Anti - Histamine
Anti - Histamine
Anti - Histamine
H
, Antagonists :
actions
• These
drugs competitively antagonize of
Histamine at H
, Receptors .
anticholinergic properties )
•
Can penetrate Blood brain barrier and result in
sedation &
Psychomotor impairment .
•
Have
Anticholinergic activity .
Uses :
conditions (
(a) via H
,
Blocking :
ci,
Allergic itching ,
urticaria ,
hay fever )
Iii ' Insect bite and to
prevent
adverse
effects due to
histamine releaser s .
(b) via
Anticholinergic properties :
ci, Common cold
Liii , Parkinsonism
(in Acute muscular
dystonia .
Adverse Effects :
( is Sedation
ciii
Psychomotor
iii,
Impairment
in
Anticholinergic effects
( dryness of mouth blurred vision
, ,
urinary
retention , constipation )
[ B.) Second Generation Anti -
Histamine :
•
59 As are those H, Receptor blockers marketed
after 1980 which have one or more
of
the
followings :
cis Absence
of Cms
depressant property
iii.
Higher H
,
selectivity No anticholinergic
: side
effe
cts
Additional
-
iii.
antiallergic mechanisms
apart
from histamine blockade : some also inhibit
* Terfenadine - Fastest
acting antihistaminic
drugs .
•
In overdose ,
it
delayed rectifier
blocks cardiac
Kt channels and
may
result
Polymorphic
in
Ventricular
Tachycardia ( Prolong QT interval )
Astemizole Slowest and
iii. -