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Antihistamines/
Mod 5`
Question | Answer |
---|---|
How many histamine receptors are there? | 4 H1-H4 |
When are histamines released? | allergic and inflammatory response |
What is the first agent used to treat allergic reactions? | H1 receptor antagonist |
What are other uses for H1 receptor antagonist? | motion sickness, vestibular disturbances, ?morning sickness |
Name first generation H1 receptor antagonist. | diphenhydramine, terfenadine, chlorpheniramine, clemastine |
2nd generation H1 receptor antagonist. | early: loratadine late: cetirizine, fexofenadine |
What H1 receptor antagonist has been taken off the market? | terfenadine (Seldade) due to QT prolongation had many drug interactions that inhibited metabolism |
What H1 receptor antagonist are pregnancy risk category C? | Desloratadine (Clarinex) Fexofenadine (Allegra) |
What H1 receptor antagonist are pregnancy risk category B? | Diphenhydramine loratadine cetirizine |
What is the dosage of loratadine? | 10mg daily |
What drugs inhibit metabolism of loratidine? | amiodarone, clarithromycin, ketoconazole, antiretroviral protease inhibitors QT prolongation possible |
What is the brand name of loratadine? | Claritin |
How should loratadine be taken? | on an empty stomach |
How many days should pt stop taking allergy medications before skin testing? | 4 days with loratadine & cetirizine and 1-2 days with fexofenadine |
What is the dosage of cetirizine? | 5-10mg daily |
What is the brand name of cetirizine? | Zyrtec |
What should cetirizine and fexofenadine not be taken with? | grapefruit juice |
SALAD of citirizine (Zyrtec)? | Xanax, Zantac |
What is the dosage of desloratadine? | 5mg daily |
What is the name brand of desloratadine? | Clarinex |
What is the brand name of fexofenadine? | Allegra |
What is the dose of fexofenadine? | 60mg BID |
What is SALAD of Allegra? | Viagra |