Instruction for use: Clarotadine

Dosage form: Tablets; syrup

Active substance: Loratadinum

ATX

R06AX13 Loratadine

Pharmacological groups:

H1-antihistamines

The nosological classification (ICD-10)

H10.1 Acute atopic conjunctivitis: Allergic conjunctivitis; Allergic eye diseases; Allergic conjunctivitis; Allergic conjunctivitis caused by chemical and physical factors; Allergic rhinoconjunctivitis; Allergic inflammation of the eyes; Spring Qatar; Spring keratitis; Spring conjunctivitis; Conjunctivitis allergic; Year-round allergic conjunctivitis; Exacerbation of pollinosis in the form of rhinoconjunctival syndrome; Acute allergic keratoconjunctivitis; Acute allergic conjunctivitis; Superficial bacterial infection of the eyes; Rhinoconjunctivitis; Seasonal allergic conjunctivitis; Seasonal conjunctivitis; SENSORY; Chronic allergic keratoconjunctivitis; Chronic allergic conjunctivitis

J30 Vasomotor and allergic rhinitis: Allergic rhinopathy; Allergic rhinosinusopathy; Allergic diseases of the upper respiratory tract; Allergic rhinitis; Allergic rhinitis seasonal; Vasomotor runny nose; Prolonged allergic rhinitis; All-year-round allergic rhinitis; All-year allergic rhinitis; Year-round or seasonal allergic rhinitis; All-the-year-round rhinitis of an allergic nature; Rhinitis vasomotor allergic; Exacerbation of pollinosis in the form of rhinoconjunctival syndrome; Acute allergic rhinitis; Edema of the nasal mucosa; Edema of the nasal mucosa; Edema of the mucous membrane of the nasal cavity; Swelling of the nasal mucosa; Swelling of the nasal mucosa; Pollinosis; Permanent allergic rhinitis; Rhinoconjunctivitis; Rhinosinusitis; Rhinosinusopathy; Seasonal allergic rhinitis; Seasonal allergic rhinitis; Hay rhinitis; Chronic allergic rhinitis; Allergic diseases of the respiratory tract

L20 Atopic dermatitis: Allergic diseases of the skin; Allergic skin disease noninfectious etiology; Allergic skin disease etiology nemikrobnoy; Allergic skin diseases; Allergic skin lesions; Allergic reactions on the skin; atopic dermatitis; Allergic dermatosis; Allergic diathesis; Allergic itching dermatosis; Allergic skin disease; Allergic skin irritation; allergic Dermatitis; atopic Dermatitis; allergic dermatoses; exudative diathesis; Itchy atopic eczema Itchy allergic dermatosis; Allergic skin disease; Cutaneous allergic reaction to drugs and chemicals; Cutaneous reactions to medications; Skin and allergic disease; Acute eczema; common neurodermatitis; Chronic atopic dermatitis; Exudative diathesis

L23 Allergic contact dermatitis: Allergic dermatitis;Purulent allergic dermatopathies; Contact allergic reaction; Contact allergic dermatitis; Contact allergic dermatitis; Photoallergic contact dermatitis

L29 Itching: Itching with partial obstruction of the biliary tract; Dermatitis itchy; Dermatosis with persistent itching; Other itching dermatoses; Itching dermatoses; Itching allergic dermatosis; Itching dermatitis; Itching dermatosis; Itching itch; Excruciating itching; Severe itching; Endogenous itching; Skin itching with dermatosis; Restricted itchy dermatitis; Itching of the skin; Itchy scalp; Itching eczema

L50 Urticaria: Idiopathic chronic urticarial; Injury Urticaria; Chronic urticarial; Hives of the newborn

T78.3 Angioedema: Edema Quincke; Laryngeal exacerbation with angioneurotic edema; Recurrent angioedema; Allergic edema; Recurrent swelling of Quincy

W57 Bite or sting with a non-toxic insect and other non-venous arthropods: An allergic reaction to insect bites; Skin reaction after insect bite; Reactions to insect bites; Mosquito bite; Bite of bloodsucking insects; A bite of an insect; The bite of the wasp

Composition and release form

Tablets - 1 table.

Loratadine 10 mg

Auxiliary substances: milk sugar; MCC; Calcium stearate, sodium starch glycolate

In a contour acheikova packing of 7 or 10 pcs .; In the box 1 package (7 pcs.), 1 or 3 packs (10 pieces).

Syrup 1 ml

Loratadine 1 mg

Auxiliary substances: sugar; Propylene glycol; Benzoic acid; Citric acid; Ethyl alcohol 95%; Tropeolin O; Food flavors; purified water

In bottles of 100 ml; In a pack of cardboard 1 bottle.

Description of dosage form

Tablets: white or almost white, flat-cylindrical, with a bevel.

Syrup: from light yellow to yellow transparent liquid with a faint fruity smell.

Pharmachologic effect

Mode of action - antiallergic, antipruritic, antiexudative.

Pharmacodynamics

H1-antihistamine preparation, which does not possess central and anticholinergic action.

The effect of the drug begins to develop 30 minutes after admission and lasts for 24 hours.

Long-term use of the drug does not cause the development of resistance to its effect.

Loratadine and its metabolites do not penetrate the BBB.

Pharmacokinetics

Suction. When administered orally at the recommended therapeutic dose, loratadine is rapidly and completely absorbed from the digestive tract. Determined concentrations of loratadine appear in the blood plasma as early as 15 min after administration. The time to achieve Cmax loratadine in plasma is 1.3-2.5 h, and the time to achieve Cmax of its active metabolite is 2.5 h. Simultaneous intake of food and loratadine slows the achievement of Cmax loratadine and its active metabolite in plasma for 1 h, but Cmax Of these substances in plasma remains unchanged and no clinical manifestations of the interaction of loratadine with food are noted. In the elderly, the time to reach Cmax increases to 1.5 hours, and with alcoholic liver damage it increases with increasing severity of the disease. The content of loratadine and its active metabolite in blood plasma reaches a steady-state level in most patients on the fifth day of admission. The connection with plasma proteins is 97%.

Metabolism. Loratadine is metabolized in the liver with the formation of an active metabolite of descarbotoxyloratadine mainly under the influence of the cytochrome P450 isoenzyme CYP3A4 and, to a lesser extent, by the cytochrome P450 isoenzyme CYP2D6. In the presence of ketoconazole, which is an inhibitor of CYP3A4, loratadine is converted to descarbotoxyloratadine mainly under the influence of CYP2D6.

Excretion. Loratadine is excreted by the kidneys and with bile. The average T1 / 2 loratadine is 8.4 h (range from 3 to 20 h), and for the active metabolite - 28 h (range from 8.8 to 92 h). In elderly patients, T1 / 2 loratadine increases to 18.2 hours (range from 6.7 to 37 hours), and descarbon ethoxyloratadine up to 17.5 hours (range 11 to 38 hours). With alcoholic liver damage, T1 / 2 increases with increasing severity of the disease. In patients with chronic renal failure and hemodialysis, the pharmacokinetics practically does not change.

Indication of the Clarotadine

Seasonal and all-the-year-round rhinitis (including pollinosis), allergic conjunctivitis, urticaria (including chronic idiopathic), Quincke's edema, pseudoallergic reactions caused by the release of histamine; Itching dermatoses; An allergic reaction to insect bites.

Contraindications

Hypersensitivity to any of the components of the drug, pregnancy, lactation.

With caution: hepatic insufficiency.

Application in pregnancy and breastfeeding

In pregnancy, you should refrain from taking Clarotadine®. For the duration of treatment, breastfeeding should be stopped.

Side effects

From the side of the nervous system: anxiety, agitation (in children), asthenia, drowsiness, hyperkinesia, paresthesia, tremor, amnesia, depression.

From the skin and subcutaneous fat: dermatitis.

From the genitourinary and urinary system: a change in the color of urine, painful urge to urinate, dysmenorrhea, menorrhagia, vaginitis.

From the side of metabolism: weight gain, sweating, thirst.

From the side of the musculoskeletal system: spasms of the calf muscles, arthralgia, myalgia.

On the part of the digestive system: a change in taste, anorexia, constipation or diarrhea, dyspepsia, gastritis, flatulence, increased appetite, stomatitis.

From the respiratory system: cough, bronchospasm, dry nasal mucosa, sinusitis.

On the part of the sense organs: visual impairment, conjunctivitis, pain in the eyes and ears.

From the cardiovascular system: a decrease or increase in blood pressure, palpitations.

Allergic reactions: angioedema, hives, itching, photosensitivity.

Other: back pain, chest pain, fever, chills, pain in the mammary glands, blepharospasm, dysphonia.

Interaction

When using loratadine in therapeutic doses, a potentiating effect on alcohol was not detected.

The combined use of loratadine with erythromycin, cimetidine and ketoconazole increases the concentration of loratadine in the blood plasma, which has no clinical manifestation and does not affect the ECG data.

Inducers of microsomal oxidation (phenytoin, ethanol, barbiturates, zixorin, rifampicin, phenylbutazone, tricyclic antidepressants) reduce the effectiveness of the drug.

Dosing and Administration

Inside. Adults and children over 12 years of age - 10 mg (1 table or 2 measuring spoons of syrup) 1 time per day. The daily dose is 10 mg.

Children from 2 to 12 years with a body weight of less than 30 kg - 5 mg (1/2 table or 1 measuring spoon syrup) 1 time per day. The daily dose is 5 mg.

Children with a body weight of more than 30 kg - 10 mg (1 table or 2 measuring spoons of syrup) 1 time per day. The daily dose is 10 mg.

Overdose

When taking loratadine in doses significantly exceeding the recommended therapeutic dose of 10 mg (40-180 mg of loratadine), in adults, symptoms such as headache, drowsiness, and tachycardia can manifest. When using loratadine, children with a body weight of less than 30 kg in a dose exceeding 10 mg may experience extrapyramidal symptoms and increased heart rate.

Treatment: should consult a doctor, take measures to remove the drug from the digestive tract and reduce absorption (induction of vomiting, gastric lavage, intake of activated charcoal). If necessary, symptomatic therapy is performed. Loratadine is not excreted from the body during hemodialysis. There are no data on the excretion of loratadine in peritoneal dialysis.

Special instructions

For patients suffering from impaired liver function or renal failure (glomerular filtration rate below 30 ml / min), the initial dose of Clarotadine® should be 10 mg (1 table or 2 measuring spoons) every other day.

It is not recommended for children under 2 years.

During the treatment period, it is necessary to refrain from engaging in potentially dangerous activities that require an increased concentration of attention and speed of psychomotor reactions.

Manufacturer

JSC "Khimfarmcombinat Akrihin", Russia.

Storage conditions of the drug Clarotadine

In a dry place, at a temperature of no higher than 25 ° C.

Keep out of the reach of children.

Shelf life of the drug Clarotadine

Tablets 0.01 g - 3 years.

Tablets 10 mg - 5 years.

Syrup 5 mg / 5 ml - 3 years.

Do not use after the expiry date printed on the package.