The document discusses different generations of antihistamines and compares their sedative effects and safety profiles. First generation antihistamines are highly sedating and potentially cardiotoxic. Second generation options like cetirizine and loratadine are less sedating but loratadine may block potassium channels. Desloratadine is in the third generation and has some anticholinergic side effects while levocetirizine has a similar profile to cetirizine but causes more somnolence than placebo. Fexofenadine is noted as non-sedating, non-cardiotoxic with no anticholinergic effects and a wide therapeutic index.