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16 Cards in this Set

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  • Back

First Gen H1 Drugs: Diphenhydramine

marked sedation, anti motion sickness activity


high anticholinergic activity

First Gen H1 Drugs: Chlorpheniramine

slight sedation


common component of over the counter cold medicine

First Gen H1 Drugs: Promethazine

Marked sedation


antiemetic


pre-operative drugs

First Gen H1 Drugs: Pyrilamine

Moderate sedation


common in OTC sleep aids

First Gen H1 Drugs: Hydroxyzine

moderate sedation


teratogenicity

First Gen H1 Drugs: Cyproheptadine

moderate sedation


antiserotonin activity

Second Gen H1 drugs have less

CNS penetration therefore less sedation

Second Gen H1 drugs have a longer

half lives


12-24 hours as opposed to first gen (4-12 hours)

Second Gen H1 drugs include

Loratadine


Fexofenadine


Desloratadine



Second Gen H1 drugs: olopatadine

Ophthalmic solution that has both H1 antagonism and mast cell stabilizing properties





Olopatadine is used clinically

for the treatment of allergic conjunctivitis

Fexofenadine has a lower

risk of arrhythmia

Loratadine and Ceterizine both have

longer activity (longer half life)

Where wakefulness is important- use

loratadine or fexofenadine

H2 receptor Blocker: Cimetidine

an effecting inhibitor of all phases of gastric secretion


- the degree of inhibition is dose dependent


-patients relieved of gastric ulcer pain in 3 weeks

Cimetidine efficacy is decreased by

anticholinergics bc they decrease the absorption of said drug




Metoclopramide- also decreases the absorption, drug increases intestinal SM movement