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COVID-19 in Relation to Chronic Antihistamine Prescription

Puigdellívol-Sánchez et al., Microorganisms, doi:10.3390/microorganisms12122589
Dec 2024  
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10th treatment shown to reduce risk in December 2020, now with p = 0.000063 from 16 studies.
Lower risk for mortality, recovery, cases, and viral clearance.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
Retrospective 140,681 patients in Spain showing lower COVID-19 infection, hospitalization, and mortality with chronic antihistamine treatment, with a greater protective effect for patients taking 2-7 chronic treatments. Results are provided for all antihistamines, authors do not specify the antihistamines used or provide separate results for H1RAs and H2RAs.
Puigdellívol-Sánchez et al., 13 Dec 2024, retrospective, Spain, peer-reviewed, 8 authors. Contact: apuigdellivol@cst.cat (corresponding author), mjuanes@cst.cat, acalceronv@cst.cat, helenalosa@uic.es, rvalls@cst.cat, clozano@cst.cat, mgonzalezs@cst.cat, jvidal.cc.ics@gencat.cat.
This PaperH1RAsAll
COVID-19 in Relation to Chronic Antihistamine Prescription
Anna Puigdellívol-Sánchez, Marta Juanes-González, Ana Calderón-Valdiviezo, Helena Losa-Puig, Roger Valls-Foix, Marta González-Salvador, Celia Lozano-Paz, Josep Vidal-Alaball
Microorganisms, doi:10.3390/microorganisms12122589
No hospitalizations or deaths occurred in residents with the COVID-19 infection, treated with antihistamines and azithromycin, of two external nursing homes during the first wave. We assessed whether patients receiving chronic antihistamines in our institution showed better clinical evolution. COVID-19 admissions and related deaths in the public Hospital of Terrassa (n = 1461) during the pandemic period (11 March 2020-5 May 2023) and cases (n = 32,888) during the period of full suspicion diagnosis (1 June 2020-23 March 2022) were referred to as the number of chronic treatments (nT) including or not including antihistamines (AntiHm or NOAntiHm), and their vaccination status before the first infection (VAC or NoVAC) in our assigned population (n = 140,681 at March 2020) was recorded. No deaths occurred in patients treated with up to ≤6 nT in the AntiHm group in all ages. A significant reduction in hospital admission was observed in the 2-7 nT groups either below or over 60 years old [Odds Ratio (OR) NoAntiHm/AntiHm = 1.76-1.32, respectively, in NoVAC or VAC (OR = 2.10 overall] and in the older ≥8 nT group (OR = 2.08 in NoVac]. In conclusion, patients with chronic antihistamine prescriptions, alone or with polypharmacy, showed reduced hospital admission and mortality rates, suggesting the safety of antihistamine treatment and the need to confirm its effectiveness in a prospective trial.
Supplementary Materials: The following supporting information can be downloaded at: https: //www.mdpi.com/article/10.3390/microorganisms12122589/s1 . Conflicts of Interest: The authors declare no conflict of interest.
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