Pharmacology of Antihistamines and Related Drugs
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Pharmacology of Antihistamines and Related Drugs

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Questions and Answers

Which of the following medications is classified as a 2nd generation histamine antagonist?

  • Chlorpheniramine
  • Loratadine (correct)
  • Diphenhydramine
  • Dimenhydrinate
  • What is the primary action of Bosentan?

  • Histamine receptor antagonism
  • Endothelin-1 receptor inhibition (correct)
  • Inhibition of platelet aggregation
  • cGMP phosphodiesterase inhibition
  • Which medication is a β2 adrenergic receptor agonist?

  • Nebivolol
  • Ipratropium
  • Albuterol (correct)
  • Montelukast
  • Which of the following is NOT a mucolytic agent?

    <p>Sildenafil</p> Signup and view all the answers

    Which drug is indicated for the treatment targeting IL-5 receptors?

    <p>Benralizumab</p> Signup and view all the answers

    Which medication is classified as a muscarinic receptor (M3) antagonist?

    <p>Tiotropium</p> Signup and view all the answers

    Which of the following is an example of a phosphodiesterase (PDE-4) inhibitor?

    <p>Roflumilast</p> Signup and view all the answers

    Which drug is an α1-adrenergic agonist used for nasal decongestion?

    <p>Phenylephrine</p> Signup and view all the answers

    Which among the following is a 2nd generation histamine antagonist?

    <p>Loratadine</p> Signup and view all the answers

    Which of the following medications is indicated for inhibiting platelet aggregation?

    <p>Iloprost</p> Signup and view all the answers

    Which of the following classes includes medications that are primarily used as mucolytics?

    <p>N-acetylcysteine</p> Signup and view all the answers

    Which medication is an example of an endothelium receptor inhibitor?

    <p>Bosentan</p> Signup and view all the answers

    Which of the following drugs is classified as a β2 adrenergic receptor agonist?

    <p>Albuterol</p> Signup and view all the answers

    What is the action of the drug Roflumilast?

    <p>Phosphodiesterase (PDE-4) inhibitor</p> Signup and view all the answers

    Which medication is commonly used to inhibit platelet aggregation?

    <p>Epoprostenol</p> Signup and view all the answers

    Which medication is used primarily as a mucolytic agent?

    <p>N-acetylcysteine</p> Signup and view all the answers

    Which of the following medications is a phosphodiesterase-5 (PDE-5) inhibitor?

    <p>Sildenafil</p> Signup and view all the answers

    Which drug acts as an anti-leukotriene?

    <p>Zafirlukast</p> Signup and view all the answers

    Which medication is classified as a β2 adrenergic receptor agonist and used for asthma management?

    <p>Salmeterol</p> Signup and view all the answers

    Which of the following is an example of a 1st generation histamine antagonist?

    <p>Chlorpheniramine</p> Signup and view all the answers

    Which medication primarily acts as an anti-leukotriene?

    <p>Zafirlukast</p> Signup and view all the answers

    What is the primary purpose of using inhaled corticosteroids?

    <p>To reduce inflammation in the airways</p> Signup and view all the answers

    Which medication is known for being a cGMP phosphodiesterase-5 (PDE-5) inhibitor?

    <p>Sildenafil</p> Signup and view all the answers

    Which of the following agents is a mucolytic that also plays a role in breaking down DNA in secretions?

    <p>Dornase alfa</p> Signup and view all the answers

    Which medication acts as a muscarinic receptor antagonist primarily for asthma management?

    <p>Ipratropium</p> Signup and view all the answers

    Which medication is primarily used as a phosphodiesterase (PDE-4) inhibitor for chronic obstructive pulmonary disease (COPD)?

    <p>Roflumilast</p> Signup and view all the answers

    Which of the following is NOT a characteristic of 2nd generation histamine antagonists?

    <p>Used primarily for motion sickness</p> Signup and view all the answers

    Which class of medications primarily functions as bronchodilators in asthma management?

    <p>β2 adrenergic receptor agonists</p> Signup and view all the answers

    What is the primary function of mucolytics in respiratory therapy?

    <p>Loosen and thin mucus secretions</p> Signup and view all the answers

    Which of the following medications is specifically indicated for targeting IL-5 receptors in asthma management?

    <p>Reslizumab</p> Signup and view all the answers

    Which class of medications is primarily used for nasal decongestion?

    <p>α1-Adrenergic Agonists</p> Signup and view all the answers

    Which type of medication is used to modulate inflammation by inhibiting leukotriene synthesis?

    <p>Anti-leukotrienes</p> Signup and view all the answers

    Which of the following medications is indicated in the treatment of severe asthma due to its action against IL-5?

    <p>Reslizumab</p> Signup and view all the answers

    Which two medications are classified as 1st generation histamine antagonists?

    <p>Diphenhydramine and Dimenhydrinate</p> Signup and view all the answers

    Which medication functions as a cGMP phosphodiesterase-5 (PDE-5) inhibitor, primarily used for erectile dysfunction?

    <p>Sildenafil</p> Signup and view all the answers

    Which of the following agents is specifically a 1st generation histamine antagonist?

    <p>Diphenhydramine</p> Signup and view all the answers

    What is a primary action of Sodium Nitroxide?

    <p>Increase pulmonary blood flow</p> Signup and view all the answers

    Which of the following medications is used as an anti-leukotriene?

    <p>Montelukast</p> Signup and view all the answers

    What is the primary effect of inhaled corticosteroids in respiratory therapy?

    <p>Reduce inflammation</p> Signup and view all the answers

    Which medication is primarily used for its effects on β2 adrenergic receptors in asthma management?

    <p>Formoterol</p> Signup and view all the answers

    Study Notes

    1st Generation Histamine Antagonists

    • Diphenhydramine: Commonly used for allergy relief and as a sleep aid; can cause sedation.
    • Dimenhydrinate: Effective for motion sickness; has antiemetic properties.
    • Chlorpheniramine: Often used for allergy symptoms; less sedating than diphenhydramine.

    2nd Generation Histamine Antagonists

    • Desloratadine: Non-sedating; longer duration of action compared to first-generation antihistamines.
    • Fexofenadine: Provides relief from seasonal allergy symptoms; minimal sedation.
    • Loratadine: Non-drowsy formulation for allergy treatment; metabolite of desloratadine.
    • Cetirizine: Slightly sedating; effective for allergic rhinitis and chronic urticaria.

    Mucolytics

    • Dornase alfa (DNAse): Used in cystic fibrosis to reduce mucus viscosity; improves lung function.
    • N-acetylcysteine: Acts as a mucolytic agent; also used as an antidote for acetaminophen overdose.
    • Guaifenesin: Commonly found in expectorants; helps in the loosening and thinning of mucus.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Used in the treatment of pulmonary arterial hypertension; helps lower blood pressure within the lungs.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Primarily used to treat erectile dysfunction and pulmonary hypertension by relaxing blood vessels.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: A potent vasodilator that also inhibits platelet aggregation; used for severe pulmonary hypertension.
    • Iloprost: Used for pulmonary arterial hypertension; administered via inhalation.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Relieves nasal congestion; promotes vasoconstriction.
    • Phenylephrine: Commonly used as a decongestant; primarily affects nasal mucosa.
    • Ephedrine: Has bronchodilator and stimulant effects; can also be used in asthma.
    • Xylometazoline: Provides quick relief from nasal congestion; can cause rebound congestion if used too long.
    • Oxymetazoline: A topical decongestant; provides temporary relief from nasal obstruction.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting bronchodilator; used in asthma and COPD management.
    • Salmeterol: Another long-acting bronchodilator; typically used with inhaled corticosteroids.
    • Albuterol: Short-acting bronchodilator; provides rapid relief in asthma attacks.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: Long-acting anticholinergic; improves lung function in COPD.
    • Ipratropium: Short-acting; often used in combination therapy for asthma and COPD.

    Inhaled Corticosteroids

    • Fluticasone: Potent anti-inflammatory agent; used to control asthma and allergic rhinitis.
    • Budesonide: Effective in both asthma and COPD; reduces airway inflammation.

    Anti-leukotrienes

    • Zileuton: Inhibits leukotriene synthesis; helps in controlling asthma symptoms.
    • Montelukast: Blocks leukotriene receptors; used for asthma and allergic rhinitis.
    • Zafirlukast: Similar action to montelukast; helps in improving respiratory symptoms.

    Methylxanthines

    • Theophylline: Provides bronchodilation; requires monitoring due to narrow therapeutic index.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Reduces inflammation in COPD; improves lung function.

    Against IL-5

    • Mepolizumab: Monoclonal antibody used for severe asthma with eosinophilic phenotype.
    • Reslizumab: Another IL-5 antagonist; used in severe asthma treatment.
    • Against IL-5 receptor α: Benralizumab; reduces eosinophil levels, improving asthma control.

    1st Generation Histamine Antagonists

    • Diphenhydramine: Commonly used for allergy relief and as a sleep aid; can cause sedation.
    • Dimenhydrinate: Effective for motion sickness; has antiemetic properties.
    • Chlorpheniramine: Often used for allergy symptoms; less sedating than diphenhydramine.

    2nd Generation Histamine Antagonists

    • Desloratadine: Non-sedating; longer duration of action compared to first-generation antihistamines.
    • Fexofenadine: Provides relief from seasonal allergy symptoms; minimal sedation.
    • Loratadine: Non-drowsy formulation for allergy treatment; metabolite of desloratadine.
    • Cetirizine: Slightly sedating; effective for allergic rhinitis and chronic urticaria.

    Mucolytics

    • Dornase alfa (DNAse): Used in cystic fibrosis to reduce mucus viscosity; improves lung function.
    • N-acetylcysteine: Acts as a mucolytic agent; also used as an antidote for acetaminophen overdose.
    • Guaifenesin: Commonly found in expectorants; helps in the loosening and thinning of mucus.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Used in the treatment of pulmonary arterial hypertension; helps lower blood pressure within the lungs.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Primarily used to treat erectile dysfunction and pulmonary hypertension by relaxing blood vessels.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: A potent vasodilator that also inhibits platelet aggregation; used for severe pulmonary hypertension.
    • Iloprost: Used for pulmonary arterial hypertension; administered via inhalation.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Relieves nasal congestion; promotes vasoconstriction.
    • Phenylephrine: Commonly used as a decongestant; primarily affects nasal mucosa.
    • Ephedrine: Has bronchodilator and stimulant effects; can also be used in asthma.
    • Xylometazoline: Provides quick relief from nasal congestion; can cause rebound congestion if used too long.
    • Oxymetazoline: A topical decongestant; provides temporary relief from nasal obstruction.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting bronchodilator; used in asthma and COPD management.
    • Salmeterol: Another long-acting bronchodilator; typically used with inhaled corticosteroids.
    • Albuterol: Short-acting bronchodilator; provides rapid relief in asthma attacks.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: Long-acting anticholinergic; improves lung function in COPD.
    • Ipratropium: Short-acting; often used in combination therapy for asthma and COPD.

    Inhaled Corticosteroids

    • Fluticasone: Potent anti-inflammatory agent; used to control asthma and allergic rhinitis.
    • Budesonide: Effective in both asthma and COPD; reduces airway inflammation.

    Anti-leukotrienes

    • Zileuton: Inhibits leukotriene synthesis; helps in controlling asthma symptoms.
    • Montelukast: Blocks leukotriene receptors; used for asthma and allergic rhinitis.
    • Zafirlukast: Similar action to montelukast; helps in improving respiratory symptoms.

    Methylxanthines

    • Theophylline: Provides bronchodilation; requires monitoring due to narrow therapeutic index.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Reduces inflammation in COPD; improves lung function.

    Against IL-5

    • Mepolizumab: Monoclonal antibody used for severe asthma with eosinophilic phenotype.
    • Reslizumab: Another IL-5 antagonist; used in severe asthma treatment.
    • Against IL-5 receptor α: Benralizumab; reduces eosinophil levels, improving asthma control.

    1st Generation Histamine Antagonists

    • Diphenhydramine: Commonly used for allergy relief and as a sleep aid; can cause sedation.
    • Dimenhydrinate: Effective for motion sickness; has antiemetic properties.
    • Chlorpheniramine: Often used for allergy symptoms; less sedating than diphenhydramine.

    2nd Generation Histamine Antagonists

    • Desloratadine: Non-sedating; longer duration of action compared to first-generation antihistamines.
    • Fexofenadine: Provides relief from seasonal allergy symptoms; minimal sedation.
    • Loratadine: Non-drowsy formulation for allergy treatment; metabolite of desloratadine.
    • Cetirizine: Slightly sedating; effective for allergic rhinitis and chronic urticaria.

    Mucolytics

    • Dornase alfa (DNAse): Used in cystic fibrosis to reduce mucus viscosity; improves lung function.
    • N-acetylcysteine: Acts as a mucolytic agent; also used as an antidote for acetaminophen overdose.
    • Guaifenesin: Commonly found in expectorants; helps in the loosening and thinning of mucus.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Used in the treatment of pulmonary arterial hypertension; helps lower blood pressure within the lungs.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Primarily used to treat erectile dysfunction and pulmonary hypertension by relaxing blood vessels.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: A potent vasodilator that also inhibits platelet aggregation; used for severe pulmonary hypertension.
    • Iloprost: Used for pulmonary arterial hypertension; administered via inhalation.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Relieves nasal congestion; promotes vasoconstriction.
    • Phenylephrine: Commonly used as a decongestant; primarily affects nasal mucosa.
    • Ephedrine: Has bronchodilator and stimulant effects; can also be used in asthma.
    • Xylometazoline: Provides quick relief from nasal congestion; can cause rebound congestion if used too long.
    • Oxymetazoline: A topical decongestant; provides temporary relief from nasal obstruction.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting bronchodilator; used in asthma and COPD management.
    • Salmeterol: Another long-acting bronchodilator; typically used with inhaled corticosteroids.
    • Albuterol: Short-acting bronchodilator; provides rapid relief in asthma attacks.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: Long-acting anticholinergic; improves lung function in COPD.
    • Ipratropium: Short-acting; often used in combination therapy for asthma and COPD.

    Inhaled Corticosteroids

    • Fluticasone: Potent anti-inflammatory agent; used to control asthma and allergic rhinitis.
    • Budesonide: Effective in both asthma and COPD; reduces airway inflammation.

    Anti-leukotrienes

    • Zileuton: Inhibits leukotriene synthesis; helps in controlling asthma symptoms.
    • Montelukast: Blocks leukotriene receptors; used for asthma and allergic rhinitis.
    • Zafirlukast: Similar action to montelukast; helps in improving respiratory symptoms.

    Methylxanthines

    • Theophylline: Provides bronchodilation; requires monitoring due to narrow therapeutic index.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Reduces inflammation in COPD; improves lung function.

    Against IL-5

    • Mepolizumab: Monoclonal antibody used for severe asthma with eosinophilic phenotype.
    • Reslizumab: Another IL-5 antagonist; used in severe asthma treatment.
    • Against IL-5 receptor α: Benralizumab; reduces eosinophil levels, improving asthma control.

    1st Generation Histamine Antagonists

    • Diphenhydramine: Commonly used for allergy relief, motion sickness, and insomnia.
    • Dimenhydrinate: Primarily used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness.
    • Chlorpheniramine: Effective for allergic symptoms with a lower sedative effect compared to other first-generation antihistamines.

    2nd Generation Histamine Antagonists

    • Desloratadine: A non-sedating antihistamine used for allergic rhinitis and chronic urticaria.
    • Fexofenadine: Provides long-lasting relief from sneezing, runny nose, and itchy/watery eyes without causing sedation.
    • Loratadine: Used for treating allergic symptoms, commonly taken as an over-the-counter medication.
    • Cetirizine: Known for its rapid onset of action but may cause mild drowsiness in some individuals.

    Mucolytics

    • Dornase alfa (DNAse): Specifically used in cystic fibrosis to reduce mucus viscosity and improve lung function.
    • N-acetylcysteine: Acting as a mucolytic and antioxidant, it helps to loosen thick mucus in various respiratory conditions.
    • Guaifenesin: An expectorant that increases mucus clearance from the airways, easing coughs.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Treats pulmonary arterial hypertension by blocking endothelin-1 receptors, leading to vasodilation.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Used primarily for erectile dysfunction and pulmonary hypertension by enhancing blood flow.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: A potent vasodilator that also inhibits platelet aggregation, used in severe pulmonary hypertension.
    • Iloprost: Administered via inhalation for treating pulmonary arterial hypertension, with similar effects as epoprostenol.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Commonly used as a decongestant for sinusitis and allergic rhinitis.
    • Phenylephrine: A decongestant that constricts blood vessels to reduce nasal swelling.
    • Ephedrine: Provides relief from bronchial asthma and nasal congestion by stimulating adrenergic receptors.
    • Xylometazoline: A topical nasal decongestant that provides quick relief from nasal congestion.
    • Oxymetazoline: Similar to xylometazoline, used to relieve nasal congestion due to colds or allergies.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting bronchodilator that provides rapid relief and is used in asthma and COPD.
    • Salmeterol: Another long-acting agent, primarily used for asthma control and maintenance therapy.
    • Albuterol: A short-acting bronchodilator effective in relieving acute asthma attacks.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: A long-acting inhaled anticholinergic used for COPD management.
    • Ipratropium: Short-acting anticholinergic that helps relieve bronchospasm in asthma and COPD.

    Inhaled Corticosteroids

    • Fluticasone: Often used as a maintenance therapy to control asthma symptoms and prevent exacerbations.
    • Budesonide: An inhaled corticosteroid effective in reducing inflammation in asthma and COPD.

    Anti-leukotrienes

    • Zileuton: An oral leukotriene synthesis inhibitor used in asthma management.
    • Montelukast: A widely used oral medication that blocks leukotriene receptors, reducing asthma symptoms.
    • Zafirlukast: Another leukotriene receptor antagonist used for asthma treatment.

    Methylxanthines

    • Theophylline: A bronchodilator that enhances respiratory drive and improves airflow in asthma and COPD.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Used to decrease inflammation and exacerbate symptoms in COPD.

    Against IL-5

    • Mepolizumab: A monoclonal antibody that inhibits IL-5, for severe asthma treatment.
    • Reslizumab: Another IL-5 inhibitor used for treatment in severe asthma patients.

    Against IL-5 receptor α

    • Benralizumab: Monoclonal antibody targeting IL-5 receptor α, used in severe asthma management.

    1st Generation Histamine Antagonists

    • Diphenhydramine: Commonly used for allergy relief, motion sickness, and insomnia.
    • Dimenhydrinate: Primarily used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness.
    • Chlorpheniramine: Effective for allergic symptoms with a lower sedative effect compared to other first-generation antihistamines.

    2nd Generation Histamine Antagonists

    • Desloratadine: A non-sedating antihistamine used for allergic rhinitis and chronic urticaria.
    • Fexofenadine: Provides long-lasting relief from sneezing, runny nose, and itchy/watery eyes without causing sedation.
    • Loratadine: Used for treating allergic symptoms, commonly taken as an over-the-counter medication.
    • Cetirizine: Known for its rapid onset of action but may cause mild drowsiness in some individuals.

    Mucolytics

    • Dornase alfa (DNAse): Specifically used in cystic fibrosis to reduce mucus viscosity and improve lung function.
    • N-acetylcysteine: Acting as a mucolytic and antioxidant, it helps to loosen thick mucus in various respiratory conditions.
    • Guaifenesin: An expectorant that increases mucus clearance from the airways, easing coughs.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Treats pulmonary arterial hypertension by blocking endothelin-1 receptors, leading to vasodilation.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Used primarily for erectile dysfunction and pulmonary hypertension by enhancing blood flow.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: A potent vasodilator that also inhibits platelet aggregation, used in severe pulmonary hypertension.
    • Iloprost: Administered via inhalation for treating pulmonary arterial hypertension, with similar effects as epoprostenol.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Commonly used as a decongestant for sinusitis and allergic rhinitis.
    • Phenylephrine: A decongestant that constricts blood vessels to reduce nasal swelling.
    • Ephedrine: Provides relief from bronchial asthma and nasal congestion by stimulating adrenergic receptors.
    • Xylometazoline: A topical nasal decongestant that provides quick relief from nasal congestion.
    • Oxymetazoline: Similar to xylometazoline, used to relieve nasal congestion due to colds or allergies.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting bronchodilator that provides rapid relief and is used in asthma and COPD.
    • Salmeterol: Another long-acting agent, primarily used for asthma control and maintenance therapy.
    • Albuterol: A short-acting bronchodilator effective in relieving acute asthma attacks.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: A long-acting inhaled anticholinergic used for COPD management.
    • Ipratropium: Short-acting anticholinergic that helps relieve bronchospasm in asthma and COPD.

    Inhaled Corticosteroids

    • Fluticasone: Often used as a maintenance therapy to control asthma symptoms and prevent exacerbations.
    • Budesonide: An inhaled corticosteroid effective in reducing inflammation in asthma and COPD.

    Anti-leukotrienes

    • Zileuton: An oral leukotriene synthesis inhibitor used in asthma management.
    • Montelukast: A widely used oral medication that blocks leukotriene receptors, reducing asthma symptoms.
    • Zafirlukast: Another leukotriene receptor antagonist used for asthma treatment.

    Methylxanthines

    • Theophylline: A bronchodilator that enhances respiratory drive and improves airflow in asthma and COPD.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Used to decrease inflammation and exacerbate symptoms in COPD.

    Against IL-5

    • Mepolizumab: A monoclonal antibody that inhibits IL-5, for severe asthma treatment.
    • Reslizumab: Another IL-5 inhibitor used for treatment in severe asthma patients.

    Against IL-5 receptor α

    • Benralizumab: Monoclonal antibody targeting IL-5 receptor α, used in severe asthma management.

    Histamine Antagonists

    • 1st Generation: Cause sedation as they cross the blood-brain barrier.

      • Diphenhydramine: Commonly used as an antihistamine for allergies and sleep aid.
      • Dimenhydrinate: Used for preventing motion sickness and nausea.
      • Chlorpheniramine: Less sedating; often used for allergic rhinitis.
    • 2nd Generation: Non-sedating due to limited central nervous system penetration.

      • Desloratadine: Active metabolite of loratadine, effective for allergic symptoms.
      • Fexofenadine: Reduces allergy symptoms with minimal sedation.
      • Loratadine: Commonly prescribed for allergic reactions; once daily dosing.
      • Cetirizine: Slight sedative properties; effective for chronic urticaria.

    Mucolytics

    • Dornase alfa (DNAse): Enzyme that breaks down DNA in mucus, used in cystic fibrosis.
    • N-acetylcysteine: Acts as a mucolytic and an antioxidant, also used in acetaminophen overdose.
    • Guaifenesin: Expectorant that helps clear mucus from airways.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Used in the treatment of pulmonary arterial hypertension to reduce blood pressure.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Commonly prescribed for erectile dysfunction and pulmonary hypertension.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: Potent vasodilator and inhibits platelet aggregation, used in pulmonary hypertension.
    • Iloprost: Inhaled version; reduces pulmonary arterial pressure.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Decongestant used for nasal obstruction relief.
    • Phenylephrine: Short-acting decongestant; often included in cold medications.
    • Ephedrine: Bronchodilator and decongestant, also used in asthma.
    • Xylometazoline: Topical nasal decongestant for short-term use.
    • Oxymetazoline: Similar to xylometazoline; gives quick nasal relief.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting beta agonist (LABA) used in asthma and COPD management.
    • Salmeterol: Another LABA; provides prolonged bronchodilation.
    • Albuterol: Short-acting beta agonist (SABA) for quick relief of asthma symptoms.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: Long-acting muscarinic antagonist (LAMA) used for COPD.
    • Ipratropium: Short-acting; often combined with albuterol for asthma relief.

    Inhaled Corticosteroids

    • Fluticasone: Reduces inflammation in asthma and allergic rhinitis.
    • Budesonide: Effective in controlling asthma and allergic symptoms.

    Anti-leukotrienes

    • Zileuton: Inhibits leukotriene synthesis, used for asthma control.
    • Montelukast: Blocks leukotriene receptor; helps reduce asthma episodes.
    • Zafirlukast: Similar to montelukast; used as adjunct therapy for asthma.

    Methylxanthines

    • Theophylline: Bronchodilator used for asthma and COPD; requires monitoring of serum levels.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Reduces inflammation in severe COPD, improves lung function.

    Against IL-5

    • Mepolizumab: Monoclonal antibody targeting IL-5; used in eosinophilic asthma treatment.
    • Reslizumab: Another IL-5 inhibitor; used for severe asthma in patients with eosinophilia.

    Against IL-5 Receptor α

    • Benralizumab: Targets IL-5 receptor to reduce eosinophil levels; effective in severe asthma management.

    Histamine Antagonists

    • 1st Generation: Cause sedation as they cross the blood-brain barrier.

      • Diphenhydramine: Commonly used as an antihistamine for allergies and sleep aid.
      • Dimenhydrinate: Used for preventing motion sickness and nausea.
      • Chlorpheniramine: Less sedating; often used for allergic rhinitis.
    • 2nd Generation: Non-sedating due to limited central nervous system penetration.

      • Desloratadine: Active metabolite of loratadine, effective for allergic symptoms.
      • Fexofenadine: Reduces allergy symptoms with minimal sedation.
      • Loratadine: Commonly prescribed for allergic reactions; once daily dosing.
      • Cetirizine: Slight sedative properties; effective for chronic urticaria.

    Mucolytics

    • Dornase alfa (DNAse): Enzyme that breaks down DNA in mucus, used in cystic fibrosis.
    • N-acetylcysteine: Acts as a mucolytic and an antioxidant, also used in acetaminophen overdose.
    • Guaifenesin: Expectorant that helps clear mucus from airways.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Used in the treatment of pulmonary arterial hypertension to reduce blood pressure.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Commonly prescribed for erectile dysfunction and pulmonary hypertension.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: Potent vasodilator and inhibits platelet aggregation, used in pulmonary hypertension.
    • Iloprost: Inhaled version; reduces pulmonary arterial pressure.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Decongestant used for nasal obstruction relief.
    • Phenylephrine: Short-acting decongestant; often included in cold medications.
    • Ephedrine: Bronchodilator and decongestant, also used in asthma.
    • Xylometazoline: Topical nasal decongestant for short-term use.
    • Oxymetazoline: Similar to xylometazoline; gives quick nasal relief.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting beta agonist (LABA) used in asthma and COPD management.
    • Salmeterol: Another LABA; provides prolonged bronchodilation.
    • Albuterol: Short-acting beta agonist (SABA) for quick relief of asthma symptoms.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: Long-acting muscarinic antagonist (LAMA) used for COPD.
    • Ipratropium: Short-acting; often combined with albuterol for asthma relief.

    Inhaled Corticosteroids

    • Fluticasone: Reduces inflammation in asthma and allergic rhinitis.
    • Budesonide: Effective in controlling asthma and allergic symptoms.

    Anti-leukotrienes

    • Zileuton: Inhibits leukotriene synthesis, used for asthma control.
    • Montelukast: Blocks leukotriene receptor; helps reduce asthma episodes.
    • Zafirlukast: Similar to montelukast; used as adjunct therapy for asthma.

    Methylxanthines

    • Theophylline: Bronchodilator used for asthma and COPD; requires monitoring of serum levels.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Reduces inflammation in severe COPD, improves lung function.

    Against IL-5

    • Mepolizumab: Monoclonal antibody targeting IL-5; used in eosinophilic asthma treatment.
    • Reslizumab: Another IL-5 inhibitor; used for severe asthma in patients with eosinophilia.

    Against IL-5 Receptor α

    • Benralizumab: Targets IL-5 receptor to reduce eosinophil levels; effective in severe asthma management.

    Histamine Antagonists

    • 1st Generation: Cause sedation as they cross the blood-brain barrier.

      • Diphenhydramine: Commonly used as an antihistamine for allergies and sleep aid.
      • Dimenhydrinate: Used for preventing motion sickness and nausea.
      • Chlorpheniramine: Less sedating; often used for allergic rhinitis.
    • 2nd Generation: Non-sedating due to limited central nervous system penetration.

      • Desloratadine: Active metabolite of loratadine, effective for allergic symptoms.
      • Fexofenadine: Reduces allergy symptoms with minimal sedation.
      • Loratadine: Commonly prescribed for allergic reactions; once daily dosing.
      • Cetirizine: Slight sedative properties; effective for chronic urticaria.

    Mucolytics

    • Dornase alfa (DNAse): Enzyme that breaks down DNA in mucus, used in cystic fibrosis.
    • N-acetylcysteine: Acts as a mucolytic and an antioxidant, also used in acetaminophen overdose.
    • Guaifenesin: Expectorant that helps clear mucus from airways.

    Endothelin-1 Receptor Inhibitor

    • Bosentan: Used in the treatment of pulmonary arterial hypertension to reduce blood pressure.

    cGMP Phosphodiesterase-5 (PDE-5) Inhibitor

    • Sildenafil: Commonly prescribed for erectile dysfunction and pulmonary hypertension.

    Prostacyclins (PGI2) Analogues

    • Epoprostenol: Potent vasodilator and inhibits platelet aggregation, used in pulmonary hypertension.
    • Iloprost: Inhaled version; reduces pulmonary arterial pressure.

    α1-Adrenergic Agonists

    • Pseudoephedrine: Decongestant used for nasal obstruction relief.
    • Phenylephrine: Short-acting decongestant; often included in cold medications.
    • Ephedrine: Bronchodilator and decongestant, also used in asthma.
    • Xylometazoline: Topical nasal decongestant for short-term use.
    • Oxymetazoline: Similar to xylometazoline; gives quick nasal relief.

    β2 Adrenergic Receptor Agonists

    • Formoterol: Long-acting beta agonist (LABA) used in asthma and COPD management.
    • Salmeterol: Another LABA; provides prolonged bronchodilation.
    • Albuterol: Short-acting beta agonist (SABA) for quick relief of asthma symptoms.

    Muscarinic Receptors (M3) Antagonists

    • Tiotropium: Long-acting muscarinic antagonist (LAMA) used for COPD.
    • Ipratropium: Short-acting; often combined with albuterol for asthma relief.

    Inhaled Corticosteroids

    • Fluticasone: Reduces inflammation in asthma and allergic rhinitis.
    • Budesonide: Effective in controlling asthma and allergic symptoms.

    Anti-leukotrienes

    • Zileuton: Inhibits leukotriene synthesis, used for asthma control.
    • Montelukast: Blocks leukotriene receptor; helps reduce asthma episodes.
    • Zafirlukast: Similar to montelukast; used as adjunct therapy for asthma.

    Methylxanthines

    • Theophylline: Bronchodilator used for asthma and COPD; requires monitoring of serum levels.

    Phosphodiesterase (PDE-4) Inhibitors

    • Roflumilast: Reduces inflammation in severe COPD, improves lung function.

    Against IL-5

    • Mepolizumab: Monoclonal antibody targeting IL-5; used in eosinophilic asthma treatment.
    • Reslizumab: Another IL-5 inhibitor; used for severe asthma in patients with eosinophilia.

    Against IL-5 Receptor α

    • Benralizumab: Targets IL-5 receptor to reduce eosinophil levels; effective in severe asthma management.

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    Description

    Test your knowledge on the pharmacology of 1st and 2nd generation histamine antagonists, mucolytics, endothelin-1 receptor inhibitors, cGMP phosphodiesterase-5 inhibitors, and prostacyclins analogues. This quiz covers important medications and their classifications in clinical use.

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