Antihistamines Flashcards
H1 stimulation on endothelium
NO synthase (dilation of vessels), increased Ca causing capillary permeability and edema
H1 stimulation on bronchiolar smooth muscle
Contraction
H1 stimulation on gut smooth muscle
Contraction
H1 stimulation on peripheral nerve endings
Pain and itching
H1 stimulation on AV node
Decreased conduction
H1 stimulation explains
Anaphylaxis and shock
H2 stimulation
Increased H+ secretion on parietal cells
Increased firing rate and contractility of heart
H1 stimulation on CNS
Increases wakefulness
Explains sedative effects of antihistamines that can cross bbb
Diphenhydramine
Competitive blocker of H1
Anti motion sickness and marked sedation
Legitimate use of antihistamines
allergy, urticaria, sleep aid
Fexofenadine, Loratadine Cetrizine
Antihistamines that do not enter CNS and do not cause sedation