Antihistamines Flashcards
Antihistamines used as sedatives and anxiolytics
Diphenhydramine
Hydroxyzine
Doxepin
Antihistamines - MOA
Bind to H1 receptors and reduce ACh release in reticular neuclei.
Diphenhydramine - indications
Insomnia (found in sleep-preparations)
Antihistamines - adverese effects
Anticholinergic effects (blurred vision, dry mouth, urinary retention, dizziness, drowsiness)
Antihistamines - interactions
Alcohol, barbiturates, CNS depressants potentiate CNS effects
Hydroxyzine - indications
Anxiety, sedation
Doxepin - indications
Insomnia
Nonsedating anxiolytic drugs - 2 drugs
Buspirone
Propanolol
Buspirone - MOA
Partial agonist at serotonin 5-HT1A receptors, activates feedback-inhibition of serotonin release. Causes up-regulation of postsynaptic serotonin receptors
Buspirone - indications
Chronic anxiety
Buspirone - adverse effects
Dizziness, drowsiness, nervousness
Propanolol - indications in anxiety
Situational or performance anxiety
Propanolol - Adverse effects
Bradycardia, bronchoconstriction, depression, fatigue, hypersensitivity, hypotension, impaired glycogenolysis, vivid dreams
Propanolol - interactions
Cardiac depression is increased by CCBs