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Correspondence
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Volume 331:1019-1020 October 13, 1994 Number 15
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Histamine H1 Antagonists

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 by Simons, F. E. R.
To the Editor: In their fine review of histamine H1-receptor-antagonist drugs (June 9 issue),1 Simons and Simons do not mention doxepin, a potent and useful H1-receptor antagonist. Although it is not typically placed in this pharmacologic group, doxepin binds with high affinity to brain H1 receptors.2 This agent is clinically useful when delivered by either the systemic or topical route.3,4 Like many of the other agents discussed in the review, doxepin has a wide variety of side effects, including xerostomia and postural hypotension. Nevertheless, because of its high potency, it deserves to be included in our antihistamine armamentarium.


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