How does ketotifen compare to the strength of other H1 antagonists like fexofenadine, cetirizine, loratadine, etc?
I started oral cromolyn about 3 months ago and it has been helping tremendously but I feel like the benefits are starting to level out and I’m still having symptoms (not to mention how expensive cromolyn is to maintain).
I know that ketotifen works super well for some people both as an H1 and a mast cell stabilizer, but I’m hesitant about the H1 antagonism. Any time I’ve tried taking H1 or H2 antagonists daily, it seems to cause a lot of other side effects (anhedonia, lack of motivation, fatigue, lowered libido, etc). On top of that, some of them cause me drowsiness as well, like cetirizine. Does anyone else experience this, and is it better or worse with ketotifen? Is it just a matter of picking the lesser of two evils?