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Rupatadine is a second-generation tricyclic antihistamine with dual antagonistic activity against both the histamine H1 receptor and the platelet activating factor (PAF) receptor. It is used primarily for symptomatic relief of seasonal and perennial allergic rhinitis and chronic idiopathic urticaria. Its mechanism involves selective inhibition of peripheral H1 receptors as well as PAF receptors, providing anti-allergic effects by blocking two key mediators in allergic inflammation. Rupatadine also inhibits mast cell degranulation, neutrophil and eosinophil migration, and cytokine release. Developed originally by Uriach Pharmaceuticals in Spain, it was first launched in 2003. In China, it is marketed under the brand name Lusu by Yangtze River Pharmaceutical Group[3][5][6][7].
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