Ketotifen, a histamine (I-Il) antagonist, inhibits PAF-induced eosinop
hil accumulation and airway hyperreactivity. Bronchopulmonary dysplasi
a (BPD) is a complex disorder in which bronchial hyperreactivity is us
ually present. An open randomized trial was carried out with this agen
t in infants with chronic BPD who were followed up for 6 months. The e
fficacy of the drug was evaluated according to respiratory symptom and
medication scores, in which numerical values were assigned to various
other antiasthmatic agents used to control wheezing. No adverse clini
cal or biochemical sequelae were noted during treatment. The mean resp
iratory symptom and mean medication scores were significantly higher w
orse in the control group in comparison with the infants treated with
ketotifen.