The efficacy and safety of high-dose nonsedating antihistamines in chronic spontaneous urticaria: a systematic review and meta-analysis of randomized clinical trials

作者：Xianjun Xiao, Peiwen Xue, Yunzhou Shi, Junpeng Yao, Wei Cao, Leixiao Zhang, Zihao Zou, Siyuan Zhou, Chuan Wang, Mingling Chen, Rongjiang Jin, Ying Li, Qianhua Zheng · 发表于：BMC Pharmacology and Toxicology · 年份：2023 · DOI：10.1186/s40360-023-00665-y · 被引用次数：22 · 研究领域：Urticaria and Related Conditions、Coagulation, Bradykinin, Polyphosphates, and Angioedema、Drug-Induced Adverse Reactions

BACKGROUND: -antihistamines (sgAHs) as first-line treatment are not always effective in treating chronic spontaneous urticaria (CSU), and hence an increase in the dose of sgAHs is recommended. However, literature evaluating the efficacy and safety of this treatment remains inconclusive, highlighting the need for a systematic review and meta-analysis. The aim of this systematic review and meta-analysis was to evaluate the efficacy and safety of high-dose sgAHs compared with standard-dose sgAHs in treating CSU. METHODS: A systematic literature search of double-blind, randomized controlled trials (RCT) utilizing multiple doses of sgAHs was performed by searching the electronic databases Medline, Embase, PsycInfo, Cochrane databases, and Web of Science. Bibliographies were also manually searched. The Cochrane Risk of Bias Tool for assessing risk of bias was used to assess the quality of randomized controlled trials (RCTs). Two reviewers screened studies, extracted data, and evaluated the risk of bias independently. The response rate, the number of adverse events, somnolence, and withdrawal due to adverse events were extracted from each article. The data were combined and analyzed to quantify the safety and efficacy of the treatment. RevMan (V5.3) software was used for data synthesis. RESULTS: A total of 13 studies were identified, seven of which met the eligibility criteria for the meta-analysis. Our pooled meta-analyses showed that high-dose sgAHs was associated with a significa...