We examined the effects an work productivity of treatment with antihistamin
es in a retrospective study using linked health claims data and daily work
output records for a sample of nearly 6000 claims processors at a large ins
urance company, between 1993 and 1995. We explained the variation in work o
utput depending on the subjects' demographic characteristics, their jobs, a
nd whether they were treated with "sedating" versus "nonsedating" antihista
mines for nasal allergies, Differences of up to 13% in productivity were fo
und after the subjects took sedating or nonsedating antihistamines, The obs
erved effect suggests substantial indirect economic costs, which zip to now
have been largely overlooked because work productivity has proved difficul
t to measure objectively.