click below
click below
Normal Size Small Size show me how
Antihistamines
USMLE Step 1
| Drug | MOA & ADRs |
|---|---|
| Diphenhydramine aka Benadryl | MOA:H1 receptor blocker,good local anesthetic,prevents sxs of motion sickness,indications include allergy & motion sickness;ADRs:sedation (can be used to tx insomnia),tinnitus,fatigue,dizzinesss,blurred vision,antiCh effects,dont take w/ MAOIs |
| Chlorpheniramine | MOA:H1 receptor antagonist,1st generation antihistamine;ADRs:sedation,tinnitus,fatigue,dizzinesss,blurred vision,antiCh effects,dont take w/ MAOIs |
| Hydroxyzine | MOA:H1 receptor antagonist,1st generation antihistamine;ADRs:sedation,tinnitus,fatigue,dizzinesss,blurred vision,antiCh effects,dont take w/ MAOIs |
| Desloratadine | MOA:2nd generation antihistamine,non-sedating b/c cross BBB less readily;ADRs:sedation,tinnitus,fatigue,dizzinesss,blurred vision,antiCh effects,dont take w/ MAOIs,predispose to arrhythmia (Torsade de Pointe) used w/ macrolide,ketoconazole & itraconazol |
| Fexofenadine aka Allegra | MOA:2nd generation antihistamine,non-sedating b/c cross BBB less readily;ADRs:sedation,tinnitus,fatigue,dizzinesss,blurred vision,antiCh effects,dont take w/ MAOIs,predispose to arrhythmia (Torsade de Pointe) used w/ macrolide,ketoconazole & itraconazol |