Epinastine: topical ophthalmic second generation antihistamine without significant systemic side effects

Expert Opin Drug Metab Toxicol. 2009 Sep;5(9):1135-40. doi: 10.1517/17425250903117284.

Abstract

Background: Epinastine is a topical ophthalmic antihistamine and a mast cell stabilizer indicated for treatment of symptoms associated with allergic conjunctivitis.

Objective: The objective of this review is to provide a comprehensive overview of the pharmacology, clinical efficacy, tolerability and safety of epinastine 0.05% ophthalmic solution.

Methods: Medline literature review from 1950 to 2008.

Conclusions: Epinastine 0.05% ophthalmic solution was found to be a safe and effective medication for the relief of symptoms of allergic conjunctivitis. Epinastine demonstrates very low CNS and cardiac toxicity.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Conjunctivitis, Allergic / drug therapy*
  • Dibenzazepines / administration & dosage
  • Dibenzazepines / adverse effects
  • Dibenzazepines / pharmacology*
  • Dibenzazepines / therapeutic use*
  • Histamine Antagonists / administration & dosage
  • Histamine Antagonists / adverse effects
  • Histamine Antagonists / pharmacology
  • Histamine Antagonists / therapeutic use
  • Humans
  • Imidazoles / administration & dosage
  • Imidazoles / adverse effects
  • Imidazoles / pharmacology*
  • Imidazoles / therapeutic use*

Substances

  • Dibenzazepines
  • Histamine Antagonists
  • Imidazoles
  • epinastine