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AntiHistamines
1st and 2nd generation
8
Medical
Professional
02/13/2013

Additional Medical Flashcards

 


 

Cards

Term
Diphenhydramine
Definition
Benedryl = 1st generation
good as oral/topical antihistamine
crosses BBB and causes sedation
CROSS REACTION AS ANTI-MUSCARINIC WHICH CAUSES DRY MOUTH, INCREASE HR, CONSTIPATION

CONTRAINDICTATED IN NURSING MOTHER,NEONATES

Most effective prior to histamine release
Term
Promethazine
Definition
1st generation antihistamine

useful in treating motion sickness/vomiting post surgical

Increases BP, can cause rash, drowsyness

RAPID ONSET
Term
Doxepin
Definition
1st generation antihistamine for depressed people

may cause disorientation

CYP450 METABOLISM AND DISORIENTATION
Term
Fexofenadine
Definition
Allegra = 2nd generation antihistamine
sedation at high concentrations
medium duration
Term
cetirazine
Definition
zyrtec = 2nd generation effective long lasting antihistamine

drowsy at high doses
Term
Loratidine
Definition
(claritin) 2nd generation antihistamine METABOLISED CYP450 Liver

long lasting
Term
Desloratidine
Definition
clarinex = 2nd generation active metabolite of loratidine

effective but drowsy at higher concentrations
Term
excretion antihistimines
Definition
1st - met liver excreted urine
2nd - excreted unchanged urine
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