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histamine
histamin
25
Pharmacology
Undergraduate 2
03/17/2011

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Cards

Term
abundant with the skin, GI and respiratory tract
Definition
Mast cells
Term
histamine is synthesized by the enzyme________
Definition
histidine decarboxylase
Term
histamine is metabolized by
Definition
MAO and DAO
Term
what antibodies are on the surface of mast cells?
Definition
IgE
Term
what family do histamine receptors belong to?
Definition
GPCRs - g protein coupled receptors
Term
this histamine receptor is found in the bronchial smooth muscle, the vascular smooth muchle , vascular endothelium, cardiac tissue and CNS
Definition
H1
Term
histamine receptors that are important in chemotaxis
Definition
H4
Term
vascular effects of histamine
Definition
dialation of small blood vessels via the H1 and H2 receptors & increased permeability of post capillary venules via H1 receptors
Term
cardiac effects of histamine
Definition
increased iontropy via (h1 and H2 receptors), increased chronotropy (H2), decreased AV conduction (H1)
Term
Pulmonary effects of histamine:
Definition
direct bronchoconstriction, increased mucous viscosity, cough (H1)
slight bronchodilation, increased mucous secretion H2
Term
effects of histamine on the GI system
Definition
increased acid production (H2)
Term
neuronal effects of histamine
Definition
cutaneous itching and pain (H1 and H2)
presynaptic inhibition of histamine synthesis and release (H3)
Regulation of DA, GABAm Ach, 5-Ht, and NE (H3)
Term
H1 receptor antagonists, h2 receptor antagonists, mast cell stabilizers
Definition
anti-histamines
Term
diphenhydramine (benadryl)
hydroxyzine
chlorpheniramine
Definition
1st gen antihistime
Term
cylizine
dimenhydrenate (dramamine)
meclizine
Definition
used primarily for motion sickness 1st gen
Term
promethazine
Definition
1st gen anti-histamine used for nausea
Term
reversible, competitive antagonist of the H1 receptor mildy anticholinergic (anti slude)
Definition
mechanism of action of the 1st gen H1 receptor antagonists
Term
1st gen H1 receptor antagonists will cross both the
Definition
BBB & placenta
Term
1st gen H1 receptor antagonists will have additive effects with _______
Definition
antimuscarinics and CNS depressants
Term
first gen H1 receptor antagonists should be avoided with _____
Definition
MAO inhibitors
Term
acrivistine
cetirizine (zyrtec)
loratadine (claritin)
desloratadine
fexofenadine (allegra)
Definition
2nd gen H1 receptor antagonists
Term
useful as an antiallergy because they dont cross the BBB and cause sedation or anticholinergic effects
Definition
2nd generation H1 receptor antagonists
Term
this 2nd gen H1 antagonist does have more cns actions than others and should not be taken by ppl who must be awake
Definition
cetrizine
Term
these 2nd gen h1 antagonists are not metabolized
Definition
cetrazine, loratadine, fexofenadine
Term
cormolyn sodium nedocromil
Definition
mast cell stabilizers
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