antihistamine H1 blockers Flashcards
Benadryl diphenhydramine
INDICATIONS (8)
allergy pruritus cold vertigo cough leg cramp insomnia parkinson's
benadryl diphenhydramine
MECHANISM
blocks histamine receptor H1
anticholinergic
Benadryl diphenhydramine
CAUTION
drowsiness urinary retention dry secretions constipation avoid in COPD and glaucoma
claritin loratadine
MECHANISM
long lasting
non-sedating antihistamine
H1 blocker
claritin loratadine
INDICATIONS
allergic rhinitis
urticaria
claritin loratadine
CAUTION
weak anticholinergic
caution with asthma
some fatigue and headache
available in claritin D (dries mucosa)
clarinex desloratadine
MECHANISM
active isomer of loratidine (active drug)
clarinex desloratadine
INDICATIONS
allergic rhinitis
urticaria
clarinex desloratadine
CAUTIONS
weak anticholinergic caution with asthma some fatigue, headache available as claritin D only 5mg/d
Periactin cyproheptadine
MECHANISM
block H1 and serotonin
5HT2 receptors
Periactin cyproheptadine
INDICATIONS
allergic rhinitis
pruritis
anorexia
anorgasmy
Periactin cyproheptadine
CAUTIONS
depression abuse potential fatigue asthma, ileus, COPD glaucoma urinary retention (elderly)
phenergan promethazine
MECHANISM
blocks H1 and dopamine receptor
phenergan promethazine
INDICATIONS
pruritis
cough
motion sickness
antiemetic
phenergan promethazine
CAUTIONS
may block effects of levodopa
depression, fatigue
asthma, ileus, COPD
glaucoma, urinary retention (eldery)