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Clarinex

[Desloratadine]


Warnings & Precautions
PRECAUTIONS

Carcinogenesis, Mutagenesis, Impairment of Fertility:

The carcinogenic potential of desloratadine was assessed using loratadine studies. In an 18-month study in mice and a 2-year study in rats, loratadine was administered in the diet at doses up to 40 mg/ kg/ day in mice (estimated desloratadine and desloratadine metabolite exposures were approximately 3 times the AUC in humans at the recommended daily oral dose) and 25 mg/ kg/ day in rats (estimated desloratadine and desloratadine metabolite exposures were approximately 30 times the AUC in humans at the recommended daily oral dose).

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Male mice given 40 mg/ kg/ day loratadine had a significantly higher incidence of hepatocellular tumors (combined adenomas and carcinomas) than concurrent controls. In rats, a significantly higher incidence of hepatocellular tumors (combined adenomas and carcinomas) was observed in males given 10 mg/ kg/ day and in males and females given 25 mg/ kg/ day. The estimated desloratadine and desloratadine metabolite exposures of rats given 10 mg/ kg of loratadine were approximately 7 times the AUC in humans at the recommended daily oral dose. The clinical significance of these findings during long-term use of desloratadine is not known.

In genotoxicity studies with desloratadine, there was no evidence of genotoxic potential in a reverse mutation assay (Salmonella/ E. coli mammalian microsome bacterial mutagenicity assay) or in two assays for chromo-somal aberrations (human peripheral blood lymphocyte clastogenicity assay and mouse bone marrow micro-nucleus assay). There was no effect on female fertility in rats at desloratadine doses up to 24 mg/ kg/ day (estimated deslorata-dine and desloratadine metabolite exposures were approximately 130 times the AUC in humans at the recommended daily oral dose).

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