Urticaria is a common skin disease, which, in its chronic form, is a v
ery disturbing condition. Because histamine is the best-documented che
mical mediator of urticaria, histamine(1)-antagonists are the mainstay
of therapy. First-generation antihistamines are limited by their tend
ency to produce sedation and anticholinergic side effects. Most of the
newer second-generation antihistamines compare well with the earlier
agents in efficacy but are not limited by the same adverse side effect
s. Loratadine may be distinguished from other second-generation antihi
stamines by its pharmacodynamic profile, as well as its tolerability a
nd safety.