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Mizolastine

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At a glance

Mizolastine is an antihistamine used for the treatment of various allergic conditions.

Description

Mizolastine is a non-sedating antihistamine that blocks histamine H1-receptors on effector cells of the GI tract blood vessels and respiratory tract. It also has mast-cell stabilising properties.

Indications
  • Seasonal allergic rhinoconjunctivitis (hay fever)
  • Perennial allergic rhinoconjunctivitis
  • Urticaria
  • Allergic conditions
Pharmacological class

Antihistamine

Pharmacology

Mizolastine is a non-sedating antihistamine that blocks histamine H1-receptors to reduce allergic symptoms like itching swelling and rash.

Mechanism of action

Relieves allergic itching swelling and rash.

Dosage

Adult Dose (Oral):

  • Allergic conditions: 10 mg once daily
  • Elderly: 10 mg once daily

Child Dose: >12 years: 10 mg once daily; <12 years: Not recommended.

Administration
  • May be taken with or without food
  • Swallow tablet whole
  • Take at the same time each day
Missed dose

If you miss a dose take it as soon as you remember; skip if its almost time for next dose; do not double the dose.

Drug interactions
  • Ketoconazole, Erythromycin: Increased plasma concentration
  • Antidepressants and Anxiolytics: Increased sedative effect
  • Quinidine, Amiodarone: Risk of cardiac arrhythmias
Food interactions

Alcohol with Mizolastine is safe (no harmful effects).

Contraindications
  • Significant cardiac disease or history of arrhythmias
  • QT prolongation
  • Electrolyte imbalance (especially hypokalemia)
  • Significant bradycardia
  • Significant hepatic impairment
Side effects

Common Side Effects:

  • Drowsiness
  • Dry mouth
  • Diarrhea
  • Abdominal pain
  • Nausea
  • Headache
  • Dizziness
  • Elevated liver enzymes
Use in pregnancy

Use in Pregnancy: Generally safe. Animal studies show low or no adverse effects; limited human studies.

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

Use in lactation

Use in Lactation: Probably safe. Excreted in breast milk so caution advised.

Precautions & warnings
  • Caution while driving (may cause drowsiness and dizziness)
  • Caution with alcohol
  • Stop 3 days before allergy testing
  • Contraindicated in liver disease
Pediatric use

Not recommended for children under 12 years.

Geriatric use

Elderly dose: 10 mg once daily.

Renal / hepatic impairment

Renal Impairment: Limited information available. Consult your doctor.

Hepatic Impairment: Probably unsafe - avoid.

Overdose effects

Overdose may require cardiac monitoring and symptomatic treatment. Hemodialysis is not effective.

Therapeutic class

Non-sedating antihistamines

Storage conditions

Store in a cool and dry place protected from light. Keep out of reach of children.

Chemical structure

Mizolastine

Common questions

What does this drug do?
It is used for allergic itching swelling and rash.
How to use it?
Take once daily as prescribed by your doctor.
What are the side effects?
Drowsiness dry mouth headache dizziness may occur.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.