Differential cognitive effects of terfenadine and chlorpheniramine

The H 1-histamine antagonist, terfenadine, has been proposed to have reduced cognitive side effects. In the present study, the relative cognitive effects of terfenadine, 60 mg, chlorpheniramine maleate, 8 mg, and placebo were tested with a double-blind, randomized, three-period crossover design in 2...

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Veröffentlicht in:Journal of allergy and clinical immunology 1989-09, Vol.84 (3), p.322-325
Hauptverfasser: Meador, Kimford J., Loring, David W., Thompson, Elaine E., Thompson, William O.
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container_end_page 325
container_issue 3
container_start_page 322
container_title Journal of allergy and clinical immunology
container_volume 84
creator Meador, Kimford J.
Loring, David W.
Thompson, Elaine E.
Thompson, William O.
description The H 1-histamine antagonist, terfenadine, has been proposed to have reduced cognitive side effects. In the present study, the relative cognitive effects of terfenadine, 60 mg, chlorpheniramine maleate, 8 mg, and placebo were tested with a double-blind, randomized, three-period crossover design in 24 healthy adult subjects. The dependent variable was latency of the P3-evoked potential. The P3 is a cognitively evoked electroencephalographic response that is an objective and sensitive measure of sustained attention and cerebral processing speed. Disease and drug states that adversely affect the central nervous system can slow P3 latency. For example, the centrally active anticholinergic scopolamine slows cognitive processing speed and prolongs P3 latency. P3 latency (millisecond) means (±mean standard error) were pretreatment, 310 (±1.7); placebo, 313 (±3); terfenadine, 320 (±3); and chlorpheniramine, 333 (±3). The findings suggest that terfenadine may be particularly advantageous in patients who require alertness and intact cognitive abilities.
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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals
subjects Adult
Benzhydryl Compounds - pharmacology
Biological and medical sciences
Chlorpheniramine - pharmacology
Cognition - drug effects
Double-Blind Method
Evoked Potentials, Somatosensory - drug effects
Female
Histamine and antagonists. Allergy
Histamine H1 Antagonists - pharmacology
Humans
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Random Allocation
Reaction Time - drug effects
Terfenadine
title Differential cognitive effects of terfenadine and chlorpheniramine
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