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Everything about Anti-histamine totally explained

A histamine antagonist is an agent which serves to inhibit the release or action of histamine. Antihistamine can be used to describe any histamine antagonist, but it's usually reserved for the classical antihistamines that act upon the H1 histamine receptor.

Clinical: H1- and H2-receptor antagonists

H1-receptor antagonists

In common use, the term antihistamine refers only to H1 antagonists, also known as H1 antihistamines. It has been discovered that these H1-antihistamines are actually inverse agonists at the histamine H1-receptor, rather than antagonists per se. Clinically, H1 antagonists are used to treat allergic reactions.
   Examples:

H2-receptor antagonists

H2 antagonists, like H1 antagonists, are also inverse agonists and not true antagonists. H2 histamine receptors are found principally in the parietal cells of the gastric mucosa. H2 antagonists are used to reduce the secretion of gastric acid, treating gastrointestinal conditions including peptic ulcers and gastroesophageal reflux disease. Examples:
  • Cimetidine
  • Famotidine
  • Ranitidine

    Experimental: H3- and H4-receptor antagonists

    These are experimental agents and don't yet have a defined clinical use.

    H3-receptor antagonists

    Examples:
  • ABT-239
  • Cipralisant
  • Ciproxifan
  • Clobenpropit
  • Thioperamide

    H4-receptor antagonists

    Examples:
  • Thioperamide

    Others

    Inhibitors of histamine release

    These agents (mast cell stabilizers) appear to stabilize the mast cells to prevent degranulation and mediator release. Examples:
  • Cromoglicate (cromolyn)
  • Nedocromil

    Other agents with antihistaminergic activity

    Many drugs, used for other indications, possess unwanted antihistaminergic activity. These include tricyclic antidepressants and antipsychotics.
       Large doses of vitamin C are known to alleviate shock by inhibiting deaminizing proteins which release histamine.

    Further Information

    Get more info on 'Anti-histamine'.


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