Antihistamine Selection for Elderly Patients with Hypertension

Dosing Considerations for Elderly Patients

• The European Society of Cardiology recommends starting with lower doses in elderly patients due to increased risk of adverse effects and altered pharmacokinetics 1

Critical Monitoring Parameters

• The European Heart Journal and Hypertension journal suggest ensuring the patient's blood pressure remains controlled, as second-generation antihistamines should not affect BP management 1, 2, 3
• The European Heart Journal recommends starting with the lowest effective dose in very frail elderly patients over 80 years and monitoring closely for any adverse effects 1