Source: Medicines & Healthcare Products Regulatory Agency (GB) Revision Year: 2011 Publisher: Merck Sharp & Dohme Ltd Hertford Road Hoddesdon Hertfordshire EN11 9BU United Kingdom
Hypersensitivity to the active substance, to any of the excipients, or to loratadine.
Efficacy and safety of Neoclarityn tablets in children under 12 years of age have not been established.
In the case of severe renal insufficiency, Neoclarityn should be used with caution (see section 5.2).
Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.
No clinically relevant interactions were observed in clinical trials with desloratadine tablets in which erythromycin or ketoconazole were co-administered (see section 5.1).
In a clinical pharmacology trial Neoclarityn taken concomitantly with alcohol did not potentiate the performance impairing effects of alcohol (see section 5.1).
Desloratadine was not teratogenic in animal studies. The safe use of the medicinal product during pregnancy has not been established. The use of Neoclarityn during pregnancy is therefore not recommended.
Desloratadine is excreted into breast milk, therefore the use of Neoclarityn is not recommended in breast-feeding women.
In clinical trials that assessed the driving ability, no impairment occurred in patients receiving desloratadine. However, patients should be informed that very rarely some people experience drowsiness, which may affect their ability to drive or use machines.
In clinical trials in a range of indications including allergic rhinitis and chronic idiopathic urticaria, at the recommended dose of 5 mg daily, undesirable effects with Neoclarityn were reported in 3 % of patients in excess of those treated with placebo. The most frequent of adverse events reported in excess of placebo were fatigue (1.2 %), dry mouth (0.8 %) and headache (0.6 %). In a clinical trial with 578 adolescent patients, 12 through 17 years of age, the most common adverse event was headache; this occurred in 5.9 % of patients treated with desloratadine and 6.9 % of patients receiving placebo. Other undesirable effects reported very rarely during the post-marketing period are listed in the following table.
Psychiatric disorders: Hallucinations
Nervous system disorders: Dizziness, somnolence, insomnia, psychomotor hyperactivity, seizures
Cardiac disorders: Tachycardia, palpitations
Gastrointestinal disorders: Abdominal pain, nausea, vomiting, dyspepsia, diarrhoea
Hepatobiliary disorders: Elevations of liver enzymes, increased bilirubin, hepatitis
Musculoskeletal and connective tissue disorders: Myalgia
General disorders: Hypersensitivity reactions (such as anaphylaxis, angioedema, dyspnoea, pruritus, rash, and urticaria)
Not applicable.
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