Histamine & Serotonin Flashcards
Diphenhydramine (Benadryl)
Class: Ether/ethanolamine derivitive
MOA: H1 receptor antagonist
Uses: Allergy symptom relief
SE: Anti-muscarinic, sedating
Tripelennamine (Pyribenzamine)
Class: Ether/ethanolamine derivitive
MOA: H1 receptor antagonist
Uses: OTC sleep aid
Cyclizine (Marezine)
Class: Piperazine derivative
MOA: H1 receptor antagonist
Uses: Motion sickness
Promethazine (Phenergan)
Class: Phenothiazine derivative
MOA: H1 receptor antagonist
Uses: Antiemetic
SE: Anti-muscarinic, sedating
Chlorpheniramine (Chlor-Trimeton)
Class: Alkylamine derivitive
MOA: H1 receptor antagonist
Uses: Component of “cold” medications
SE: Less sedating
Loratadine (Claritin)
Class: Piperidine derivitive
MOA: 2nd generation H1 receptor antagonist
Uses: Allergic rhinitis
SE: Cardiovascular effects (rare, with high doses)
Misc: Poorly crosses BBB, so fewer central and side effects
Fexofenadine (Allegra)
Class: Piperidine derivitive
MOA: 2nd generation H1 receptor antagonist
Uses: Allergic rhinitis
SE: Cardiovascular effects (rare, with high doses)
Misc: Poorly crosses BBB, so fewer central and side effects
Azelastine (Astelin)
Class: Piperidine derivitive
MOA: 2nd generation H1 receptor antagonist
Uses: Allergic rhinitis (intranasal spray), allergic conjunctivitis (ophthalmic solution)
Misc: Poorly crosses BBB, so fewer central and side effects
Cetirizine (Zyrtec)
Class: Piperidine derivitive
MOA: 2nd generation H1 receptor antagonist
Uses: Allergic rhinitis
Misc: Poorly crosses BBB, so fewer central and side effects
Cimetidine (Tagamet)
MOA: H2 receptor antagonist; blocks gastric acid secretion (more so with nocturnal acid secretion than meal secretion)
Uses: Dyspepsia, duodenal and gastric ulcers, hypersecretory conditions
SE: Antiandrogen (causing impotence and gynecomastia), inhibition of P450 enzymes; CNS dysfunction possible
Misc: Most side effects of H2-blocker class
Ranitidine (Zantac)
MOA: H2 receptor antagonist; blocks gastric acid secretion (more so with nocturnal acid secretion than meal secretion)
Uses: Dyspepsia, duodenal and gastric ulcers, hypersecretory conditions
SE: Liver toxicity; CNS dysfunction possible
Famotidine (Pepcid)
MOA: H2 receptor antagonist; blocks gastric acid secretion (more so with nocturnal acid secretion than meal secretion)
Uses: Dyspepsia, duodenal and gastric ulcers, hypersecretory conditions
SE: CNS dysfunction possible
Nizatidine (Axid)
MOA: H2 receptor antagonist; blocks gastric acid secretion (more so with nocturnal acid secretion than meal secretion)
Uses: Dyspepsia, duodenal and gastric ulcers, hypersecretory conditions
SE: CNS dysfunction possible
Misc: Least side effects of H2-blocker class
Cyproheptadine (Periactin)
MOA: Antihistaminic and antiserotinergic
Uses: Skin allergies (urticaria, anti-5HT1), diarrhea of carcinoid syndrome (anti-5HT2)
SE: Sedation, antimuscarinic
Ketanserin
MOA: Selective 5HT2A,2C receptor antagonist, as well as α1 and H1 receptor antagonist
Uses: Antihypertensive (relaxes vascular and tracheal smooth muscle), antiplatelet aggregation