Table I.
Patient Number | name of antihistamine used | nights on antihistamine | nights off antihistamine | mean WASO on antihistamine | mean WASO off antihistamine | P-value* | mean Sleep onset Latency on antihistamine | mean Sleep onset Latency off antihistamine | P-value* |
---|---|---|---|---|---|---|---|---|---|
Patient1 | cetirizine | 1 | 5 | 129.5 | 154.4 | 0.80 | 0.0 | 52.6 | 0.14 |
Patient2 | diphenhydramine | 2 | 3 | 66.0 | 106.7 | 0.08 | 28.0 | 45.2 | 0.25 |
Patient3 | cetrizine | 2 | 5 | 158.5 | 106.2 | 0.44 | 22.5 | 2.4 | 0.03 |
Patient4 | hydroxyzine | 7 | 0 | 154.9 | 1.8 | ||||
Patient5 | hydroxyzine | 1 | 6 | 74.5 | 67.6 | 0.78 | 5.0 | 2.6 | 0.27 |
Patient6 | hydroxyzine | 7 | 0 | 295.7 | 0†† | ||||
Patient7 | one night levocetirizine, other nights hydroxyzine | 4 | 3 | 86.1 | 95.0 | 0.48 | 1.8 | 3.2 | 0.59 |
Mann-Whitney U test
Severely fragmented sleep and sleep onset latency was computed as 0 minutes for all nights
Patients on antihistamines trended towards having more severe disease (SCORAD µ=70.4±19.7 (n=7 subjects) v. 50.7±20.3 (n=12), p=0.06). Sleep onset latency trended to be shorter on antihistamine versus non-antihistamine nights (µ=5.2±3.8 minutes (n=24 nights) v. 15.6±1.9 (n=97), p=0.07). Minutes of Wake After Sleep Onset (WASO) were higher on the nights of antihistamine use (µ=173.0±11.1 minutes (n=24 nights) v. 88.2±5.5 (n=97), p<0.01); it is possible that antihistamines were used intermittently because of increased AD severity.