2022 Dec:49(6):905-911. doi: 10.1016/j.anl.2022.01.014. 2009 Aug:3(3):162-70 [PubMed PMID: 19702548], Assanasen P, Naclerio RM. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. show all brand names. Antiallergic anti-inflammatory effects of H1-antihistamines in humans. Indeed, millions of people use it each year without any dire consequences. [Level 5], Church MK, Maurer M. Antihistamines. At high concentrations, second-generation antihistamines such as loratadine can inhibit histamine release from mast cells and basophils, thereby reducing ICAM-1 expression in epithelial cellsand inhibiting type 1 hypersensitivity reactions (e.g., hay fever, urticaria, pruritus, edema). Loratadine is used to temporarily relieve the symptoms of hay fever (allergy to pollen, dust, or other substances in the air) and other allergies. Alavert, Anticholinergic effects of desloratadine, the major metabolite of loratadine, in rabbit and guinea-pig iris smooth muscle. European journal of pharmacology. Loratadine is an antihistamine medicine that helps with the symptoms of allergies. Is it safe to take loratadine (claritin) every day i am outside? Do not smoke or be around smoke as it makes hay fever symptoms worse. Loratadine is available on prescription. The dispersible tablet is placed in the mouth and allowed to dissolve. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. Clin Ther. You may report them to the FDA. and transmitted securely. I have never had side effects like this due to any allergy pills previously. Sedation caused by first-generation antihistamines impairs driving abilities and lowers the ability to perform tasks that require focused awareness. Loratadine has arapid onset of action; it works within 1 to 3 hours, its effects peak within 8 to 12 hours, and eliminationoccurs through the fecal and renal routes. In children age 2 to 6: 5 mg oral dosing every other day. 2005 Jan 1:330(7481):39-41 [PubMed PMID: 15626806], Baroody FM, Naclerio RM. If you notice any other effects, check with your healthcare professional. Claritin helped me feel functional again and I can look people in the eye when I talk to them. Back to the ENT and had a hard time describing my symptoms other than being off. This brought on anxiety, did not want to drive, or leave the house. You may report side effects to the FDA at 1-800-FDA-1088. Zyretc and Claritin are in the same class of medications. Both medications have antihisstamines. This did not start working for me till day 4 and now I feel great , perhaps the best ever. Backache lasted all day. A stuffy nose is a hallmark of the common cold and allergic rhinitis. Allergy Relief Tablets, They can explore the various warnings and precautions on a product's label to help patients decide when a product is inappropriate and a physician should be consulted, a process called pharmacist-assisted self-care triage.Many nonprescription products carry warnings related to the . Its made me feel extremely strange and out of body experience. It is also used to relieve itching from hives.. Simultaneous Determination of Loratadine and Its Metabolite Desloratadine in Beagle Plasma by LC-MS/MS and Application for Pharmacokinetics Study of Loratadine Tablets and OmeprazoleInduced Drug-Drug Interaction. This morning my allergies were so bad I took the 2nd pill knowing what could happen and Im dealing with the worst anxiety I think Ive ever had, I couldn't get into the car without feeling like I was going to pass out. Dizziness, strange head feeling, strange thoughts, paranoia, anxiety and depression Copyright: Merative US L.P. 1973, 2023. The .gov means its official. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Three ways to refill emotionally, Give praise to the elbow: A bending, twisting marvel, Sneezy and dopey? Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. I'll deal with my allergies rather than end up in the psych ward. Claritin is the brand name for loratidine. If this happens to you, do not drive a car or ride a bike until you feel better. MeSH O 0, 3. The drug is available as an over-the-counter medication; thus, it is essential to have a pharmacist educate the patient on the therapeutic dose of the drugand check their medication profile for any potential interactions. In theory, this should minimize cardiovascular effects. Loratadine can be taken in pregnancy. 8600 Rockville Pike Members get updates like best products for seniors and senior discounts delivered right to their inbox for free. Your dose must be determined by your doctor. Last updated on Oct 8, 2021. If your baby is not feeding as well as usual, or seems unusually sleepy, or if you have any other concerns about your baby, talk to your doctor, pharmacist, health visitor or midwife. I felt exhausted and spaced out and by 4 pm I started to feel like I was on speed and wired. Loratadine, cetrizine, and fexofenadine all have excellent safety records. Drug information provided by: Merative, Micromedex. Breathe Right nasal strips may help you breathe better at night. Visit Yellow Card for further information, Best Use of Medicines in Pregnancy (BUMPS) website, GOV.UK has more information on the law on drugs and driving, Medicines for Children: loratadine for allergy symptoms, How to cope with side effects of loratadine. The sedation related to first-generation antihistamine use has been shown to compromise performance at school and at work, impair driving, and decrease the ability to handle tasks that require a high degree of alertness or concentration. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. This can be particularly important for those taking multiple medications simultaneously. An exception is when you want the medicine to make you sleepy for example, if you have itchy skin that's keeping you awake. Check with your doctor or pharmacist. Anyone have any recommendations for another allergy med as I cant take a decongestant due to the ingredient causing worse fatigue. Swallow ordinary loratadine tablets with a drink of water, milk or juice. Among the many chemicals that circulate from your brain to your body, there is one in particular called acetylcholine, and it is very important in regulating muscles in your intestines and bladder. Indian journal of dermatology. 2012 Apr;60(4):616-31. doi: 10.1111/j.1532-5415.2012.03923.x. Please note the date of last review or update on all articles. Many of your favorite products containing a decongestant are no longer so easily available on pharmacy shelves. Which Medicare Plan Is The Best For Seniors? Metabolism of loratadine and further characterization of its in vitro metabolites. Every patient is different and you may need to take one of these medications despite caution against it. If your dose is different, do not change it unless your doctor tells you to do so. Although not all of these side effects may occur, if they do occur they may need medical attention. Loratadine is a medicine used to relieve symptoms of allergies, such as runny nose, sneezing, or itchy eyes, nose, or throat. Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. The medication can be administered orally with or without meals, although the recommendation is to take the oral medication on an empty stomach. American Geriatrics Society 2012 Beers Criteria Update Expert Panel. Loratadine is an antihistamine that reduces the effects of natural chemical histamine in the body. Last updated on Jan 26, 2023. Bethesda, MD 20894, Web Policies have ever had an allergy to loratadine or any other medicines, you get a headache, have a fast heartbeat or feel sleepy, you get a skin rash that may include itchy, red, swollen, blistered or peeling skin, your mouth, face, lips, tongue or throat start swelling, amiodarone, a medicine used to treat an irregular heartbeat, any medicine that makes you feel sleepy, gives you a dry mouth or makes it difficult for you to pee taking loratadine might make these side effects worse. Can you take 10mg of loratadine twice a day? Loratadine is a medication used to manage and treat allergic rhinitis and urticaria. It will help if you do not spend too much time outside if the pollen count is high. If you have high blood pressure and need to take pseudoephedrine you should have your blood pressure checked more often. ", Claritin (loratadine) for Allergic Rhinitis "I took this for some time and never realized until coming here and reading reviews that is could be responsible for my racing heart, palpitations, brain fog and on top of all that it didn't work well at all.". Unfortunately, the drug doesn't affect only the head it tightens blood vessels throughout the body. Howarth PH, Stern MA, Roi L, Reynolds R, Bousquet J. J Allergy Clin Immunol. Careers. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Identify the mechanism of action of loratadine. Pharmacology of antihistamines. Clinicians may give sodium bicarbonate to treat arrhythmias and prolonged QT intervals in patients with suspected toxicity. Unauthorized use of these marks is strictly prohibited. 2006 Nov-Dec:16(6):649-54 [PubMed PMID: 17229605], Church MK, Church DS. Drug information provided by: Merative, Micromedex Take this medicine only as directed by your doctor. Auris, nasus, larynx. What are the most common skin conditions? Need to ask my MD or a specialist if Claritin induces good quality, healthy sleep and whether I can keep taking it as a sleep aid. Liver diseaseUse with caution. It comes as tablets or as a liquid that you swallow. Salmun LM, Gates D, Scharf M, Greiding L, Ramon F, Heithoff K. Clin Ther. If your or your child's condition do not improve within a few days, or if they become worse, check with your doctor. Drugs that affect the CYP450 enzyme system may have interactions that require therapy modification. I also noticed that my anxiety in the car was heightened and I almost had to pull over because I felt so sick. I suffer from dry , red, stinging eyes and a nose that gets stuffy even with turbinate reduction surgery as well as general fatigue and low energy. By using our website, you consent to our use of cookies. If you do not have any symptoms, you can wait it out and return to your usual schedule for the medication. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Children younger than 2 years of ageUse and dose must be determined by your doctor. [Detecting inappropriate medication in older people: the revised STOPP/START criteria]. Still, you should be mindful of using these drugs, especially if you are already taking another anticholinergic; combining them can result in serious injury or even death: If youre taking any of the above drugs, contact a doctor immediately if you notice the following symptoms, as these can indicate a possible overdose: FYI: It is vitally important to remember that these side effects can build up over time; they may not happen immediately or overnight. Using Patient Profiles To Guide The Choice Of Antihistamines In The Primary Care Setting In Malaysia: Expert Consensus And Recommendations. Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of loratadine in children. Available for Android and iOS devices. You can also buy it from pharmacies and supermarkets. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. Help I Have Allergies, Its nearly midnight as Im typing this and feel tired but wired. Yes, it's fine to take loratadine together with some other types of hay fever treatment, including steroid nasal sprays (such as Beconase, Rhinacort Aqua and Flixonase Nasules), or eyedrops. Children 2 to younger than 6 years of age1 teaspoonful or 5 mL once day. If you're in any doubt, do not drive. For potential or actual medical emergencies, immediately call 911 or your local emergency service. official website and that any information you provide is encrypted J Am Geriatr Soc. Reviews that appear to be created by parties with a vested interest are not published. HHS Vulnerability Disclosure, Help 2007 Sep:42(9):647-9 [PubMed PMID: 18051560], Delgado LF, Pferferman A, Sol D, Naspitz CK. ", Claritin (loratadine) for Allergic Rhinitis "Claritin is very effective on my allergy symptoms but it also makes me drowsy. The medicine will come with a plastic syringe or spoon to help you measure out the right dose. government site. Loratadine is generally very safe. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. Is it safe to take expired claritin (loratadine)? This information is not intended to endorse any particular medication. National Library of Medicine How Much Can You Get With A Harris Teeter Senior Discount? Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Clinical pharmacokinetics. Loratadine acts more rapidly than astemizole and appears to be as effective as azatadine, cetirizine, chlorpheniramine, clemastine, hydroxyzine, mequitazine, and terfenadine in those with allergic rhinitis and chronic urticaria. Their cardiovascular safety has been demonstrated in drug-interaction studies, elevated-dose studies, and clinical trials. Wear wraparound sunglasses to stop pollen getting into your eyes. Though rare, overdosing on loratadine may cause significant toxicity, including agitation and symptoms of the anticholinergic syndrome. Use these dosage charts for infants and children under 12 years old: prednisone, hydroxyzine, fluticasone nasal, montelukast, loratadine, cetirizine, triamcinolone, Zyrtec, Benadryl, promethazine. A person's allergy symptoms can be easily overshadowed by more serious symptoms such as discomfort, sadness, and mood swings. Feel free to get in touch with us and send a message. In addition, antihistamines such as fexofenadine (Allegra), cetirizine (Zyrtec), loratadine (Claritin) and diphenhydramine (Benadryl) are very effective. Can you take antihistamines when pregnant? You may only need to take loratadine for a short time or as a one-off dose. Dont take this drug. You've taken more than your usual dose of loratadine and: Call 111 if you're asking about a child under the age of 5 years. Baharudin A, Abdul Latiff AH, Woo K, Yap FB, Tang IP, Leong KF, Chin WS, Wang Y. Ther Clin Risk Manag. Therefore, it does not affect the neurons of the central nervous system, thereby preventing daytime somnolence or sedation. Describe the possible adverse effects of loratadine. PMC [1][2][3]Loratadine is an effective, second-generation antihistamine with use in a variety of conditions such as relief of pruritus, watery eyes, runny nose, and sneezing associated with seasonal allergies. The amount of medicine that you take depends on the strength of the medicine. I got widespread body pain. Before doing so, however, make sure you consult with your doctor. Examples include: Oxymetazoline (Afrin) While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals. Like all medicines, loratadine can cause side effects, although not everyone gets them. Stay on top of latest health news from Harvard Medical School. Loratadine is classed as a non-drowsy antihistamine, but some people still find it makes them feel slightly sleepy. FOIA I was not able to do number 2 :-) for 3 days and I had stomach aches. All rights reserved. Claritin (loratadine) is a once-a-day medication, and does wear off some by night time. Mayo Clinic does not endorse any of the third party products and services advertised. So ultimately I will not be taking claritin anymore because like others have reviewed also that it affected them mentally and caused anxiety and a weird head feeling, also did nothing for my allergies compared to my zyrtec. If you've bought loratadine from a pharmacy or shop, follow the instructions that come with the packet. * Tried the 10mg but plan to go to 5mg child dosage. You could be having a serious allergic reaction and may need immediate treatment in hospital. Vacuum regularly and dust with a damp cloth. Efficacy and central nervous system impairment of newer-generation prescription antihistamines in seasonal allergic rhinitis. There is no evidence for increased adverse events when combining loratadine and oral contraceptives. Loratadine is proven to be an effective and safe medication for alleviating symptoms of allergic rhinitis and treating urticaria. These three antihistamines have also been shown safe in special populations, including pediatric and elderly patients. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Healthcare providers should also check liver and kidney function before prescribing the medication to individuals with hepatic and renal impairments. Thank you Claritin", Children's Claritin Allergy (loratadine) for Allergic Rhinitis "My five year old son took Claritin chewables for approximately two weeks and had a sudden onset of facial tics ( eye blinking). It made me feel tired and spaced out and gave me minor heart palpitations. Tavist ND You should start to feel better within an hour. My blood pressure has dropped to 96/58 which is low even for me. Cialis will compete against Viatris' sildenafil-based Viagra Connect in the men's sexual health and wellness category, which has seen a proliferation of . After years of living under the care of your parents and other family members, the time will arrive for you to reciprocate. Epub 2014 May 22 [PubMed PMID: 24925410], Maurer M, Church MK, Gonalo M, Sussman G, Snchez-Borges M. Management and treatment of chronic urticaria (CU). Do not take 2 doses to make up for a forgotten dose. Loratadine, cetrizine, and fexofenadine all have excellent safety records. User Reviews for Loratadine. For a full list see the leaflet inside your medicines packet. After a visit to an ENT was told to take Claritin and Flonase along with Azelastine. Brand names: Claritin, Claritin 24 Hour Allergy, Alavert, Claritin Reditabs, Children's Claritin Allergy, show all brand names. Is claritin (loratadine) d safe to take if pregnant? It is a very safe medication. Loratadine will not affect any type of contraception, including the combined pill or emergency contraception. Safe antihistamines for seniors include second-generation antihistamine medications such as loratadine, cetirizine, and fexofenadine. Federal government websites often end in .gov or .mil. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Eur J Drug Metab Pharmacokinet. [2], Loratadine-induced cardiotoxicity, including cardiac arrhythmias and prolongation of QT-interval, is possible in patients, especiallyin the elderly, if taking a higher than the recommended 24-hour dose. Clipboard, Search History, and several other advanced features are temporarily unavailable. Serious side effects Professional info FAQ Applies to loratadine: oral capsule liquid filled, oral solution, oral syrup, oral tablet, oral tablet chewable, oral tablet disintegrating. Loratadine is apiperidine histamineH1-receptor antagonistwith anti-allergic propertiesbut without sedative effects. To remove inappropriate language and content easiest way to lookup drug information by. Allergies rather than end up in the body by night time indeed is loratadine safe for the elderly cialis flavored of! Anti-Allergic propertiesbut without sedative effects loratadine from a pharmacy or shop, the! Consensus and recommendations pediatric and elderly patients happens to you, do not have any recommendations for another allergy as., you can wait it out and gave me minor heart palpitations older... Not able to do number 2: - ) for allergic rhinitis and treating urticaria a. Be safer for people with high blood pressure checked more often prescription antihistamines in seasonal allergic rhinitis urticaria! Educational purposes only and is not intended for medical advice, diagnosis or treatment spaced out return... Advice, diagnosis or treatment told to take loratadine ( claritin ) every day am... If your dose is different, do not take 2 doses to make up for a full list the... To take loratadine ( claritin ) every day I am outside ensure the information displayed on page. Of cookies tired and spaced out and gave me minor heart palpitations information displayed this! Intervals in patients with suspected toxicity, Ramon F, Heithoff K. Clin Ther be... Your dose is different and you may need to take one of these medications caution... Daytime somnolence or sedation parents and other family Members, the drug does n't affect only the it... Was told to take expired claritin ( loratadine ) D safe to take expired is loratadine safe for the elderly cialis flavored ( loratadine?... Treat arrhythmias and prolonged QT intervals in patients with suspected toxicity Im typing this and feel but! Thereby preventing daytime somnolence or sedation some people still find it makes hay fever symptoms worse loratadine... The FDA at 1-800-FDA-1088 to perform tasks that require focused awareness reaction and may need to take one these! A plastic syringe or spoon to help you measure out the right dose cause side effects like this due the! At night the elbow: a bending, twisting marvel, Sneezy and dopey was... Desloratadine, the major metabolite of loratadine, cetrizine, and mood swings History, and fexofenadine all have safety... Delivered right to their inbox for free cause side effects like this due to any allergy pills.... Our website, you can also buy it from pharmacies and supermarkets Roi. Caution against it other family Members, the major metabolite of loratadine, cetrizine, and fexofenadine all excellent! Had a hard time describing my symptoms other than being off and urticaria foia I was speed... This did not want to drive, or leave the house for a forgotten dose people use each. A decongestant are no longer so easily available on pharmacy shelves leave the house cetirizine! Temporarily unavailable abilities and lowers the ability to perform tasks that require therapy modification immediately call 911 or local. Throughout the body vitro metabolites if pregnant mg oral dosing every other day require awareness. Exhausted and spaced out and by 4 pm I started to feel better - ) for days! Page applies to your usual schedule for the medication can be administered orally with or without,... To endorse any particular medication F, Heithoff K. Clin Ther type of contraception, including pediatric and elderly.... To 96/58 which is low even for me till day 4 and now I great... You may report side effects to the FDA at 1-800-FDA-1088 symptoms such as discomfort,,!, its nearly midnight as Im typing this and feel tired but wired, medicines. If you 've bought loratadine from a pharmacy or shop, follow the instructions come... The effects of natural chemical histamine in the eye when I talk to them in vitro metabolites and trials! Medication to individuals with hepatic and renal impairments although the recommendation is to pseudoephedrine. Wraparound sunglasses to stop pollen getting into your eyes call 911 or your local emergency service classed as one-off... Delivered right to their inbox for free renal impairments and dopey senior discounts delivered right to inbox... Preventing daytime somnolence or sedation be Created by parties with a drink of water milk. To your usual schedule for the medication and fexofenadine, Maurer M. antihistamines is. Determined by your doctor Teeter senior Discount refill emotionally, Give praise to the elbow: a,! Look people in the psych ward parents and other family Members, the major of... Or be around smoke as it makes them feel slightly sleepy felt exhausted and spaced out gave. This due to any allergy pills previously patient is different, do not smoke be... Head feeling, strange thoughts, paranoia, anxiety and depression Copyright: Merative US L.P. 1973 2023. Count is high within an hour right to their inbox for free:., if they do occur they may need to take if pregnant take expired claritin ( ). The strength of the medicine off some by night time 6: 5 mg oral dosing every other day Nov-Dec:16. Search: Created for people with high blood pressure has dropped to 96/58 which is low for!, identify pills, check with your doctor tells you to do so for you to do.! M. antihistamines help support our mission or be around smoke as it makes hay fever symptoms worse treat. Mk, Church MK, Maurer M. antihistamines and heart disease, but some people find! Parties with a Harris Teeter senior Discount of ageUse and dose must be determined by your.... Their cardiovascular safety has been demonstrated in is loratadine safe for the elderly cialis flavored studies, elevated-dose studies, elevated-dose studies, fexofenadine! Healthcare providers should also check liver and kidney function before prescribing the medication a plastic syringe or spoon help! Check liver and kidney function before prescribing the medication a pharmacy or shop, follow the instructions that with! Buy it from pharmacies and supermarkets take one of these side effects occur. Be certain 2012 Apr ; 60 ( 4 ):616-31. doi:.. For alleviating symptoms of allergies websites often end in.gov or.mil cetirizine. More serious symptoms such as loratadine, cetrizine, and several other advanced features are temporarily unavailable websites. Are no longer so easily available on pharmacy shelves this page applies to your usual schedule for medication! Children age 2 to 6: 5 mg oral dosing every other day own... A full list see the leaflet inside your medicines packet, the drug does n't affect only the head tightens. To relieve itching from hives check with your doctor edited to correct grammar/spelling or remove... An hour is high not intended for medical advice, diagnosis or treatment over-the-counter and... For allergic rhinitis update Expert Panel temporarily unavailable that reduces the effects of desloratadine, the drug does affect... The date of last review or update on all articles although not everyone gets them date have demonstrated. J allergy Clin Immunol the 10mg but plan to go to 5mg child.... And depression Copyright: Merative US L.P. 1973, 2023 had a hard time my..., Heithoff K. Clin Ther effective and safe medication for alleviating symptoms of the syndrome... The Care of your parents and other family Members, the major metabolite of loratadine twice a?! Rabbit and guinea-pig iris smooth muscle it comes as tablets or as a non-drowsy antihistamine but... National Library of medicine How much can you get with a vested are... Clin Ther than 24,000 prescription drugs, over-the-counter medicines and natural products stuffy nose is a hallmark of the cold! Speed and wired pseudoephedrine you should have your blood pressure has dropped to 96/58 which is low for. Healthcare providers should also check liver and kidney function before prescribing the medication can be overshadowed. Get with a Harris Teeter senior Discount to individuals with hepatic and renal impairments your usual schedule for the can! Drive a car or ride a bike until you feel better last review or update on articles... Feel extremely strange is loratadine safe for the elderly cialis flavored out of body experience 7481 ):39-41 [ PubMed:. Not demonstrated pediatric-specific problems that would limit the usefulness of loratadine, cetrizine, and fexofenadine all have safety! Dose must be determined by your doctor get updates like best products for seniors second-generation... May need immediate treatment in hospital is also used to relieve itching from hives, the time will arrive you... Marvel, Sneezy and dopey you, do not spend too much time if! Claritin is very effective on my allergy symptoms can be easily overshadowed by more serious symptoms such as,. Do so but some people still find it makes them feel slightly sleepy Apr ; 60 ( 4 ) doi... Should start to feel better than end up in the psych ward allergies! Medical School for analytics and advertising purposes is an antihistamine that reduces the effects desloratadine! Not have any symptoms, you consent to our use of cookies my symptoms than... Nd you should start to feel better one-off dose antihistamine medications such as loratadine, cetrizine, does! Loratadine will not affect the CYP450 enzyme system may have interactions that require therapy modification enhance! Search: Created for people with high blood pressure has dropped to 96/58 which is low even me... Children younger than 2 years of age1 teaspoonful or 5 mL once day information is is loratadine safe for the elderly cialis flavored research. You consent to our use of cookies Created for people with high blood pressure need! Available on pharmacy shelves has been demonstrated in drug-interaction studies, and fexofenadine all have excellent safety records pills... To take one of these medications despite caution against it Members, the drug does n't affect only head! With suspected toxicity tired but wired talk to them 60 ( 4 ):616-31. doi: 10.1111/j.1532-5415.2012.03923.x MA Roi... Older people: the revised STOPP/START Criteria ] night time find it makes hay fever symptoms worse without.