This cheap over the counter antihistamine that is supposed to be none sleepy has two side effects useful to me (they may not apply to others). It is slightly sedative and it reduces urination slightly. I have started taking 10mg before bedtime. It also has anti cancer properties, see paper below.
Repurposing Cationic Amphiphilic Antihistamines for Cancer Treatment
Author links open overlay panelAnne-MarieEllegaardaChristianDehlendorffbAnna C.VindcAtulAnandaLuiseCederkvistbNikolaj H.T.Petersena1JesperNylandstedaJanStenvangcAndersMellemgaarddKellØsterlindeSørenFriisbMarjaJäätteläa
doi.org/10.1016/j.ebiom.201... rights and content
Highlights
Use of cationic amphiphilic antihistamines is associated with reduced mortality among patients with non-localized cancer.
Clinically relevant concentrations of cationic amphiphilic antihistamines sensitize cancer cells to chemotherapy.
Clinically relevant concentrations of cationic amphiphilic antihistamines revert multidrug resistance.
Research Context Cationic amphiphilic drugs (CADs) induce lysosomal membrane permeabilization and cell death preferentially in cancer cells. Here, we show that antihistamines with CAD structure, i.e. astemizole, ebastine and loratadine, sensitize cancer cells to chemotherapy and revert multidrug resistance even at low, clinically relevant concentrations. The significance of these experimental findings is supported by an association between CAD antihistamine use and reduced mortality among patients diagnosed with non-localized cancer, especially among those receiving concurrent chemotherapy. These findings are immediately translatable to clinical trials, as loratadine and ebastine, are safe, inexpensive and approved for clinical use.
Abstract
Non-small cell lung cancer (NSCLC) is one of the deadliest cancers worldwide. In search for new NSCLC treatment options, we screened a cationic amphiphilic drug (CAD) library for cytotoxicity against NSCLC cells and identified several CAD antihistamines as inducers of lysosomal cell death. We then performed a cohort study on the effect of CAD antihistamine use on mortality of patients diagnosed with non-localized cancer in Denmark between 1995 and 2011. The use of the most commonly prescribed CAD antihistamine, loratadine, was associated with significantly reduced all-cause mortality among patients with non-localized NSCLC or any non-localized cancer when compared with use of non-CAD antihistamines and adjusted for potential confounders. Of the less frequently described CAD antihistamines, astemizole showed a similar significant association with reduced mortality as loratadine among patients with any non-localized cancer, and ebastine use showed a similar tendency. The association between CAD antihistamine use and reduced mortality was stronger among patients with records of concurrent chemotherapy than among those without such records. In line with this, sub-micromolar concentrations of loratadine, astemizole and ebastine sensitized NSCLC cells to chemotherapy and reverted multidrug resistance in NSCLC, breast and prostate cancer cells. Thus, CAD antihistamines may improve the efficacy of cancer chemotherapy.