Antihistamines Flashcards
Chlorpheniramine
1st Generation H1 Antihistamine
Rx: allergic rhinitis
Diphenhydramine
1st Generation H1 Antihistamine
Rx: allergic rhinitis, allergic conjunctivitis, urticaria, cough suppressant, relief of motion sickness
Sedative / antiemetic / anticholinergic
Pyrilamine
1st Generation H1 Antihistamine
mild sedation, low antimuscarinic, no antimotion sickness activity
Hydroxyzine
1st Generation H1 Antihistamine
Rx: antiemetic, sedative, anxiolytic, skin allergies
sedative / anti-emetic
Meclizine
1st Generation H1 Antihistamine
Rx: anti-emetic, motion-sickness / vertigo
Promethazine
1st Generation H1 Antihistamine
Rx: Anti-emetic / anti-motion sickness
MOA: blocks Na channels in excitable membranes
significant inhibition of Alpha1-adrenergic receptors (postural HTN)
- anticholinergic*
- sedative* / anti-emetic
can also block D2 receptors
Cyproheptadine
1st Generation H1 Antihistamine
Rx: serotonin syndrome
mild sedation / antimuscarinic actions
↑ appetite / weight gain
anti-serotonin activity
Fexofenadine
2nd Generation H1 Antihistamine
Very low sedation
Loratadine
2nd Generation H1 Antihistamine
Very low sedation
Desloratadine
2nd Generation H1 Antihistamine
Levocetirizine
2nd Generation H1 Antihistamine
Cetirizine
2nd Generation H1 Antihistamine
Azelastine
2nd Generation H1 Antihistamine
MOA: H1 antagonist and inhibits mast cell histamine release
Intranasal or opthalmic
Cromolyn
MOA: inhibit mast cell degranulation
Rx: allergic rhinitis / allergic conjunctivitis Tx and prophylaxis
Nedocromil
MOA: inhibit mast cell degranulation
Rx: allergic rhinitis / allergic conjunctivitis Tx and prophylaxis