Loratadine

Generic name
Loratadine
Brand name
ATC Code
R06AX13

Loratadine

Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Pharmacokinetics in children

No information

dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

Available formulations

No information is present at this moment.

Dosages

Allergic rhinitis and chronic urticaria
  • Oral
    • 15 up to 30 kg
      [2] [3] [4]
      • 5 mg/day in 1 dose
      • In chronic urticaria, raising the dose can be considered up to a maximum of 4 times the daily dose. TAKE CARE when using the liquid formulation in high dosages for the indication urticaria. The liquid formulation contains propylene glycol. 

    • ≥ 30 kg
      [2] [3] [4]
      • 10 mg/day in 1 dose
      • In chronic urticaria, raising the dose can be considered up to a maximum of 4 times the daily dose.

Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

In children between the ages of 2 and 12, common side effects were headache (2.7%), nervousness (2.3%), and tiredness (1%).

The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

Use caution in patients with severe hepatic impairment: dose adjustment:

<30 kg: 5 mg / dose every other day
>30 kg: 10mg / dose every other day (SmPC Clarityn)

Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

ANTIHISTAMINES FOR SYSTEMIC USE

This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.

Piperazine derivatives
R06AE07
R06AE03
Other antihistamines for systemic use
R06AX26

References

  1. Rademaker C.M.A. et al, Geneesmiddelen-Formularium voor Kinderen, 2007
  2. Schering Plought Nederland BV, SPC Claritine (RVG 13492), www.cbg-meb.nl, Geraadpleegd 4 juni 2010, http://db.cbg-meb.nl/IB-teksten/h13492.pdf
  3. Nederlandse Vereniging voor Dermatologie en Venereologie, Richtlijn Chronische spontane urticaria., www.ndvd.nl, 03-12-2015
  4. Zuberbier T, et al, , The EAACI/GA(2) LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update., Allergy, 2014 , Jul;69(7), 868-87

Changes

Therapeutic Drug Monitoring


Overdose