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I believe that comparison with an over-the-counter antihistamine, such as diphenhydramine (Benadryl, Dramamine), Fexofenadine (Allegra), or Cetirizine (Zyrtec) would be more appropriate. Some of the people that I know take drugs to treat their allergies far more often than analgesics for headaches.

Here is a thought experiment. You are a passenger in a car, chained to the seat. Would you rather the driver drink shots of ethanol, smoke marijuana cigarettes, swallow antihistamine pills, or log in to Twitter/Facebook via mobile phone? Assume that you wish to minimize both risk of death and the severity of nonfatal injuries.



Very good thought experiment. I would choose marijuana over any of the others in a heartbeat. The only exception would be if the driver is not a regular user. In that case, probably the antihistamines.


Cetirizine and fexofenadine (most 2G antihistamines, in fact) have no significant sedative effect.


Anecdotal, but I am very familiar with a counterexample. The sedative effect is not as severe or persistent as with a 1st-generation drug, but it still has a significant effect on this particular individual, if not a statistically significant effect on the general population.




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