Olopatadine ophthalmic solution
Topical H1-receptor antagonist with local mast-cell mediator-release effects · also known as olopatadine eye drops, Pataday
Local ocular H1-antihistamine product with a small randomized allergen-challenge study that measured tear histamine after exposure.
- How it relates to mast cells
- Mast-cell-mediated condition
- Types of studies cited
- Randomised controlled trial
- Approved in the US for
- temporary relief of itchy eyes due to named environmental allergens (ophthalmic product)
- Catalog context
- Local-route symptom treatment
What this relationship means: Given to people with a condition in which mast cells are central to the disease process, with a human mast-cell effect also measured. This is human evidence, but it is not evidence in MCAS or in a clonal mast cell disorder, and it cannot establish an MCAS outcome.
Mechanism of action
Olopatadine combines local H1-receptor antagonism with effects on mediator release in ocular allergy models. The represented evidence object is an ophthalmic solution placed directly on the eye. Its local route, local exposure, and current eye-itch label are the reason this is a separate page rather than another systemic H1-antihistamine entry.
In a double-masked randomized study, 10 people with seasonal allergic conjunctivitis used olopatadine in one eye and vehicle in the other before a conjunctival allergen challenge. Investigators measured tear histamine, inflammatory-cell counts, epithelial ICAM-1 expression, itching, and redness. Tear histamine and several other recorded endpoints differed between the treated and comparison eyes, supplying a measured human mediator-release bridge in a mast-cell-mediated condition rather than an MCAS outcome.
The current representative U.S. label is an over-the-counter ophthalmic product for temporary relief of itchy eyes attributed to listed environmental allergens. It describes olopatadine as an antihistamine and limits the product to external eye use. The catalog therefore places it under “Local-route symptom treatments,” not in the systemic maintenance sequence.
Sources
- Double-masked, randomized, placebo-controlled clinical study of the mast cell-stabilizing effects of treatment with olopatadine in the conjunctival allergen challenge model in humans Peer-reviewed study 2003 PMID 14667955 · link checked 24 Aug 2026
- PATADAY ophthalmic solution current US Drug Facts label Drug label · link checked 24 Aug 2026