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14 Cards in this Set

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  • Back
H1 antag 1st gen

Hydroxyzine
Long acting drug

Widely used for allergies

Also used as mild anxiolytic (reduce anxiety)
H1 antag 1st gen

Cyclizine
Meclizine
Indicated for motion sickness
H1 antag 1st gen

Promethazine
Indicated for:

1) allergic rxn
2) Prophylaxis
3) motion sickness
4) post-op pain (adjunct to analgesics)
H1 antag 1st gen

Azelastine
The only one that can be adminstered with nasal spray

Inhibits release of histamine via nasal spray

Increases motility of bronchial cilia

May also be adminstered as ophthamlic agent

Metabolized to desmethylazelastine
H1 antag 1st gen

Diphenhydramine
To help sleep (sedating effect)

may be used in parkinson's
H1 antag 2nd gen defined by
Almost free of sedation and autonomic effects

Developed for use in chronic conditions

Extremely long acting and far less lipid soluble than the first generation
H1 antag 2nd Gen

Fexofenadine
Loratadine
Cetrizine
indicated for

Allergic reactions
Urticaria
dermatitis
Hay fever
Motion sickness
Sedation
Nausea
Vomitting
What will happen if you have too high of a dose of H1 antagonists?
activation of cholinergics

dry mouth and neuro effects
What are the four H2 antagonists available on the market today?
Cimetidine
Ranitidine
Famotidine
Nizatidine
What are the two most potent H2 antagonists?
Famotidine
Nizatidine
If you are trying to preven a gastric ulcer, what type of drug will u want to use?
Any of the below:
Cimetidine
Ranitidine
Famotidine
Nizatidine
What are the details of H2 antagonists
HL of 1-3 hours

Relatively non-toxic
Although H2 blockers can be used to treat Zollinger-Ellison syndrome, whats the better treatment?
Proton Pump inhibitor
What does cimetidine inhibit and whats the significance?
Inhibits CYP-450 isoenzyme

Significant drug interaction

Also...
Antiandrogen effects (will cause gynecomastic in males)