Alcaftadine (Lastacaft) is particularly suitable for which patient population?

• A. Adults with allergies
• B. Pregnant women with allergies
• C. Children with allergies
• D. Elderly with allergies

Answer: (B)

In treating ocular allergies, safety during pregnancy takes precedence because systemic exposure to medications can affect fetal development. Alcaftadine is a topical antihistamine with minimal systemic absorption when used as eye drops, so it delivers relief from itching by acting locally in the conjunctiva without delivering significant amounts into the bloodstream. This limited systemic exposure makes it a preferable option for pregnant patients who need symptom control while minimizing potential risks to the fetus. While it can be used in adults and children as well, its safety profile in pregnancy is the reason it’s particularly suitable for pregnant women with allergies.