Autacoids Flashcards
Biogenic amines
Histamine
Serotonin
Storage site of histamine
Mast cells
Basophils
Release if histamine
Immunologic
Chemical
Mechanical/ physical injury- mast cell damage
4 types GPCR
H1-gq
H2-Gs
H3- Gi
H4-Gi
Ethanolamines- marked sedation
Diphenhydramine
Dimenhydrinate
Doxylamine
Piperazine
Hydroxyzine
Meclizine
Phenothiazines
Promethazine
W/ alpha adrenergic block, marked sedation, used as antiemetics
Alkylamines
Chlorphenamine- chlortrimethon
Less sedation and drownsinessb
Piperidine
Fexofenadine
Metabolite of terfenadine, has no arrhythmogenic potential
Phthalazine
Azelastine
Oral and topical
Treat,ent allergic rhinitis
Oral:1st or 2nd gen (+/-) decogestant
Allergic conjuctivitis
Azelastine phthalmic eye drops
DOC Anaphylaxis,Asthma
Epinephrine
Used to abort migrain attacks, not prophylaxis
Triptans
Stimulate smoth ms 5 HT2
Ergonovine- synthetic Methylergonovine Given after delivery of placenta To control and prevent postpartum bleeding Prevent or treat uterine atony