Modern H1- antihistamines in the treatment of allergic rhinitis: focus on bilastine

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The second generation of  H1-antihistamines  are approved for the stepwise treatmentof seasonal and perennial allergic rhinitis in adults and children by international and national guidelines. They reduce the severity of nasal and ocular symptoms of rhinitis  and improve the quality of life of patients.

Bilastine is a novel H1-antihistamines,  piperidine derivative. It has a potent and selective effect on H1- receptors, rapid onset and long duration of action, significantly reduces nasal and ocular symptoms of seasonal and perennial allergic rhinitis. Bilastine has not clinically significant hepatic metabolism and has a high safety profile (no sedation, no effect on cognitive functions, no cardiotoxicity, no interaction with alcohol and benzodiazepines in normal and high doses).  Tachyphylaxis does not develop during its long-term (up to 1 year) use.

Bilastine  is registered for clinical use in adults and children 12 years and older. The results of clinical and experimental studies evidence that bilastine has many of the features of modern H1-antihistamines, that are recommended  by international guidelines.


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About the authors

Alexander V Emelyanov Emelyanov

Северо-Западный государственный медицинский университет им.И.И.Мечникова

Author for correspondence.
ORCID iD: 0000-0002-8574-6869

доктор медицинских наук, профессор, зав. кафедрой пульмонологии

Russian Federation

Galina Sergeeva

ORCID iD: 0000-0003-1544-4336

Evgenia Leshenkova

ORCID iD: 0000-0003-4616-3166


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