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Antihistamines

this assignment is about antihistamines
Course

Secondary education (EDU 329)

18 Documents
Students shared 18 documents in this course
Academic year: 2022/2023

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Q.No Classify antihistamines on the basis of their receptor sites.

Ans: Antihistamines on the basis of their receptor sites:

Antihistamines are drugs that antagonize these effects by blocking or inhibiting histamine

receptors (H receptors), and they are categorized as either H 1 or H 2 according to the type of H

receptor targeted.

H 1 -receptor blockers:

The H 1 -receptor blockers can be divided into first- and second generation drug. The older first-

generation drugs are still widely used because they are effective and inexpensive. However, most

of these drugs penetrate the CNS and cause sedation. Furthermore, they tend to interact with

other receptors, producing a variety of unwanted adverse effects. In contrast, the second-

generation agents are specific for peripheral H 1 receptors. Because they are made polar mainly by adding carboxyl groups (for example, cetirizineis the carboxylated derivative of hydroxyzine),

the second-generation agents do not penetrate the blood–brain barrier, causing less CNS

depression than the firstgeneration drugs. Among the second-generation agents, desloratadine,

fexofenadin, and show the least sedation. Cetirizine and levocetirizine are partially sedating

second-generation agents.

H 2 -receptor blockers:

H2-receptor blockers block the actions of histamine at all H2-receptors, their chief clinical use is

as inhibitors of gastric acid secretion in the treatment of ulcers and heartburn. H2-receptor

blockers include cimetidine, ranitidine, famotidine,and nizatidine.

Q.No Discuss non-sedative histamines in detail.

Ans: Non-Sedative Histamines:

Second and third generation antihistamines are non-sedating or minimally sedating and cause

less drowsiness than the first generation drugs. This is because they have limited penetration into the brain. They also have fewer side effects because they only bind to the selected receptors.

Some of which include Citrazine, Loratidine, Astemizole, Azelastin.

Citrazine:

Cetirizine is second generation non-sedative antihistamine that reduces or blocks the natural

chemical histamine in the body. It is used to treat cold or allergy symptoms such as sneezing, itching, watery eyes, or runny nose.

Astemizole:

Astemizole is a histamine H1-receptor antagonist. It has anticholinergic and antipruritic effects. Astemizole is rapidly absorbed from the gastrointestinal tract and competitively binds to histamine H1 receptor sites in the gastrointestinal tract, uterus, blood vessels, and bronchial muscle.

Loratidine:

This medication is an antihistamine that treats symptoms such as itching, runny nose, watery eyes, and sneezing from "hay fever" and other allergies. It is also used to relieve itching from hives. Loratadine does not prevent hives or prevent/treat a serious allergic reaction (anaphylaxis).

Azelastin:

Azelastine, sold under the brand name Optivar among others, is a medication primarily used as a nasal spray to treat allergic rhinitis and as eye drops for allergic conjunctivitis. Other uses may include asthma and skin rashes for which it is taken by mouth.

Q.No Posology of the following antihistamines.

S. Generic

Name

Brand Name Availability Daily

dose

Uses Adverse

effects

1 Promethazin

e

Diprozine Tab: 10mg /

25mg

Adult: 10-

20mg 2- times

Children:

5-10mg twice daily

Symptomati c relief of allergy such as Hay fever and Urticaria, Insomnia associated with urticaria and pruritus

Headache, drowsiness, impaired reactions, dizziness, disorientation, photosensitivit y

2 Hydroxyzine Atarax Tab: 10mg /

25mg

Adult: 25

mg daily at night increased if necessary to 25 mg 3- times a day

Child: 5-

15mg in divided doses

Pruritus, Antihistami ne

Agitation, anorexia blurred vision, confusion, coma, convulsions, drowainess, dry mouth, fatigue, headache, constipation

3 Phenaramine Afrovil Tab: 25mg/

50mg / 75mg

Adults:

initially 1

Hay fever, rhinitis,

Headache, drowsiness,

7 Loratidine Lorini-NSA Tab: 10mg Adult:

10mg once a daily

Children:

5mg once a daily

Symptomati c relief of allergy such as hay fever, chronic idiopathic urticaria

Headache, drowsiness, dry mouth, antimuscarine effects, psychomotor, impairment, somnolence

8 Famotidine Famopsin Cap: 20mg /

40mg

Tab: 10mg /

20mg

Tab

chewable:

10mg / 20mg / 40mg

Adult: 20-

40mg once daily for 4- 8 weeks, dose to be taken at night

Bengin gastric and duodenal ulceration, prophylaxis of duodenal ulcer relapse, Zollinger- ellison syndrome

Blood dyscrasias, hypotension, tachycardia, emesis, headache, dizziness, nausea, chloestatic jaundice, anaphylaxis, angioedema, abnormal liver enzymes

9 Cimitidine Tagamet Tab: 200mg /

400mg / 800mg

Susp:

100mg / 200mg

Inj : 200mg

Adult: 400

mg twice daily at morning

Children:

20-40mg daily in divided doses

Benign duodenal ulceration, benign gastric ulceration and NSAID associated ulceration

Diarrhea, dizziness, rash, tiredness, gynaecomastia, occasional reversible liver damage, confusion, fever, myalgia

10 Terfenadine Telfast Cap/Tab:

60mg / 120mg / 180mg

Adult: 180

mg once daily

Children:

30 mg twice daily

Symptomati c relief of seasonal allergic rhinitis, Symptomati c relief of chronic idiopathic urticaria

Headache, drowsiness, dry mouth, antimuscarinic effects, blurred vision, GI disturbances, psychomotor impairment

References:

1. Lippincott Illustrated Reviews

2. Fasttrack Pharmacology

  1. Pharma plus latest edition (2020)

Thank You

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Antihistamines

Course: Secondary education (EDU 329)

18 Documents
Students shared 18 documents in this course
Was this document helpful?
Q.No.1 Classify antihistamines on the basis of their receptor sites.
Ans: Antihistamines on the basis of their receptor sites:
Antihistamines are drugs that antagonize these effects by blocking or inhibiting histamine
receptors (H receptors), and they are categorized as either H1 or H2 according to the type of H
receptor targeted.
H1-receptor blockers:
The H1-receptor blockers can be divided into first- and second generation drug. The older first-
generation drugs are still widely used because they are effective and inexpensive. However, most
of these drugs penetrate the CNS and cause sedation. Furthermore, they tend to interact with
other receptors, producing a variety of unwanted adverse effects. In contrast, the second-
generation agents are specific for peripheral H1receptors. Because they are made polar mainly by
adding carboxyl groups (for example, cetirizineis the carboxylated derivative of hydroxyzine),
the second-generation agents do not penetrate the blood–brain barrier, causing less CNS
depression than the firstgeneration drugs. Among the second-generation agents, desloratadine,
fexofenadin, and show the least sedation. Cetirizine and levocetirizine are partially sedating
second-generation agents.
H2-receptor blockers:
H2-receptor blockers block the actions of histamine at all H2-receptors, their chief clinical use is
as inhibitors of gastric acid secretion in the treatment of ulcers and heartburn. H2-receptor
blockers include cimetidine, ranitidine, famotidine,and nizatidine.
Q.No.2 Discuss non-sedative histamines in detail.
Ans: Non-Sedative Histamines:
Second and third generation antihistamines are non-sedating or minimally sedating and cause
less drowsiness than the first generation drugs. This is because they have limited penetration into
the brain. They also have fewer side effects because they only bind to the selected receptors.
Some of which include Citrazine, Loratidine, Astemizole, Azelastin.
Citrazine:
Cetirizine is second generation non-sedative antihistamine that reduces or blocks the natural
chemical histamine in the body. It is used to treat cold or allergy symptoms such as sneezing, itching,
watery eyes, or runny nose.
Astemizole: