Can Over 65s take antihistamines?

Medications generally well tolerated by the elderly are second generation antihistamines, intra-nasal anti-inflammatory agents, leukotriene modifiers and iprapropium nasal spray. Rhinitis is a common and bothersome condition in the elderly.
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Can people over 65 take antihistamines?

What they actually recommend is that if you're over 65, or if you have liver or kidney problems, you should ask your doctor if it's OK to use it. Since Zyrtec is now an over-the-counter antihistamine and can be taken without a doctor's knowledge, they're just advising caution in older folks.
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Which antihistamine is best for over 65?

So what can older adults safely take for allergy relief? Wozniak: Newer antihistamines such as Claritin® (loratadine) and Allegra® (fexofenadine) tend to be safer and better tolerated.
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What is a safe antihistamine for seniors?

Loratadine, cetrizine, and fexofenadine all have excellent safety records. Their cardiovascular safety has been demonstrated in drug-interaction studies, elevated-dose studies, and clinical trials. These three antihistamines have also been shown safe in special populations, including pediatric and elderly patients.
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Should older people take antihistamines?

Avoid First-Generation Antihistamines

Certain antihistamines, the class of drug most commonly prescribed to treat allergies, can be dangerous for seniors.
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Side effects due to prolonged use of antihistamines - Dr. Sriram Nathan



Who Cannot take antihistamines?

Who shouldn't take antihistamines?
  • Glaucoma.
  • Trouble urinating (from an enlarged prostate gland)
  • Breathing problems, such as asthma, emphysema, or chronic bronchitis.
  • Thyroid disease.
  • Heart disease.
  • High blood pressure.
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Why are antihistamines contraindicated in elderly?

First generation antihistamines, while very effective at controlling symptoms, are often associated with symptoms in older adults such as anxiety, confusion, sedation, blurred vision, reduced mental alertness, urinary retention and constipation.
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Why should over 65s not take Benadryl?

Benadryl (diphenhydramine) and hydroxyzine are common examples of anticholinergic medications that are not cleared as well from the system in older people. This can lead to confusion, dry mouth, and constipation.
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Is Claritin OK for seniors?

Beizer says newer types of antihistamines like Claritin, Allegra and Zyrtec have fewer side effects for older adults.
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Do all antihistamines cause dementia?

But there was no association between dementia and antihistamine medications. A 2018 study had similar findings. While certain types of anticholinergic medications were linked to dementia, antihistamines were not.
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Can adults over 65 take Zyrtec?

Zyrtec is well tolerated by most children and adults. In clinical trials 14 percent of adults have side effects of drowsiness and fatigue. People over 65 years of age did not have an increase in side effects according to clinical trials in the package insert. If kidney function is abnormal the dose needs to be lowered.
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Is it better to take a decongestant or antihistamine?

Which one should you take? For true cold symptoms, a decongestant will provide more relief than an antihistamine. If you notice your “cold” symptoms occur at the same time each year (spring for examine), or are consistent year-round, you may actually have allergies that could benefit from antihistamine medication.
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Can you take antihistamines with blood pressure pills?

Most antihistamines are generally safe to take with your blood pressure medication.
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What is the safest allergy medicine to take?

Claritin and Zyrtec are popular over-the-counter antihistamines. Doctors consider them safe and effective treatments for minor allergies. Both are second-generation antihistamines. These cause less drowsiness than first-generation antihistamines.
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What are the side effects of antihistamines?

What are the side effects of antihistamines?
  • Drowsiness.
  • Dry mouth, dry eyes.
  • Blurred or double vision.
  • Dizziness and headache.
  • Low blood pressure.
  • Mucous thickening in the airways.
  • Rapid heart rate.
  • Difficulty urinating and constipation.
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What is the best decongestant for elderly?

Reduce allergy symptoms

Consider using: An OTC steroid nasal spray such as fluticasone (Flonase and generic), triamcinolone (Nasacort AQ and generic) or budesonide (Rhinocort Aqua). These are the first-line treatments for allergies and are considered safe for seniors, Worz says.
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How safe are antihistamines?

Antihistamines are thought to be safe for adults. Most antihistamines are also safe for children over 2 years old. If you are breastfeeding or pregnant, ask your provider if antihistamines are safe for you. Adults who take antihistamines should know how the medicine affects them before driving or using machinery.
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Can seniors take Reactine?

The safety and effectiveness of using this medication for year-round allergies have not been established for children 12 years of age and under. Seniors: Seniors may be more sensitive to the effects of cetirizine. Therefore, a lower starting dose may be recommended by your doctor or pharmacist.
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Does an antihistamine dry you up?

Antihistamines basically work by “drying you up”, so anything involving fluid in your body will decrease—including urine. The inability to urinate can be a problem for many older patients on antihistamines, specifically those who already have other related issues like benign prostatic hyperplasia (BPH) or incontinence.
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What medications should elderly avoid?

AVOID Certain Anticholinergic Drugs
  • Antidepressants amitriptyline (Elavil) and imipramine (Tofranil)
  • Anti-Parkinson drug trihexyphenidyl (Artane)
  • Irritable bowel syndrome drug dicyclomine (Bentyl)
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What are the 9 Common drugs Linked to Alzheimer's?

Drugs That May Cause Memory Loss
  • Antianxiety drugs.
  • Cholesterol drugs.
  • Antiseizure drugs.
  • Antidepressant drugs.
  • Narcotic painkillers.
  • Parkinson's drugs.
  • Hypertension drugs.
  • Sleeping aids.
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Can older adults take Benadryl?

To sum up, the use of diphenhydramine in older adults should be discouraged both as an antihistamine and as a sedative because of the potential anticholinergic risks, the lack of superiority over equally efficacious alternatives (antihistamines), and better-tolerated and more effective alternatives (sedative/hypnotics) ...
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What can elderly take for sleep?

In the elderly, nonbenzodiazepines such as zolpidem, eszopiclone, zaleplon, and ramelteon are safer and better tolerated than tricyclic antidepressants, antihistamines, and benzodiazepines. Pharmacotherapy should be recommended only after sleep hygiene is addressed, however.
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Why you should not take antihistamines?

Side effects of antihistamines that make you drowsy can include: sleepiness (drowsiness) and reduced co-ordination, reaction speed and judgement – do not drive or use machinery after taking these antihistamines. dry mouth. blurred vision.
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Are antihistamines good for Covid 19?

A pair of over-the-counter compounds has been found in preliminary tests to inhibit the virus that causes COVID-19, University of Florida Health researchers have found. The combination includes diphenhydramine, an antihistamine used for allergy symptoms.
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