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Clarinex (Desloratadine) – Non-Drowsy Antihistamine for Allergy Relief
What is Clarinex used for
Clarinex (Desloratadine) is a once-daily, second-generation antihistamine used to treat seasonal and perennial allergic rhinitis and chronic idiopathic urticaria (hives). It relieves symptoms like sneezing, runny nose, itchy or watery eyes, and skin rashes without causing drowsiness.
Brand Name: Clarinex
Generic Name: Desloratadine
Form: Film-coated tablet (5 mg); oral solution/red-tabs also available historically
Drug Class: Second-generation H₁ antihistamine
Prescription Status: Rx-only
Manufacturer: Schering‑Plough / Organon (original patent); many generic manufacturers now available
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Desloratadine 5 mg (the primary active metabolite of loratadine)
Mechanism: A selective tricyclic H₁ receptor inverse agonist that blocks histamine release, alleviating allergy symptoms without sedation
Aerius (Canada/EU)
Generic Desloratadine
Clarinex‑D (combo with pseudoephedrine)
Desloratadine works by:
Blocking peripheral H₁ receptors, reducing histamine-mediated allergy symptoms (e.g., sneezing, itchy eyes)
ScienceDirect
Having minimal central nervous system penetration, leading to little to no sedation
MedicineNet
Onset: Within 1 hour; duration: Up to 24 hours
Seasonal allergic rhinitis (≥ 2 years)
Perennial allergic rhinitis (≥ 6 months)
Chronic idiopathic urticaria (hives) (≥ 6 months)
Symptom relief includes sneezing, runny or blocked nose, itchy/watery eyes, and hives
Mayo Clinic
Age Group Dose
Adults & adolescents (≥ 12 yr) 5 mg once daily (tablet/RediTabs)
Children 6–11 yr 2.5 mg once daily (oral solution or 2.5 mg RediTab)
DailyMed
Children 6–60 mo 1.25 mg daily (oral solution)
DailyMed
Infants 6–11 mo 1 mg once daily (oral solution)
DailyMed
Renal/hepatic impairment 5 mg every other day
MPR
Administration: With or without meals; tablets swallowed whole, RediTabs dissolve on tongue
Contraindications: Hypersensitivity to desloratadine or loratadine
ScienceDirect
Precautions:
Contains sulfites – caution in asthma
Use with care in renal or hepatic impairment
Not indicated < 6 months old
Common (>2 %):
Headache, dry mouth, fatigue, somnolence, pharyngitis, myalgia, dysmenorrhea
MPR
Severe allergic reactions, tachycardia, arrhythmias, blurred vision, neurological events such as confusion or seizures
RxList
MedicineNet
CNS: Minimal sedation but dizziness may occur
MedicineNet
WebMD
Cardiac: Rare cases of tachyarrhythmia and QT prolongation—monitor if risk factors present
RxList
MedicineNet
Asthma: Sulfite sensitivity may exacerbate bronchospasm
Moderate interactions:
CYP3A4 inhibitors (ketoconazole, erythromycin, azithromycin, cimetidine, fluoxetine) – may increase Clarinex levels
WebMD
Hypersensitivity — interactions with allergen extracts
Mild additive CNS depression with alcohol—though no clear evidence of interaction
WebMD
ATC Code: R06AX27
Pharmacologic Class: Second-generation H₁ antihistamine
Legal Status: Prescription-only (Rx)
Schedule: Not a controlled substance
Pregnancy/Lactation: Limited data; use only if benefits outweigh risks
Onset & duration: Effective symptom relief within 1 hour, lasting ≥ 24 hours
Comparative efficacy: Comparable to cetirizine and fexofenadine with reduced sedation due to low CNS penetration
FAQ
Q1. How fast does Clarinex work?
Onset is within one hour; full daily relief lasts about 24 hours
Q2. Will Clarinex make me drowsy?
It’s minimally sedating, though some users report mild tiredness or dizziness
MedicineNet
WebMD
Q3. Can children take Clarinex?
Yes—appropriate dosing for children aged 6 months to 11 years is available in oral solution
Drugs.com
DailyMed
Q4. Is Clarinex safe with liver or kidney problems?
Use with reduced frequency (every other day) in patients with moderate to severe hepatic or renal impairment
DailyMed
Q5. Is Clarinex better than Claritin or Zyrtec?
It is equally effective but often preferred for its longer half-life (~27 h) and lower sedation risk due to limited CNS penetration
Q6. Can I drink alcohol while taking it?
Though no direct interactions are noted, alcohol may increase the risk of dizziness or sedation
WebMD
Store at 15–30 °C, protected from moisture and light
DailyMed
Keep in original packaging
Keep out of reach of children
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