Antihistamines for improving BC survival

Posted by lilacs777 @lilacs777, Dec 9 5:15pm

I was checking if its ok to take an antihistamine with AIs and low and behold, stumbled upon quite a few studies showing that BC survivors who take antihistamines long term have shown to have significantly better survival rates. I found this very interesting - has anyone else heard this? I'm considering asking my onco about it.

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Yes, I’ve seen those, too. A very large retrospective study was done from the Swedish cancer registry and show good effect with 2 of the 5 antihistamines they targeted. Desloratadine had the best response; loratadine was the other antihistamine with good outcomes.
https://www.tandfonline.com/doi/full/10.1080/0284186X.2020.1769185#d1e207
Looks like more studies to come.
MD Anderson stated in an article that antihistamines may positively influence immunotherapy response.

It sounds like other antihistamines may also work. I regularly use azelastine and there was an article saying that this too may improve cancer outcomes. This is not limited to breast cancer.

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Yes very exciting, what I've seen seems to be mostly related to immunotherapy response and cancers that are more immunogenic but I'm hopeful that this may apply to ER+/PR+ as well. Even in hormone cancers, your immune system still has a lot of work to do so hopefully this would help. So far I haven't found anything that antihistamines reduce the effectiveness of AIs or tamoxifen.

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@lilacs777

Yes very exciting, what I've seen seems to be mostly related to immunotherapy response and cancers that are more immunogenic but I'm hopeful that this may apply to ER+/PR+ as well. Even in hormone cancers, your immune system still has a lot of work to do so hopefully this would help. So far I haven't found anything that antihistamines reduce the effectiveness of AIs or tamoxifen.

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Thanks for sharing the exciting information and article, @lilacs777 & @triciaot !

This is indeed very exciting research finding; however, according to one article published by Harvard Health Publishing Staff in 2022, it had the following warning:

"A report published in JAMA Internal Medicine several years ago highlighted a link between long-term use of anticholinergic medications like Benadryl and dementia... Anticholinergic drugs include some antihistamines, tricyclic antidepressants, medications..."

I am not a healthcare professional, so I have very limited medical knowledge, of course; but I think we need to treat this exciting correlation between taking Antihistamines and BC survival with caution. For as I grow older, I fear the disease of dementia even more than BC:(.

Best wishes to you all!

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Yes, I saw the same study! made taking my Claritin aka Loratadine even better. I take it every night due to allergies but ha ha it's my version of an AI 🙂 which I won't take!

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@lifetraveler Great point, I do recall reading that as well not that long ago, but I do know that Benadryl is a first generation antihistamin and works different from the 2nd gen , which is like Claritin, Allegra, etc. But I do wonder if that dementia risk applies to the 2nd gen - something to look into!

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I am a newbie to Letrozole- only been taking 2.5 mg daily for 2 months. I did a Google search and came across similar studies so I opted to start taking loratadine 10mg. I take them together in the evening and have only had some intermittent mild bone & muscle pain. I also took loratadine when I was on Fulphila(similar to Neupogen) during chemo to help with bone pain which sometimes occur with stimulation of white blood cell production . I believe it helped - did not have bone pain.
Thank you all for your comments. Just joined Mayo Clinic connect today 😊

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I take them daily. I read the same article. They help keep my knee joint pain away, as well. One time, I didn’t take them for 4 days and had horrible knee joint pain. As soon as I started taking them again, it went away.

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