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Fexofenadine

ALLEGRA

What it isSecond-generation H1 antagonist and P-gp substrate; allergic rhinitis and urticaria.

Why this oneIt is actively excluded from the CNS by P-gp, making it the least sedating antihistamine.

What limits itFruit juice reduces absorption substantially through OATP inhibition. Cations block it; renally adjusted.

FDA-approved for

FDA label

FDA dosingPopulationStartTargetMax
Allergy relief≥12 yr18 mg QD1 tablet/24h

Renal Undefined

Hepatic Undefined

Instructions

Pregnancy Undefined

Lactation Undefined

NO BOXED WARNINGS

Principal riskFruit juice substantially reduces absorption

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Fexofenadine ballicule

Fexofenadine ballicule: receptor binding, kinetics and half-life diagram

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Memory aids: mascots and interaction avatars

Fexofenadine ALLEGRA mascot mnemonic cartoon
“Allergic to FedEx”

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