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At a glance

Terfenadine is an antihistamine used for allergic conditions. It relieves itching, swelling, and rashes by blocking histamine effects. Its use has been banned due to serious side effects.

Indications
  • Allergic conditions
Pharmacology

Terfenadine is a non-sedating antihistamine that blocks peripheral H1 receptors to prevent histamine-induced allergic reactions. However, due to CYP3A4 metabolism, it has significant drug interaction and QT prolongation risks.

Dosage

Adult Dose (Oral):

  • 60-120 mg/day in the morning or 60 mg twice daily
  • Maximum: 120 mg/day

Pediatric Dose (>12 years, >50 kg):

  • 60-120 mg/day in the morning or 60 mg twice daily
  • Maximum: 120 mg/day
Side effects

Common Side Effects:

  • Diarrhea, headache
  • Elevated liver enzymes
  • Joint pain, muscle pain
  • Loss of appetite, nausea
  • Rash, abdominal pain

Serious (Rare):

  • QT interval prolongation
  • Torsade de pointes (fatal arrhythmia)
Use in pregnancy

Use in Pregnancy: May be unsafe; animal studies show harmful effects; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Banned in many countries due to serious side effects
  • Stop use 3 days before allergy testing
  • Caution in liver disease
  • Caution in pregnancy and lactation
Overdose effects

Overdose may cause QT prolongation and arrhythmia risk; provide symptomatic treatment.

Storage conditions

Store in a cool and dry place, protected from light; keep out of reach of children.

Terfenadine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.