In a multicenter, randomized, double-blind parallel trial, the efficac
y and safety of loratadine and cetirizine were compared in 118 adults
with atopic dermatitis. Symptomatic improvements and efficacy, as rate
d by physicians and patients, were generally similar for the two treat
ments. Both drugs were well tolerated; 25% of the patients who receive
d loratadine and 27% of those treated with cetirizine reported at leas
t one adverse event. However, the incidence of somnolence was 9% with
cetirizine and only 3% with loratadine. In the management of symptoms
of atopic dermatitis, loratadine is as effective as cetirizine and is
less sedating.