Background: Antihistamines are used to treat allergic rhinitis. Whether better pharmacokinetic and pharmacodynamic properties confer higher clinical effectiveness is not known. Objectives: To compare the effectiveness of original fexofenadine, original levocetirizine, and locally-manufactured fexofenadine for treating persistent allergic rhinitis. Methods: Patients with persistent allergic rhinitis were enrolled during June 2010 to December 2013. Patients were allocated to receive original fexofenadine, original levocetirizine, or locally-manufactured fexofenadine forone week. Daily symptoms were self-assessed. Disease specific quality of life, allergen induced wheal and flare size, peak nasal inspiratory flow, and any adverse events were reported at one week. Results: We enrolled 69 patients. There was no significant difference in reduction of mean total symptom score between original fexofenadine, original levocetirizine, and locally manufactured fexofenadine (mean (95% CI);5.52 (3.98, 7.06), 4.32 (2.43, 6.21), 4.45 (2.51, 6.40)) respectively. Improvement in otolaryngic symptoms (P = 0.51),nonotolaryngic symptoms (P = 0.59), work and study performance (P = 0.42), exertion (P = 0.81), sleep disturbance(P = 0.76), social disturbance (P = 0.16), emotional disturbance (P = 0.66), overall general health (P = 0.55),allergen induced wheal (P = 0.44) and flare suppression (P = 0.90), and peak nasal inspiratory flow (P = 0.85)were not significantly different between the 3 groups. All groups similarly reported minor adverse events. Conclusions: There is no difference in effectiveness between fexofenadine and levocetirizine in treating persistent allergic rhinitis. Locally-manufactured and original fexofenadine similarly improve symptoms, nasal air flow, and quality of life. No major drug-related adverse events were reported. Keywords: allergic rhinitis, H1 antagonists, antihistamines, fexofenadine, levocetirizine, local-manufactured drugs,generic
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