Loratadine chemical structure
Find information on thousands of medical conditions and prescription drugs.

Claritin

Loratadine is a drug used to treat allergies. It is marketed by Schering-Plough under several trade names such as Claritin®, Clarityn® or Claratyne® depending on the market, and by Wyeth as Alavert. It is also available as a generic. Its active metabolite, desloratadine, is also on the market, though loratadine itself is the only drug of its class available over the counter (at least in the US and UK) as of 2005. more...

Home
Diseases
Medicines
A
B
C
Cabergoline
Caduet
Cafergot
Caffeine
Calan
Calciparine
Calcitonin
Calcitriol
Calcium folinate
Campath
Camptosar
Camptosar
Cancidas
Candesartan
Cannabinol
Capecitabine
Capoten
Captohexal
Captopril
Carbachol
Carbadox
Carbamazepine
Carbatrol
Carbenicillin
Carbidopa
Carbimazole
Carboplatin
Cardinorm
Cardiolite
Cardizem
Cardura
Carfentanil
Carisoprodol
Carnitine
Carvedilol
Casodex
Cataflam
Catapres
Cathine
Cathinone
Caverject
Ceclor
Cefacetrile
Cefaclor
Cefaclor
Cefadroxil
Cefazolin
Cefepime
Cefixime
Cefotan
Cefotaxime
Cefotetan
Cefpodoxime
Cefprozil
Ceftazidime
Ceftriaxone
Ceftriaxone
Cefuroxime
Cefuroxime
Cefzil
Celebrex
Celexa
Cellcept
Cephalexin
Cerebyx
Cerivastatin
Cerumenex
Cetirizine
Cetrimide
Chenodeoxycholic acid
Chloralose
Chlorambucil
Chloramphenicol
Chlordiazepoxide
Chlorhexidine
Chloropyramine
Chloroquine
Chloroxylenol
Chlorphenamine
Chlorpromazine
Chlorpropamide
Chlorprothixene
Chlortalidone
Chlortetracycline
Cholac
Cholybar
Choriogonadotropin alfa
Chorionic gonadotropin
Chymotrypsin
Cialis
Ciclopirox
Cicloral
Ciclosporin
Cidofovir
Ciglitazone
Cilastatin
Cilostazol
Cimehexal
Cimetidine
Cinchophen
Cinnarizine
Cipro
Ciprofloxacin
Cisapride
Cisplatin
Citalopram
Citicoline
Cladribine
Clamoxyquine
Clarinex
Clarithromycin
Claritin
Clavulanic acid
Clemastine
Clenbuterol
Climara
Clindamycin
Clioquinol
Clobazam
Clobetasol
Clofazimine
Clomhexal
Clomid
Clomifene
Clomipramine
Clonazepam
Clonidine
Clopidogrel
Clotrimazole
Cloxacillin
Clozapine
Clozaril
Cocarboxylase
Cogentin
Colistin
Colyte
Combivent
Commit
Compazine
Concerta
Copaxone
Cordarone
Coreg
Corgard
Corticotropin
Cortisone
Cotinine
Cotrim
Coumadin
Cozaar
Crestor
Crospovidone
Cuprimine
Cyanocobalamin
Cyclessa
Cyclizine
Cyclobenzaprine
Cyclopentolate
Cyclophosphamide
Cyclopropane
Cylert
Cyproterone
Cystagon
Cysteine
Cytarabine
Cytotec
Cytovene
Isotretinoin
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z

It is sometimes combined with pseudoephedrine to add a decongestant aspect to the treatment, making it somewhat useful for colds as well as allergies.

Available forms

Loratadine is available as tablets and oral suspension, and also in combination with pseudoephedrine. Also available are quick-dissolving tablets, which are advertised as being faster to get into one's system but which require special handling to avoid degrading in the package.

Mechanism of action

Loratadine is a tricyclic antihistamine, which has a selective and peripheral H1-antagonist action. It has a long-lasting effect and does not cause drowsiness because it does not readily enter the central nervous system.

Pharmacokinetics

Loratadine is rapidly absorbed from the gastro-intestinal tract and it has rapid first-pass hepatic metabolism. Loratadine is almost totally bound to plasma proteins. Its metabolite, desloratadine (descarboethoxyloratadine), is also active, but binds to plasma proteins only moderately. The half-life of loratadine is on average 8 hours, and its metabolites 28 hours. About 40% is excreted as conjugated metabolites into the urine and similar amount into the feces. Traces of unmetabolised loratadine can be found in the urine.

Recommended dosage

  • Adults and children 15+ years: 10mg once every 24 hours.
  • Children 2-14 years:
    • Bodyweight above 30kg: 10mg once every 24 hours.
    • Bodyweight below 30kg: 5mg once every 24 hours.

(From product packaging for Clarityn tablets.)

Side-effects

Most common side-effects are fatigue, drowsiness, dry mouth, headache, and gastrointestinal disturbances.

Loratadine vs. desloratadine

A November 2003 article published in the journal American Family Physician about the safety, tolerability, effectiveness, price, and simplicity of desloratadine concluded the following:

Desloratadine is similar in effectiveness to fexofenadine and would be expected to produce results similar to loratadine and other nonsedating antihistamines.Thus Desloratidine is of faster onset of action than Loratidine as the Loratidine is activated in the liver into Desloratidine (which was introduced into the american market under the name Aerius by Schering Plough corporation). However, it may be an option for patients whose medical insurance no longer covers loratadine if the co-pay is less than the cost of the over-the-counter product.

External links and references

  • Desloratadine for Allergic Rhinitis, a November 2003 article from American Family Physician
  • Packaging directions in PDF Format. Product Packaging for Claritin 24 hour tablets. URL accessed on January 3, 2005.


Read more at Wikipedia.org


[List your site here Free!]


After successful Rx-to-OTC switches, Claritin, Prilosec aim to sustain sales - OTC/Natural Health
From Drug Store News, 1/19/04 by Michael Johnsen

It's not every year that a pharmaceutical blockbuster switches to over-the-counter status. Last year there were two: Claritin and Prilosec--both leading prescription, drugs in their respective classes at one time, combining for total sales of $7.3 billion in 2001 (the last full year both were sold by prescription only).

Claritin and Prilosec quickly have seized the top spots in their respective OTC classes. Schering-Plough's Claritin, which launched in December 2002, pulled in $163.3 million across food, drug and mass outlets (excluding Wal-Mart) for the 52 weeks ended Nov. 2, according to Information Resources Inc. Drug captured the majority of that trial with 53 percent of the dollars in that period.

Procter & Gamble's Prilosec OTC, which launched Sept. 15, generated $35.3 million for the seven weeks leading up to Nov. 2. Again, drug stores staked out the majority, claiming 56 percent of all initial sales.

P&G projected first year sales of Prilosec OTC to fall between $200 million and $400 million.

"More than half of Prilosec [sales] is in drug," said Bob Doyle, executive vice president for IRI's Healthcare Solutions Group. "Drug fills more than 50 percent of prescriptions, so the [business] was already in their stores," he continued, noting that drug store operators made a solid effort to keep that business in-house.

Switches face pressure

Although Claritin faced branded competition from Wyeth's Alavert ($54 million in mass retail first-year sales) after two weeks on the market, Schering-Plough enjoyed three months of sales without a private label competitor .

That changed when private label powerhouses Perrigo and Leiner joined the loratadine race in July, driving the retail price down to 33 cents per pill OTC Claritin retails between $1.20 and 60 cents per pill.

Although Prilosec has enjoyed a high trial rate as an OTC through a highly visible initial launch, the brand may not be able to sustain those sales.

Once it loses prominent endcap placements and the media frenzy dies down, Prilosec's inability to deliver instant heartburn relief may split its market between experienced users and first-time users with dashed expectations. The prescription proton-pump inhibitor market is still growing, according to some industry experts, suggesting that part of Prilosec OTC's initial sales are coming from self-treating heartburn sufferers not familiar with PPI therapy.

While much of the growth is likely to slow, what remains is a substantial business. P&G isn't offering a heartburn remedy for all sufferers, nor is it trying to. Rather, it is targeting heavy users in the category, which number some 54 million consumers, according to P&G figures. "Historically, frequent heartburn sufferers have commonly taken a number of treatments--a cocktail approach--in addressing their heartburn problems," noted Blayne Smith, a P&G spokesman.

Of course, none of this should suggest that there isn't opportunity to grow the business for either of these OTC brands. Indeed, Schering-Plough already has a line extension planned for next month with the introduction of Claritin Hives Relief tablets--the same medicine with a newly approved indication. Although there have been no announcements, other opportunities include coupling loratadine with a decongestant and a pain reliever to create a Claritin-branded cold remedy, much like Pfizer has done with Benadryl Cold.

P&G officials declined to speculate on any future plans for OTC Prilosec. However, the company could always combine omeprazole with a fast-acting antacid ingredient, much like Johnson & Johnson did with Pepcid Complete.

COPYRIGHT 2004 Reproduced with permission of the copyright holder. Further reproduction or distribution is prohibited without permission.
COPYRIGHT 2004 Gale Group

Return to Claritin
Home Contact Resources Exchange Links ebay