Adverse drug reactions of systemic antihistamines in children in the Netherlands

BackgroundAntihistamines are used for the treatment of allergic rhinitis, allergic conjunctivitis, chronic spontaneous urticaria and atopic eczema.ObjectiveTo study the reports of adverse drug reactions (ADRs) in children using antihistamines to provide prescribers with an overview of the possible t...

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Veröffentlicht in:Archives of disease in childhood 2016-10, Vol.101 (10), p.968-970
Hauptverfasser: de Vries, Tjalling W, van Hunsel, Florence
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creator de Vries, Tjalling W
van Hunsel, Florence
description BackgroundAntihistamines are used for the treatment of allergic rhinitis, allergic conjunctivitis, chronic spontaneous urticaria and atopic eczema.ObjectiveTo study the reports of adverse drug reactions (ADRs) in children using antihistamines to provide prescribers with an overview of the possible toxicity.DesignWe studied ADRs in children reported to the Netherlands Pharmacovigilance Centre Lareb in the years 1991–2014, assessed the Naranjo score and, when possible, computed the reporting OR.ResultsSerious ADRs included one death (malignant neuroleptic syndrome), cardiac arrhythmia (one case) and convulsions (three cases). Skin eruptions, headache and somnolence were the most frequently reported ADRs. Aggression and agitation were also reported.ConclusionsToxicity can occur with second-generation antihistamines. The main toxicity relates to skin eruptions and central nervous system problems.
doi_str_mv 10.1136/archdischild-2015-310315
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Skin eruptions, headache and somnolence were the most frequently reported ADRs. Aggression and agitation were also reported.ConclusionsToxicity can occur with second-generation antihistamines. 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Skin eruptions, headache and somnolence were the most frequently reported ADRs. Aggression and agitation were also reported.ConclusionsToxicity can occur with second-generation antihistamines. 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van Hunsel, Florence</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b522t-f6f04dc9e6007f120fd2c8294e530afdf9adbaa5d5d656547685ae604b205e873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adverse and side effects</topic><topic>Adverse drug reactions</topic><topic>Aggression - drug effects</topic><topic>Allergic rhinitis</topic><topic>Antihistamines</topic><topic>Atopic dermatitis</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Conjunctivitis</topic><topic>Diagnosis</topic><topic>Drug Eruptions - etiology</topic><topic>Drugs</topic><topic>Female</topic><topic>Hay-fever</topic><topic>Headache Disorders - chemically induced</topic><topic>Health aspects</topic><topic>Histamine Antagonists - adverse effects</topic><topic>Hives (Disease)</topic><topic>Humans</topic><topic>Hyperkinesis - chemically induced</topic><topic>Infant</topic><topic>Male</topic><topic>Netherlands</topic><topic>Psychomotor Agitation - etiology</topic><topic>Retrospective Studies</topic><topic>Sleep Initiation and Maintenance Disorders - chemically induced</topic><topic>Tachycardia - chemically induced</topic><topic>Urticaria</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Vries, Tjalling W</creatorcontrib><creatorcontrib>van Hunsel, Florence</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Vries, Tjalling W</au><au>van Hunsel, Florence</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse drug reactions of systemic antihistamines in children in the Netherlands</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>101</volume><issue>10</issue><spage>968</spage><epage>970</epage><pages>968-970</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><abstract>BackgroundAntihistamines are used for the treatment of allergic rhinitis, allergic conjunctivitis, chronic spontaneous urticaria and atopic eczema.ObjectiveTo study the reports of adverse drug reactions (ADRs) in children using antihistamines to provide prescribers with an overview of the possible toxicity.DesignWe studied ADRs in children reported to the Netherlands Pharmacovigilance Centre Lareb in the years 1991–2014, assessed the Naranjo score and, when possible, computed the reporting OR.ResultsSerious ADRs included one death (malignant neuroleptic syndrome), cardiac arrhythmia (one case) and convulsions (three cases). Skin eruptions, headache and somnolence were the most frequently reported ADRs. Aggression and agitation were also reported.ConclusionsToxicity can occur with second-generation antihistamines. The main toxicity relates to skin eruptions and central nervous system problems.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>27091848</pmid><doi>10.1136/archdischild-2015-310315</doi><tpages>3</tpages></addata></record>
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subjects Adolescent
Adverse and side effects
Adverse drug reactions
Aggression - drug effects
Allergic rhinitis
Antihistamines
Atopic dermatitis
Care and treatment
Child
Child, Preschool
Children
Conjunctivitis
Diagnosis
Drug Eruptions - etiology
Drugs
Female
Hay-fever
Headache Disorders - chemically induced
Health aspects
Histamine Antagonists - adverse effects
Hives (Disease)
Humans
Hyperkinesis - chemically induced
Infant
Male
Netherlands
Psychomotor Agitation - etiology
Retrospective Studies
Sleep Initiation and Maintenance Disorders - chemically induced
Tachycardia - chemically induced
Urticaria
title Adverse drug reactions of systemic antihistamines in children in the Netherlands
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