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Erschienen in: Sleep and Breathing 6/2023

29.06.2023 | Sleep Breathing Physiology and Disorders • Original Article

Effect of second-generation antihistamines on nighttime sleep and daytime sleepiness in patients with allergic rhinitis

verfasst von: Teruyuki Sato, Youji Tareishi, Takahiro Suzuki, Nanako Ansai, Chikara Asaka, Nobuo Ohta

Erschienen in: Sleep and Breathing | Ausgabe 6/2023

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Abstract

Background

The daytime tiredness experienced by the vast majority of allergic rhinitis (AR) sufferers is directly related to the fact that they experience disrupted sleep at night. This study compared the effects of recently marketed second-generation H1 antihistamines (SGAs) on nighttime sleep and daytime sleepiness in patients with AR, with patients grouped into those taking non-brain-penetrating antihistamines (NBP group) and those taking brain-penetrating antihistamines (BP group).

Methods

Patients with AR completed self-administered questionnaire-based surveys to determine Pittsburgh Sleep Quality Index (PSQI) before and after taking SGAs. Statistical analysis was performed on each evaluation item.

Results

Of 53 Japanese patients with AR between 6 and 78 years old, median (SD) age was 37.0 (22.4) years old and 21 were men (40%). Of the 53 patients, 34 were the NBP group and 19 were the BP group. In the NBP group, mean (SD) subjective sleep quality score after medication was 0.76 (0.50), which was significantly lower (better) than the score of 0.97 (0.52) before medication (p = 0.020). In the BP group, mean (SD) subjective sleep quality score after medication was 0.79 (0.54), which was not significantly different from the score of 0.74 (0.56) before medication (p = 0.564). In the NBP group, mean (SD) global PSQI score was 3.47 (1.71) after medication, which was significantly lower (better) than the score of 4.35 (1.92) before medication (p = 0.011). In the BP group, mean (SD) global PSQI score was 2.47 (2.39) after medication, which was not significantly different from the score of 3.00 (2.71) before medication (p = 0.125).

Conclusion

Subjective sleep quality and global PSQI score were improved only in the group taking non-brain-penetrating SGAs.
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Metadaten
Titel
Effect of second-generation antihistamines on nighttime sleep and daytime sleepiness in patients with allergic rhinitis
verfasst von
Teruyuki Sato
Youji Tareishi
Takahiro Suzuki
Nanako Ansai
Chikara Asaka
Nobuo Ohta
Publikationsdatum
29.06.2023
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 6/2023
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-023-02857-6

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