Autacoids Flashcards
(BESH)
Bradykinin
Eicosanoids
Serotonin
Histamine
Autacoids
Receptors -> Effects
H1=
H2 =
H3 =
H4 =
H1= allergy
H2 = acidity; allergy
H3 = inhibitory
H4 = inflammation
What Receptors is stated below:
▪️ Blood vessels: vasodilation
▪️ Bronchi: bronchoconstriction
▪️ Sensory nerrve endings: pain
▪️ Endothelial Cells: contraction
▪️ CNS (brain): alertness/weakfulness
H1
What Receptors is stated below:
▪️Acidity: parietal cells
▪️Allergy: mast cells & basophils
▪️peaks at night
H2
What Receptors is stated below:
▪️CNS (pre-synaptic)-inhibitory effect
▪️(-) further release of histamine
▪️↓ histamine
H3
What Receptors is stated below:
▪️Inflammation (neutrophils)
▪️= chemotaxis
H4
Histamine Agonist
▪️H1 agonist, H3 antagonist
▪️Mgt. of endolymph (presence of fluid in inner ear) asssociated with vertigo
Betahistine (Serc)
Histamine Agonist
▪️investigational drug
Impromidine
What Generation of Antihistamine is stated below:
▪️Sedating Antihistamine
▪️lipophilic-can pass through BBB
▪️Majority (6)
First Generation/Classical Antihistamine
What are the 6 class/types of First Gen. Antihistamine
- Ethanolamines
- Ethylenediamines
- Piperazines
- Alkylamines
- Phenothiazine
- Piperidine
What type of First Gen. Antihistamine is stated below:
▪️most sedating
▪️most effective
Ethanolamines
What drug is stated below (under Ethanolamines)
▪️BN: Benadryl
▪️Used for Dystonia (clinical prep. of EPS), Torti coilis (twisting of the neck)
▪️antimuscarinic effect
Diphenhydramine
What drug is stated below (under Ethanolamines)
▪️ salt form of Diphenhydramine
Dimenhydrinate
What drug is stated below (under Ethanolamines)
▪️BN: Unisom tablet
▪️sleeping aid
▪️most sedating
Doxylamine
First Gen. Antihistamine
▪️Pyrilamine
▪️Tripelennamine
- causes GI upset, mild sedation
Ethylenediamines
1st Gen Antihistamine
Drugs under Piperazines
Meclizine (Bonamine)
Cyclizine
Hydroxyzine (Iterax) - prodrug; active form is Cetirizine
1st Gen Antihistamine (under Piperazines)
▪️tx. of motion sickness
Meclizine (Bonamine), Cyclizine
1st Gen Antihistamine (under Phenothiazine)
▪️anesthetic agent: to induce pre-opera sedation
Promethazine (Phenergan)
1st Gen Antihistamine (under Piperidine)
▪️5-HT Antagonist - blocks 5-HT1 & 5-HT2
▪️Mgt. of Serotonin Syndrome (muscle rigidity, hyperthermia)
Cyproheptadine
What class/type of Second Generation Antihistamine is considered as LESS SEDATING
Piperazines
What class/type of Second Generation Antihistamine is considered as NON SEDATING
Piperidine
2nd Gen. Antihistamine
What drugs is under Piperazines
Cetirizine (Virlix, Zyrtec, Alnix)
Levocetirizine (Allerzet)
BN: of Levocetirizine with Montelukast
Zyrkast
Co-Altria
BN of Levocetirizine
Allerzet
BN of Cetirizine
Virlix
Zyrtex
Alnix
2nd Gen. Antihistamine
What drugs is under Piperidines
Loratadine (Claritin, Allerta)
Desloratadine (Aerius)
Fexofenadine (Telfast) from Terfenadine [cardiotoxic)
What are the Newer Drugs for 2nd Gen. Antihistamine
Bilastine (Bilaxten)
Ebastine + Betamethasone (Co-Aleva)