of symptoms associated with
seasonal allergic rhinitis in adults and children 12 years of age
and older. Symptoms treated effectively include sneezing, rhinorrhea,
itchy nose/palate/ and/or throat, itchy/watery/red eyes, and nasal
congestion.
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Fexofenadine hydrochloride (brand names include Allegra and Telfast)
is an antihistamine drug used in the treatment of hayfever and similar
allergy symptoms. It was developed as a successor of and alternative
to terfenadine (brand names include Triludan and Seldane), an antihistamine
with potentially serious contraindications. Fexofenadine, like other
second and third-generation antihistamines, does not readily enter
the brain from the blood, and so causes less drowsiness than first-generation
histamine-receptor antagonists. It works by being an antagonist
to the H1 receptor.For seasonal allergies the recommended dose for
adults and children 12 years or older is 60 mg twice daily or 180
mg once daily. Children 6-11 years of age should be given 30 mg
twice daily. For chronic urticaria, adults and children 12 years
or older should use 60 mg twice daily, and children 6-11 years of
age should use 30 mg twice daily. Take Fexofenadine with water (not
fruit juice).
Nausea, stomach upset, trouble sleeping, headache, or cold symptoms
may occur. If these persist or worsen, notify your doctor promptly.
Unlikely but report promptly: dizziness, mental/mood changes, fast
heartbeat, fever. Tell your doctor immediately if any of these highly
unlikely but very serious side effects occur: fainting, irregular
heartbeat. Although drowsiness is very uncommon at usual doses under
normal circumstances, be aware that drowsiness may occur and may
affect the ability to perform tasks requiring alertness (e.g., driving).
If you notice other effects not listed above, contact your doctor
or pharmacist.
Reports of fexofenadine overdose are infrequent, and because of this, the effects are not well established. No deaths occurred in testing on mice, at 5000 mg/kg, which is 110 times the maximum recommended dose for an adult human. Further research shows no deaths in rats at the same concentration, which equates four hundred times the recommended dose in an adult human. Research on humans ranges from a single 800 mg dose, to a twice-daily 690 mg dose for a month, with no clinically significant adverse effects, when compared to a placebo.
Use caution when driving, operating machinery, or performing other
hazardous activities. Allegra-D may cause dizziness. Some less serious
side effects may be more likely to occur. Continue to take fexofenadine
and talk to your doctor if you experience nausea or an upset stomach.