Histamine Flashcards
Mast cell histamine inhibitor
Cromoglycate
Blocks H1 histamine receptors
Diphenhydramine
Blocks H2 histamine receptors
Cimetidine
Functional antagonist of histamine
Epinephrine
(increases vasoconstriction)
True/False
Epinephrine is an antihistamine
false
Major Shock Organs
Human
Dog/Rodent
Rabbit
Human - Lungs
Dog/Rodent - Intestine
Rabbit - Heart
(usually the site with greatest mast cell numbers)
1st Generation Antihistamines
examples
Do they cause sedation
Diphenhydramine
Chlorpheniramine
Pyrilamine
Meclizine
Hydroxine
Yes, they cause sedation just like Arno’s voice
2nd Generation Antihistamines
examples
do they cause sedation
Cetrizine, Loratidine, Fexofenadine
Nope, they don’t cause sedation
What 2 situations would you not want to use a H1 histamine antagonist?
Anaphylaxis
Allergic bronchoconstriction
Signal transduction mechanism of:
H1 histamine receptors
H2 histamine receptors
H1 - increase free intracellular calcium
H2 - increase cAMP
3 components of the Triple Response of Lewis
and
how are all 3 prevented?
Localized red spot (dilation of microvessels)
Flare
Wheal (localized edema due to increased capillary permeability)
Prevented by H1 histamine receptor antagonists
H1 histamine antagonist indications
Allergic diseases
Motion sickness
Conditions secondary to exaggerated histamine production and releas
Signs of inflammation - what’s the cause?
Redness
Localized edema
Pain
Redness -> Vasodilation
Localized edema -> Capillary Permeability
Pain -> Sensory Nerves
Transcriptional factor linked to inflammation
NF-KappaB