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Anti-allergic agent

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864: 793: 732: 1133:, a 5-lipoxygenase inhibitor which directly prevents the synthesis of leukotrienes. All three leukotriene pathway modifiers are indicated for the treatment of chronic asthma, but only Montelukast is approved to treat allergic rhinitis, with a similar effectiveness as antihistamines, but lower effectiveness than nasal corticosteroids in relieving the symptoms of seasonal allergic rhinitis. 638: 430:). They are usually the first line of medications prescribed by a general practitioner, or a pharmacist for allergies in a community pharmacy. H1-antihistamines are further split into three groups known as the first-generation, second-generation and third-generation antihistamines. Another type of antihistamines known as 965:
uses. Since they suppress inflammation and reduce the signs and symptoms such as swelling, redness and itching, they are commonly used to treat allergic conditions including allergic rhinitis, asthma and eczema. Glucocorticoids can be given via different routes of administration, depending on the
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Allergic reactions can range from mild to severe. Common allergic diseases include allergic rhinitis, allergic asthma, allergic conjunctivitis and atopic dermatitis. Each condition presents its own set of symptoms. In severe cases, certain allergies can lead to a life-threatening reaction called
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Abdullah, Baharudin; Abdul Latiff, Amir Hamzah; Manuel, Anura Michelle; Mohamed Jamli, Faizah; Dalip Singh, Harvinder Singh; Ismail, Intan Hakimah; Jahendran, Jeevanan; Saniasiaya, Jeyasakthy; Keen Woo, Kent Chee; Khoo, Phaik Choo; Singh, Kuljit; Mohammad, Nurashikin; Mohamad, Sakinah; Husain,
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is the last line of medications, also known as the closest "cure" for allergies. It is often recommended for patients whose symptoms cannot be controlled by medications, or those who require multiple medications to control their allergies. This immunotherapy involves regular administration of
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are generally indicated for the alleviation of conditions such as allergic rhinitis, allergic conjunctivitis, or atopic dermatitis. Other indications may include nausea and vomiting. Antihistamines are usually for short-term treatment. Chronic allergies, such as
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Symptoms can vary in severity from person to person. Proper diagnosis and management are crucial as allergies can affect daily activities, sleep quality, work or school performance, and mood, directly impacting an individual's quality of life.
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and other chemicals that guards our immune system. Histamine increases the level of vascular permeability and increases the swelling and dilation of vessels. This induces allergic symptoms, such as runny nose,
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The most effective management of allergies is avoiding allergens to reduce the risk of an allergic reaction. If the allergic reaction continues, medications may be needed to help reduce symptoms.
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receptors are discovered to be responsible for producing inflammatory allergic reactions. The absence of this drug on the current market also emphasises its importance in future use.
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Gentile, Deborah A.; Pleskovic, Nicole; Bartholow, Ashton; Skoner, David P. (2016-01-01), Leung, Donald Y. M.; Szefler, Stanley J.; Bonilla, Francisco A.; Akdis, Cezmi A. (eds.),
1067:, type of drug used and the duration of treatment. Systemic corticosteroids are not considered first-line therapy for chronic management due to common and significant risks of 723:(narrowing of blood vessels), helps reduce blood flow to the nasal mucosa and decreases swelling. Decongestants help open up nasal passages thus allowing for easier breathing. 2085:"HKU biologists designed and developed novel anti-allergic drugs by targeting Mas-related G protein-coupled receptor (GPCR) X2 (MRGPRX2) - News - Faculty of Science, HKU" 1196:(the acute stress response). It is used to treat anaphylaxis as it provides immediate symptomatic relief. It helps open up the airways, maintain heart function and raise 1114: 759:
is the most common example of oral decongestant used to reduce nasal congestion. Topical decongestants have a faster onset of action compared with oral ones.
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gradually increasing doses of the substance to which the person is allergic over several years. Treatment can be given as an injection, tablet, sprays or
1816:"The glucocorticoid dexamethasone alleviates allergic inflammation through a mitogen-activated protein kinase phosphatase-1-dependent mechanism in mice" 1422:
Kalmarzi, Rasoul Nasiri; Khazaei, Zaher; Shahsavar, Jafar; Gharibi, Fardin; Tavakol, Marzieh; Khazaei, Salman; Shariat, Mansoureh (28 September 2017).
1881: 108:, but requiring a much longer duration of therapy. The choice of medications depends on the disease to be treated, its severity and patient factors. 1164:
to treat allergic conjunctivitis, in intranasal formulations for allergic rhinitis and given by inhalation for asthma. Common side effects include
1991: 1642: 426:, are medicines which provide relief for allergic symptoms such as runny nose, sneezing, itching, and watery eyes from seasonal allergies ( 236: 143:, or direct contact with a certain material. A family history of allergies also leads to a higher risk of developing allergic diseases. 1144:
inhibit the release of allergic and inflammatory mediators, helping to prevent and treat allergic conditions. They work by blocking a
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can easily cross the blood-brain barrier into the central nervous system to reach the H-1 receptors within, often causing drowsiness.
45:. It was not until 1933 when antihistamines, the first type of anti-allergic agents, were developed. Common allergic diseases include 480:
selectively bind to the peripheral H-1 receptors outside the blood-brain barrier, therefore they are less likely to cause sedation.
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An allergic reaction can be caused by direct contact with an allergen. For example, through consuming a certain food, inhalation of
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can be used as a combination to treat nasal congestion, runny nose, and sneezing symptoms caused by common cold and hay fever.
1469:"Pharmacological Management of Allergic Rhinitis: A Consensus Statement from the Malaysian Society of Allergy and Immunology" 1365: 1340: 485: 481: 473: 1814:
Lehtola, Tiina; Nummenmaa, Elina; Nieminen, Riina; Hämäläinen, Mari; Vuolteenaho, Katriina; Moilanen, Eeva (4 March 2024).
123:, are a type of immune response which takes place when our body's protective mechanism defends us against triggers called 292:
anaphylaxis. This is a medical emergency that requires immediate treatment, as it can be fatal if not treated properly.
2113: 1757:"Homeostatic Regulation of Glucocorticoid Receptor Activity by Hypoxia-Inducible Factor 1: From Physiology to Clinic" 1152:, inhibiting the release of histamine and other mediators from mast cells. Examples of mast cell stabilizers include 945:(transrepression). Ultimately, they decrease the synthesis and release of inflammatory mediators such as mast cells, 1695: 1315: 1217: 1188:. The most common anaphylactic reactions are induced by foods, insect stings and medications. Adrenaline is both a 1060: 841: 827: 708: 182: 1230:
Professor Billy K C Chow from the School of Biological Sciences, Faculty of Sciences, the University of Hong Kong
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H-1 antihistamines work by inhibiting histamine from binding to H-1 receptors. Histamine receptors expressed in
73:. More than one-third of the world's population is currently being affected by one or more allergic conditions. 1193: 922: 712: 435: 1390: 1216:
drops. The gradual increase of allergen causes the immune system to become less sensitive to the substance (
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used to treat allergic reactions. Anti-allergic agents have existed since 3000 B.C in countries such as
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When a person comes in contact with a specific trigger, their immune system produces antibodies called
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and regulating the activation of immune cells. The word "glucocorticoid" is derived from "glucose +
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is an alternative treatment considered in some patients, with a success rate of 80%-90% in reducing
1523: 1126: 1064: 863: 704: 463: 348: 70: 1184:(or epinephrine) is the first-line treatment for the life-threatening allergic reaction known as 579: 525: 105: 1936:"Leukotriene receptor antagonists for allergic rhinitis: a systematic review and meta-analysis" 767:
Topical decongestants should not be used for longer than a week as prolonged use may result in
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usually last around 4–6 hours whilst second-generation antihistamines work for 12–24 hours.
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condition and severity. The most common ones are oral, inhalation, topical and injection.
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with second-generation antihistamines being more preferred due to their lack of sedation.
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antagonists as some cases of allergies are refractive to currently available treatments.
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and increased membrane permeability from happening, thus preventing allergic symptoms.
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Some examples of glucocorticoids with their indications and routes of administration
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Decongestants are mainly used in conditions like common cold, allergic rhinitis, and
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Some examples of antihistamines with their indications and routes of administration
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Side effects generally exist more in first-generation antihistamines, for example
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agents used to treat allergic conditions. Corticosteroids can be classified into
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BCSC 2020-2021 series: Section 2 - Fundamentals and Principles of Ophthalmology
684:. They are also often used as the first-line therapy for nasal congestion from 2024: 1181: 1165: 999: 946: 902: 837: 823: 651: 602: 594: 590: 316: 228: 97: 58: 34: 1959: 1782: 1723: 1449: 1424:"The impact of allergic rhinitis on quality of life: a study in western Iran" 1935: 1934:
Wilson, Andrew M.; O'Byrne, Paul M.; Parameswaran, Krishnan (1 March 2004).
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secretion and enhanced immune response, resulting in allergic inflammation.
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Yau, Wai-Ping; Mitchell, Allen A.; Lin, Kueiyu Joshua; Werler, Martha M.;
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are medicines which relieve nasal obstruction due to inflammation in the
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So, Miranda; Bozzo, Pina; Inoue, Miho; Einarson, Adrienne (2010).
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Ring, Johannes; Klimek, Ludger; Worm, Margitta (6 August 2018).
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Allergic rhinitis, allergic conjunctivitis, atopic dermatitis,
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Hodgens, Alexander; Sharman, Tariq (2024). "Corticosteroids".
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Journal of Investigational Allergology and Clinical Immunology
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Marchi, Davide; van Eeden, Fredericus J. M. (December 2021).
1366:"Common Allergens - Peanut, Egg, and Sesame Allergies | FARE" 1192:
and a medication which plays an important role in the body's
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situated on the blood vessels in nasal passages. This causes
1316:"Allergy shots can bring you long-term relief from symptoms" 1627:
Pediatric Allergy: Principles and Practice (Third Edition)
1550:"Safety of antihistamines during pregnancy and lactation" 782:(elevated blood pressure), and difficulty in urination. 1524:"Antihistamines: Definition, Types & Side Effects" 901:", representing its role in the regulation of glucose 789:
of uterine arteries thus reducing fetal blood supply.
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are common topical (intranasal) decongestants, whilst
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alone cannot treat. The routes of administration of
1910:"Leukotriene Modifiers: Treatment & Definition" 1595:"Decongestant - an overview | ScienceDirect Topics" 1345:
American Academy of Allergy, Asthma, and Immunology
774:Common side effects for oral decongestants include 2009:"Adrenaline in the Acute Treatment of Anaphylaxis" 1882:"Leukotrienes: Function & Associated Diseases" 1820:Basic & Clinical Pharmacology & Toxicology 1125:) that bind to leukotriene receptors to inhibit 665:Antihistamines are generally safe to use during 1232:has been conducted into the use of small novel 1059:Common side effects of glucocorticoids include 641:Example of a H-1 antihistamine (Levocetirizine) 1904: 1902: 1261:Charlotte Eye Ear Nose & Throat Associates 100:is used to reduce swelling and aid breathing. 2054: 2052: 1395:Global Allergy & Airways Patient Platform 1291:Global Allergy & Airways Patient Platform 8: 1986:. American Academy of Ophthalmology. 2023. 796:Zyrtec-D, an example of combination therapy 785:Avoid use during pregnancy as it may cause 360:Redness, itching, and swelling of the eyes 76:Commonly used anti-allergic agents include 27:Medication used to treat allergic reactions 1115:cysteinyl leukotriene receptor antagonists 913:, and the steroid structure it possesses. 371:Itching, redness, and flaking of the skin 2032: 1831: 1790: 1772: 1731: 1629:, London: Elsevier, pp. 210–218.e2, 1565: 1494: 1484: 1439: 968: 530: 294: 145: 1467:Salina; Mösges, Ralph (2 August 2022). 1257:"The first 5,000 years of allergy care" 1248: 1129:and other effects of leukotrienes, and 801:Combination therapy with antihistamines 727:Indications and route of administration 500:Indications and route of administration 1113:can be classified into two types: the 925:to form a complex which activates the 1663:Ramey, John; Bailen, E; Lockey, R F. 1616: 1614: 1589: 1587: 1585: 1309: 1307: 1281: 1279: 1277: 961:Glucocorticoids have a wide range of 7: 1518: 1516: 1514: 1461: 1459: 1417: 1415: 1413: 1411: 735:Example of oxymetazoline nasal spray 2013:Deutsches Ärzteblatt International 1635:10.1016/b978-0-323-29875-9.00024-0 937:) and represses the expression of 929:of anti-inflammatory genes in the 512:may include health problems which 262:(immune cells found mainly in the 25: 1880:Tello, Carlos (29 October 2019). 1148:which is essential for mast cell 57:with varying symptoms, including 1940:The American Journal of Medicine 1704:American Journal of Epidemiology 1172:Less common anti allergic agents 1094:are lipid mediators formed from 490:second-generation antihistamines 478:Second-generation antihistamines 1428:Biomedical Research and Therapy 486:Third generation antihistamines 482:First-generation antihistamines 474:First-generation antihistamines 867:The basic structure of steroid 274:) and triggers the release of 1: 1473:Journal of Asthma and Allergy 1111:Leukotriene pathway modifiers 1087:Leukotriene pathway modifiers 258:(IgE) molecules that bind to 90:leukotriene pathway modifiers 1952:10.1016/j.amjmed.2003.10.030 1160:. They are commonly used in 771:(rebound nasal congestion). 1034:Severe acute asthma attack 1021:Severe acute asthma attack 464:cellular signaling cascades 462:. This prevents a range of 436:gastrointestinal conditions 410:Common anti-allergic agents 283:, watery eyes and itching. 2130: 1314:Coon, Lisa (21 May 2018). 1194:"fight-or-flight" response 709:sympathetic nervous system 705:alpha-adrenergic receptors 456:vascular endothelial cells 301:Common signs and symptoms 2025:10.3238/arztebl.2018.0528 1861:. StatPearls Publishing. 1554:Canadian Family Physician 1079:, depressed immunity and 713:fight or flight" response 570: 298:Type of allergic disease 147:List of common allergens 2064:allergyasthmanetwork.org 1665:"Rhinitis medicamentosa" 1623:"24 - Allergic Rhinitis" 981:Route of administration 923:glucocorticoid receptors 921:Glucocorticoids bind to 546:Route of administration 537:Class of antihistamines 1441:10.15419/bmrat.v4i9.370 815:Some examples include: 703:work by binding to the 682:upper respiratory tract 488:are metabolites of the 384:, shortness of breath, 356:Allergic conjunctivitis 121:type 1 hypersensitivity 1209:Allergen immunotherapy 1168:, itching, and cough. 1037:Intravenous injection 868: 797: 769:rhinitis medicamentosa 736: 711:(controls our body's " 642: 460:central nervous system 163:Airborne: pollen, pet 102:Allergen immunotherapy 1774:10.3390/cells10123441 1696:Hernández-Díaz, Sonia 1599:www.sciencedirect.com 1142:Mast cell stabilizers 1137:Mast cell stabilizers 866: 795: 734: 640: 458:, the heart, and the 94:mast cell stabilizers 1391:"Medication Allergy" 1341:"Allergic Reactions" 438:caused by excessive 171:, dust mites, smoke 31:Anti-allergic agents 18:Anti-allergic agents 1486:10.2147/JAA.S374346 1370:www.foodallergy.org 1320:OSF HealthCare Blog 1224:Future developments 1127:bronchoconstriction 971: 717:smooth muscle cells 533: 349:shortness of breath 179:cleaning detergents 148: 71:shortness of breath 2114:Immunosuppressants 2019:(31–32): 528–534. 1833:10.1111/bcpt.13995 1716:10.1093/aje/kws427 1081:Cushing's syndrome 991:Allergic rhinitis 969: 884:mineralocorticoids 869: 798: 737: 643: 587:Second generation 531: 524:, intraocular and 520:are usually oral, 434:are used to treat 146: 2089:www.scifac.hku.hk 1993:978-1-68104-640-2 1644:978-0-323-29875-9 1158:nedocromil sodium 1069:adverse reactions 1052: 1051: 880:anti-inflammatory 690:allergic rhinitis 635: 634: 615:Third generation 551:First generation 432:H2-antihistamines 424:H1-antihistamines 395: 394: 366:Atopic dermatitis 307:Allergic rhinitis 268:respiratory tract 247: 246: 185:, metals such as 55:atopic dermatitis 47:allergic rhinitis 16:(Redirected from 2121: 2099: 2098: 2096: 2095: 2081: 2075: 2074: 2072: 2070: 2056: 2047: 2046: 2036: 2004: 1998: 1997: 1978: 1972: 1971: 1931: 1925: 1924: 1922: 1920: 1914:Cleveland Clinic 1906: 1897: 1896: 1894: 1892: 1877: 1871: 1870: 1852: 1846: 1845: 1835: 1811: 1805: 1804: 1794: 1776: 1752: 1746: 1745: 1735: 1691: 1685: 1684: 1660: 1654: 1653: 1652: 1651: 1618: 1609: 1608: 1606: 1605: 1591: 1580: 1579: 1569: 1545: 1539: 1538: 1536: 1534: 1528:Cleveland Clinic 1520: 1509: 1508: 1498: 1488: 1463: 1454: 1453: 1443: 1434:(9): 1629–1637. 1419: 1406: 1405: 1403: 1401: 1387: 1381: 1380: 1378: 1376: 1362: 1356: 1355: 1353: 1351: 1337: 1331: 1330: 1328: 1326: 1311: 1302: 1301: 1299: 1297: 1283: 1272: 1271: 1269: 1267: 1253: 1228:Research led by 1096:arachidonic acid 1071:. These include 1048:Topical (cream) 972: 939:pro-inflammatory 787:vasoconstriction 721:vasoconstriction 559:Chlorpheniramine 534: 494:cardiac toxicity 295: 256:immunoglobulin E 243:drugs and more. 149: 119:, also known as 21: 2129: 2128: 2124: 2123: 2122: 2120: 2119: 2118: 2104: 2103: 2102: 2093: 2091: 2083: 2082: 2078: 2068: 2066: 2058: 2057: 2050: 2006: 2005: 2001: 1994: 1980: 1979: 1975: 1933: 1932: 1928: 1918: 1916: 1908: 1907: 1900: 1890: 1888: 1879: 1878: 1874: 1854: 1853: 1849: 1813: 1812: 1808: 1754: 1753: 1749: 1693: 1692: 1688: 1662: 1661: 1657: 1649: 1647: 1645: 1620: 1619: 1612: 1603: 1601: 1593: 1592: 1583: 1547: 1546: 1542: 1532: 1530: 1522: 1521: 1512: 1465: 1464: 1457: 1421: 1420: 1409: 1399: 1397: 1389: 1388: 1384: 1374: 1372: 1364: 1363: 1359: 1349: 1347: 1339: 1338: 1334: 1324: 1322: 1313: 1312: 1305: 1295: 1293: 1285: 1284: 1275: 1265: 1263: 1255: 1254: 1250: 1246: 1226: 1218:desensitization 1206: 1179: 1174: 1154:cromolyn sodium 1146:calcium channel 1139: 1089: 1061:fluid retention 1057: 1042:Hydrocortisone 1008:Chronic asthma 959: 941:factors in the 935:transactivation 919: 876:glucocorticoids 874:, specifically 872:Corticosteroids 861: 859:Corticosteroids 848:Pseudoephedrine 834:Pseudoephedrine 820:Pseudoephedrine 757:pseudoephedrine 675: 563:Brompheniramine 555:Diphenhydramine 510:allergic asthma 422:, specifically 417: 412: 404: 345:chest tightness 332:Allergic asthma 289: 272:digestive tract 252: 133: 114: 86:corticosteroids 61:, watery eyes, 51:allergic asthma 28: 23: 22: 15: 12: 11: 5: 2127: 2125: 2117: 2116: 2106: 2105: 2101: 2100: 2076: 2048: 1999: 1992: 1973: 1946:(5): 338–344. 1926: 1898: 1872: 1847: 1826:(5): 686–694. 1806: 1747: 1710:(2): 198–208. 1698:(2013-07-15). 1686: 1655: 1643: 1610: 1581: 1560:(5): 427–429. 1540: 1510: 1455: 1407: 1382: 1357: 1332: 1303: 1273: 1247: 1245: 1242: 1225: 1222: 1205: 1202: 1198:blood pressure 1178: 1175: 1173: 1170: 1138: 1135: 1103:5-lipoxygenase 1088: 1085: 1056: 1053: 1050: 1049: 1046: 1043: 1039: 1038: 1035: 1032: 1030:Hydrocortisone 1026: 1025: 1022: 1019: 1013: 1012: 1009: 1006: 996: 995: 992: 989: 987:Beclomethasone 983: 982: 979: 976: 958: 955: 918: 915: 911:adrenal cortex 860: 857: 856: 855: 845: 831: 806:Antihistamines 674: 671: 656:blurred vision 633: 632: 629: 619:Levocetirizine 616: 612: 611: 605: 588: 584: 583: 582:, intraocular 576: 569: 552: 548: 547: 544: 541: 538: 518:antihistamines 514:antihistamines 505:Antihistamines 452:smooth muscles 420:Antihistamines 416: 415:Antihistamines 413: 411: 408: 403: 400: 393: 392: 379: 373: 372: 369: 362: 361: 358: 352: 351: 334: 328: 327: 326:, watery eyes 320:or stuffy nose 310: 303: 302: 299: 288: 285: 251: 248: 245: 244: 226: 222: 221: 199: 195: 194: 173:Skin: plants, 161: 160:Environmental 157: 156: 153: 132: 129: 113: 110: 78:antihistamines 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2126: 2115: 2112: 2111: 2109: 2090: 2086: 2080: 2077: 2065: 2061: 2055: 2053: 2049: 2044: 2040: 2035: 2030: 2026: 2022: 2018: 2014: 2010: 2003: 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Index

Anti-allergic agents
medications
China
Egypt
allergic rhinitis
allergic asthma
atopic dermatitis
runny nose
itchiness
coughing
shortness of breath
antihistamines
decongestants
corticosteroids
leukotriene pathway modifiers
mast cell stabilizers
adrenaline
Allergen immunotherapy
symptoms
Allergies
type 1 hypersensitivity
allergens
pollens
dust mites
dander
mould
cosmetics
cleaning detergents
insect stings
nickel

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