Shared Flashcard Set

Details

Histamine and Serotonin
Pharmacology
29
Medical
Professional
11/19/2011

Additional Medical Flashcards

 


 

Cards

Term
what is histamine inhibited by?
Definition
H2 receptors
epinephrine
Beta ags
incr in cAMP
Term
how is histamine inactivated?
Definition
deamination
Term
H1 rec mech of action
Definition
IP3 cycle
Term
Effect of Histamine on Cardio
Definition
BP decrease
vasodilation (NO release)
HR INCREASE (H2)
edema
Term
Histamine on GI
Definition
H1 sm. mus contraction-->diarrhea
Term
Histamine effect on airway smooth muscle
Definition
bronchoconstriction H1 receptors
Term
This His rec. causes pain and itching
Definition
H1
Term
1st generation H1 antags
Definition
diphenhydramine, dimenhydrinate, chlorphrniramine
Term
2nd generation H1 rec antags
Definition
Loratadine, fexofenadine, desloratadine, cetirizine
Term
which H1 antag generation exhibits little CNS distribution?
Definition
2nd
Term
Which H1 antag has longer half life
Definition
2nd generation
Term
which generation exhibits fewer side effects unrelated to H1 blockade
Definition
2nd
Term
Clinical uses of Histamine
Definition
Allergy
Motion sickness
nausea in pregnancy
sedation
*mastocytosis or basophilic leukemia*
Term
Toxicity of Histamine
Definition
excitation in children
*resembles atropine poisoning*
Term
H2 antags
Definition
cimetidine, ranitidine, famotidine
Term
Effect of H2 on cardiovascular
Definition
little to none (also gastric muscles)
Term
side effects of H2 antags
Definition
gynecomastia in men
galactorrhea
reversible impotence
incr serum creatinine (cimet and rani)
Term
This drug causes blood dyscrasias
Definition
cimetidine
Term
what caution should be given to patients w/reduced kidney function?
Definition
prolonged effects of H2 antags
Term
Rate limiting step in Serotonin synth
Definition
OHation of L-tryp to 5 OH tryp
Term
This is diagnostic for carcinoid tumor
Definition
5-HIAA
Term
HT1/2 rec subtypes
Definition
1 = Gi/Go
2 = Gq
Term
5-HT2a effect on arteries and arterioles
Definition
arteries: contract
heart: POSITIVE chonotropic effect
arterioles: dilate
PLATELET AGGREGATION
Term
Clinical use of sumatriptan, 5-HT ag
Definition
treatment of migraines
Term
clinical uses of Ergot alkaloids
Definition
Migraine (caffeine boosts absorption)
postpartum bleeds (er. maleate)
Term
contra of ergots
Definition
obstruct vascular dz
collagen dz
pregnancy
Term
Histamine effect on venule
Definition
vasoconstriction
Term
These agents inhibit histamine "release"
Definition
cromolyn and Beta 2 ags
Term
on what receptor specifically does sumatriptan act
Definition
5-HT 1D
Supporting users have an ad free experience!