Antihistamines Flashcards

1
Q

What is the effect of histamine on blood vessels?

A

Vasodilation (causing hypotension and nasal congestion) and increased permeability (angioedema)

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2
Q

What is the effect of histamine on bronchiolar smooth muscle?

A

Bronchocontriction

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3
Q

What is the effect of histamine on neurons?

A

Stimulation of sensory nerve endings causing pain and itching

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4
Q

Function of histamines on the GI tract?

A

Contraction of smooth muscle(Cramping) and increase in gastric acid secretion

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5
Q

What are the types of histamine receptors?

A

H1 and H2

H1 does everything except increase gastric acid secretion.

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6
Q

1st generation antihistamines block what histamine receptors?

A

H1 receptors and H2 receptors

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7
Q

2nd generation antihistamines block what histamine receptors?

A

Relatively selective for H1 receptors

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8
Q

T/F? 1st generation and second generation antihistamines have equal efficacy in blocking H1 receptors?

A

True

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9
Q

What blocking actions are preformed by antihistamines?

A

H1 receptor block
Muscarinic receptor block
Sodium channel blockade
Adrenergic (alpha 1) receptor block

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10
Q

What generation of antihistamines cause lower levels of sedation?

A

2nd generation antihistamines

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11
Q

Clinical uses of 1st generation antihistamines?

A

Cough suppression
Motion sickness
Nausea-vomiting of pregnancy
Sleep aid for insomnia

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12
Q

Mechanism of cough suppression of antihistamines?

A

Na+ channel block

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13
Q

Mechanism of motion sickness suppression of antihistamines?

A

H1 and M receptor block

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14
Q

Mechanism of nausea/vomiting suppression of antihistamines?

A

H1 and M receptor block

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15
Q

Mechanism of sleep aid of antihistamines?

A

H1 and M receptor block

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16
Q

Why do first generation side effects cause drowsiness?

A

Increased CNS penetration

17
Q

What are the first generation antihistamines?

A
Chlorpheniramine
Diphenhydramine
Dimenhydrinate
Hydroxyzine
Meclizine
Promethazine
18
Q

What are the second generation antihistamines?

A

Cetirizine
Fexofenadine
Loratadine

19
Q

Intranasal antihistamines?

A

Azelastine