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Updated: Jun 10, 2026

Basophil Activation Test for Allergy Diagnosis
Published on: May 31, 2021
Oral bepotastine: in allergic disorders
Katherine A Lyseng-Williamson1
1Adis, a Wolters Kluwer Business, Mairangi Bay, North Shore, Auckland, New Zealand. demail@adis.co.nz
Oral bepotastine, a histamine H1 receptor antagonist, effectively treats allergic rhinitis and chronic urticaria. Clinical trials show it is well-tolerated and offers significant relief from itching and skin conditions.
Area of Science:
- Pharmacology
- Allergology
- Dermatology
Background:
- Bepotastine is a second-generation H1 receptor antagonist with anti-inflammatory properties.
- It is used to treat allergic rhinitis, chronic urticaria, and pruritus from skin conditions.
Purpose of the Study:
- To evaluate the efficacy and tolerability of oral bepotastine in allergic conditions.
- To compare bepotastine with terfenadine and placebo in clinical trials.
Main Methods:
- Phase III clinical trials and surveillance studies.
- Inclusion of adult and pediatric patients with allergic rhinitis, chronic urticaria, and pruritus.
Main Results:
- Bepotastine 20 mg/day was more effective than terfenadine for perennial allergic rhinitis.
- Bepotastine demonstrated superior efficacy over placebo for chronic urticaria symptoms.
- The majority of patients with pruritus from skin diseases reported moderate to greater improvement.
Conclusions:
- Oral bepotastine is an effective and well-tolerated treatment for allergic rhinitis, chronic urticaria, and pruritus.
- Bepotastine offers a valuable therapeutic option for managing allergic inflammatory conditions.
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