Olopatadine

Olopatadine Brand Names

Pataday | Patanase | Patanol | Pazeo

What is Olopatadine

Olopatadine is a topical antihistamine with selective H1-receptor antagonist activity and mast cell stabilizing effects.

It is marketed as an ophthalmic agent for the prevention of ocular pruritus due to allergic conjunctivitis and as a nasal spray for the relief of the symptoms of seasonal allergic rhinitis.

The ophthalmic solution is available as an over-the-counter 0.1% and 0.2% solution and as a prescription-only 0.7% solution.

Although no comparative studies have been performed, olopatadine may be a more potent mast cell stabilizer than cromolyn.

Indications

  1. allergic conjunctivitis
  2. allergic rhinitis
  3. ocular pruritus
  4. seasonal allergies

For the treatment of the signs and symptoms of allergic conjunctivitis, including ocular pruritus

Side Effects

  1. anosmia
  2. asthenia
  3. back pain
  4. blepharedema
  5. blurred vision
  6. conjunctivitis
  7. cough
  8. depression
  9. diarrhea
  10. drowsiness
  11. dysgeusia
  12. epistaxis
  13. fatigue
  14. fever
  15. foreign body sensation
  16. headache
  17. hyperemia
  18. infection
  19. influenza
  20. keratitis
  21. nasal septum perforation
  22. nausea
  23. ocular irritation
  24. ocular pruritus
  25. pharyngitis
  26. rash
  27. rhinitis
  28. rhinorrhea
  29. sinusitis
  30. throat irritation
  31. wheezing
  32. xerophthalmia
  33. xerostomia

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • breast-feeding
  • children
  • contact lenses
  • depression
  • driving or operating machinery
  • geriatric
  • infants
  • nasal septal perforation
  • nasal trauma
  • neonates
  • pregnancy

Interactions

  • Ethanol

Ethanol: (Moderate) Caution should be used when olopatadine nasal spray is used in combination with CNS depressants like ethanol. Patients should be advised to limit ethanol ingestion while taking olopatadine nasal spray; increased drowsiness may occur.

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