Antihistamines and Their Effects
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Questions and Answers

Which histamine receptor do antihistamines primarily act on?

  • H4 receptor
  • H3 receptor
  • H1 receptor (correct)
  • H2 receptor

Which drug is known to produce high sedation?

  • Promethazine (correct)
  • Loratadine
  • Fexofenadine
  • Cetirizine

Which therapeutic use is NOT associated with antihistamines?

  • Local anesthetic effect
  • Increasing histamine levels (correct)
  • Blocking histamine release from mast cells
  • Treatment of allergic disorders

What is the usual adult dosage for Chlorpheniramine maleate?

<p>4–12mg/day (A)</p> Signup and view all the answers

Which antihistamine drug exhibits a local anesthetic effect?

<p>Promethazine (D)</p> Signup and view all the answers

Which condition is Chlorpheniramine maleate used to treat in children aged 2-12 years?

<p>Seasonal allergic rhinitis (B)</p> Signup and view all the answers

Which of the following is not a symptom caused by high histamine levels?

<p>Increased energy (A)</p> Signup and view all the answers

Which among the following is NOT an effect of antihistamines?

<p>Increase histamine release (D)</p> Signup and view all the answers

Which disorder involves preventing the movement or shaking that happens with cold?

<p>Motion sickness (A)</p> Signup and view all the answers

What is the maximum dosage of Chlorpheniramine maleate for children aged 6 years or less?

<p>12mg/day (D)</p> Signup and view all the answers

Which symptom is NOT treated by Diphenhydramine?

<p>Nausea (D)</p> Signup and view all the answers

What is the maximum daily dosage of Diphenhydramine for adults?

<p>400 mg (A)</p> Signup and view all the answers

How should Diphenhydramine be administered to alleviate gastrointestinal symptoms?

<p>With meals (C)</p> Signup and view all the answers

Which side effect is shared by both Diphenhydramine and Promethazine?

<p>Anxiety (D)</p> Signup and view all the answers

What is one of the suggested methods to combat dry mouth while taking Diphenhydramine?

<p>Using a humidifier (A)</p> Signup and view all the answers

Which drug can be given via intramuscular administration?

<p>Both Diphenhydramine and Promethazine (C)</p> Signup and view all the answers

What precaution should patients take when performing activities such as showering or bathing while on Diphenhydramine?

<p>Being cautious to prevent dizziness (A)</p> Signup and view all the answers

Which mechanism of action is associated with Promethazine?

<p>Competes with histamine at receptor sites (C)</p> Signup and view all the answers

Which group of people are particularly vulnerable to the toxicity of antihistamines?

<p>Infants, children, and elderly people (A)</p> Signup and view all the answers

What is Chlorpheniramine maleate primarily used to relieve?

<p>Sneezing, runny nose, and watery eyes (D)</p> Signup and view all the answers

How does Chlorpheniramine maleate work?

<p>By blocking histamine receptors (D)</p> Signup and view all the answers

What is the maximum daily dose of Chlorpheniramine maleate for children aged 6 to 12 years?

<p>12 mg (A)</p> Signup and view all the answers

Which of the following is NOT a contraindication for Chlorpheniramine maleate?

<p>Common cold (D)</p> Signup and view all the answers

What is the form of Chlorpheniramine maleate?

<p>Crystalline powder (D)</p> Signup and view all the answers

What is the primary use of Diphenhydramine?

<p>Night time sedation and allergies (D)</p> Signup and view all the answers

Which one of these is an indication of Diphenhydramine?

<p>Motion sickness (B)</p> Signup and view all the answers

What should be done in case of a suspected overdose of Diphenhydramine?

<p>Administer Diphenhydramine syrup (C)</p> Signup and view all the answers

Which of the following is not a side effect of Primethazine?

<p>Lowering blood pressure (D)</p> Signup and view all the answers

What is Primethazine primarily used for?

<p>Relief of allergy symptoms (B)</p> Signup and view all the answers

What type of drug is Primethazine?

<p>Antihistamine (A)</p> Signup and view all the answers

Which should be avoided during the treatment of methaine?

<p>Insult (A)</p> Signup and view all the answers

Which of the following is a contraindication for Diphenhydramine?

<p>Hyperthyroidism (D)</p> Signup and view all the answers

Which condition is NOT treated with Promethazine?

<p>Glaucoma (B)</p> Signup and view all the answers

What is the maximum daily oral dose of Promethazine for adults?

<p>50 mg (D)</p> Signup and view all the answers

Which of the following is a side effect of Promethazine?

<p>Euphoria (A)</p> Signup and view all the answers

Which drug increases Promethazine’s CNS depression?

<p>Alcohol (B)</p> Signup and view all the answers

What precaution should be taken regarding machinery when using Promethazine?

<p>Avoid use of machinery (A)</p> Signup and view all the answers

For which condition is Diphenhydramine NOT indicated?

<p>Asthma (C)</p> Signup and view all the answers

What is the recommended dosage of Meclizine for children 6 to 12 years old?

<p>25 mg 1 to 3 times daily (D)</p> Signup and view all the answers

Which medication is used to treat allergic skin reactions and motion sickness?

<p>Meclizine (A)</p> Signup and view all the answers

Which of the following is a common side effect of Dimenhydrinate?

<p>Drowsiness (A)</p> Signup and view all the answers

What should be avoided when taking Promethazine to ensure safety?

<p>CNS depressants (C)</p> Signup and view all the answers

What is the primary use of gentamycin ear drops?

<p>To treat bacterial infections (B)</p> Signup and view all the answers

How many times a day should gentamycin ear drops typically be used?

<p>3 to 4 times (B)</p> Signup and view all the answers

Which of the following is a contraindication for gentamycin ear drops?

<p>Ear drum perforation (D)</p> Signup and view all the answers

Which condition is treated with clotrimazole ear drops?

<p>Otomycosis (A)</p> Signup and view all the answers

What percentage of clotrimazole solution is typically used for ear infections?

<p>1% (B)</p> Signup and view all the answers

For how many days should clotrimazole ear drops be used to treat ear infections?

<p>15 days (C)</p> Signup and view all the answers

What is the mechanism of action of chloramphenicol?

<p>It binds to the 50s ribosomal subunit (D)</p> Signup and view all the answers

Which condition is not an indication for chloramphenicol?

<p>Otitis media (B)</p> Signup and view all the answers

What side effect is common with the use of chloramphenicol?

<p>Irritation of eyes (C)</p> Signup and view all the answers

What is the dosage for chloramphenicol eye/ear drops in trachoma therapy?

<p>2 to 3 drops 2 to 4 times a day for one to two months (D)</p> Signup and view all the answers

Which of the following is not a side effect of Phenylephrine?

<p>Irritation of eyes (D)</p> Signup and view all the answers

Phenylephrine is contraindicated in patients with which condition?

<p>Pheochromocytoma (C)</p> Signup and view all the answers

What is the typical duration of action for Phenylephrine?

<p>2 to 4 hours (D)</p> Signup and view all the answers

Which of the following is an indication for gentamycin eye/ear drops?

<p>Corneal ulcers (C)</p> Signup and view all the answers

What is the main use of Gentamicin ear drops?

<p>Treatment of infections of the eyes, ears and skin (C)</p> Signup and view all the answers

Which condition is NOT an indication for Gentamicin ear drops?

<p>Fungal infections (B)</p> Signup and view all the answers

What is the correct dosage of Clotrimazole ear drops?

<p>2 to 3 drops 3 to 4 times a day for 7 days or until symptoms disappear (A)</p> Signup and view all the answers

Which of the following is a contraindication for both Gentamicin and Clotrimazole ear drops?

<p>Perforation of tympanic membrane (D)</p> Signup and view all the answers

What side effect is associated with Gentamicin ear drops?

<p>Irritation (D)</p> Signup and view all the answers

Which of the following is NOT an effect of Clotrimazole?

<p>Antibacterial (A)</p> Signup and view all the answers

What is the primary use of Dimenhydrinate?

<p>Prevention of nausea, vomiting, and dizziness caused by motion sickness (D)</p> Signup and view all the answers

What is a significant side effect of Hydroxyzine, unlike its metabolite cetirizine?

<p>Drowsiness (D)</p> Signup and view all the answers

What is the half-life of Dimenhydrinate?

<p>1-4 hours (A)</p> Signup and view all the answers

Through which organ is Hydroxyzine primarily metabolized?

<p>Liver (D)</p> Signup and view all the answers

Which of the following is an action few antihistamines exert?

<p>Anti-vertigo action (C)</p> Signup and view all the answers

Which of the following is a brand name for Hydroxyzine?

<p>Atarax (C)</p> Signup and view all the answers

What is the protein binding percentage for Dimenhydrinate?

<p>96-99% (B)</p> Signup and view all the answers

What does the term 't ½' refer to in pharmacokinetics?

<p>Half-life (B)</p> Signup and view all the answers

Which of the following brand names contain Gentimicin sulphate?

<p>Gentimicin H ear drops (A)</p> Signup and view all the answers

What is a common use for chirumenolytics?

<p>To soften impacted ear wax (D)</p> Signup and view all the answers

Which ingredient is contained in Hydrocortisone ear drops?

<p>Hydrocortisone sodium succinate (B)</p> Signup and view all the answers

What is the indication for using Cholumenol?

<p>To dissolve ear wax and relieve ear discomfort (A)</p> Signup and view all the answers

What dosage is recommended for chirumenolytics in each ear?

<p>4-6 drops (D)</p> Signup and view all the answers

Which of the following is a contraindication for using chirumenolytics?

<p>Ulcer coma (C)</p> Signup and view all the answers

Which brand name contains polymyxin B sulphate and neomycin sulphate?

<p>Oliv-Ear drops (C)</p> Signup and view all the answers

Which pharmacologic area do mydriatic drugs belong to?

<p>Drugs that dilate the pupil (D)</p> Signup and view all the answers

Which drug is commonly used in nasal medicines and inhalants?

<p>Isotonic saline solution (C)</p> Signup and view all the answers

What should be avoided to maintain the sterility of the dropper for ear drops?

<p>Touching the top of the dropper with fingers (A)</p> Signup and view all the answers

Study Notes

Here are the study notes:

  • Antihistamines*
  • Antihistamines are drugs that antagonize histamine in the body
  • Used for symptomatic treatment of allergic disorders
  • Classified into two types: H1 and H2 receptors
  • Drugs producing low sedation:*
  • Cetirizine
  • Fexofenadine
  • Loratadine
  • Terfenadine
  • Drugs producing high sedation:*
  • Diphenhydramine
  • Promethazine
  • Meclizine
  • Cyclizine
  • Dimenhydrinate
  • Mechanism of action of antihistamines:*
  • Block histamine H1 receptors in tissue
  • Prevent histamine release from mast cells
  • Exhibit anticholinergic effects
  • Possess local anesthetic effect
  • Suppress motion sickness
  • Therapeutic uses of antihistamines:*
  • Symptomatic treatment of allergic disorders
  • Preventing motion sickness
  • Treating symptoms of a sudden rash or skin reaction
  • Treating inner ear problems
  • Preventing airsickness
  • Chlorpheniramine Maleate*
  • An antihistamine that inhibits histamine release
  • Used to relieve symptoms of allergic reactions, common cold, and hay fever
  • Dosage: 4-12mg/day in divided doses
  • Diphenhydramine Hydrochloride*
  • An antihistamine that blocks histamine receptors
  • Used to relieve symptoms of allergy, insomnia, and motion sickness
  • Dosage: 25-50mg 3-4 times a day
  • Side effects: drowsiness, dizziness, constipation, dry mouth
  • Promethazine*
  • An antihistamine that competes with histamine at receptor sites
  • Used to relieve symptoms of allergy, insomnia, and motion sickness
  • Dosage: 25-50mg 3-4 times a day
  • Side effects: drowsiness, dizziness, constipation, dry mouth
  • Meclizine*
  • An antihistamine used to treat motion sickness and allergic reactions
  • Dosage: 25-50mg every 12-24 hours
  • Dimenhydrinate*
  • An antihistamine used to prevent and treat motion sickness
  • Dosage: 25-50mg every 12 hours
  • Side effects: drowsiness, dizziness, dry mouth, constipation
  • Cinnarizine*
  • An antihistamine used to prevent and treat motion sickness
  • Dosage: 25-50mg every 12 hours
  • Side effects: drowsiness, dizziness, dry mouth, constipation
  • Gentamycin and Chloramphenicol*
  • Gentamycin is a broad-spectrum antibiotic
  • Chloramphenicol is a broad-spectrum antibiotic
  • Used to treat bacterial infections
  • Phenylephrine*
  • A sympathomimetic amine that stimulates alpha-adrenergic receptors
  • Used to treat hypotension, shock, and nasal congestion
  • Dosage: 1mg intravenously repeated every 10-15 minutes as needed
  • Hydroxyzine*
  • An antihistamine that competes with histamine at receptor sites
  • Used to relieve symptoms of allergy, anxiety, and insomnia
  • Dosage: 25-50mg 3-4 times a day
  • Side effects: drowsiness, dizziness, dry mouth, constipation### Brand Names
  • Chlormumenol is sold under brand names such as Adivas, Dodawan, Sivas, Norn, Wave, Ourn, and Was Drops.

Nursing Care

  • When administering drops to adult patients, the dropper head should be held up, and care should be taken to avoid contaminating the dropper tip with fingers.
  • To prevent contamination, the dropper should be stored in a sterile bag, and the cotton plug should be kept in place for 15-30 minutes.
  • Patients should be advised to discontinue use if they do not experience relief and to store solutions out of reach of children in a cold, well-protected place.

Ophthalmic Drugs

  • Mydriatics, such as atropine, dilate the pupil.
  • Miotics, such as pilocarpine, constrict the pupil.
  • Topical preparations, nasal medicines, and inhalants are used to treat diseases affecting the conjunctiva and cornea.
  • Isotonic saline solution and anti-allergenic drops are used for nasal decongestion.

Decomgestants

  • Oxymetazoline Hydrochloride is a type of decomgestant drug.

Miscellaneous

  • Oral sprays are used to reduce migraine and headache.

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Description

Learn about antihistamines, their classification into H1 and H2 receptors, and their use in treating allergic disorders, including examples of drugs with low and high sedation effects.

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