| Term 
 | Definition 
 
        | -adjunct in treatment of anaphylactic shock -urticaria and pruritis
 -rhinitis
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | peptic ulcer disease GERD
 (reduction of acid secretion in stomach)
 |  | 
        |  | 
        
        | Term 
 
        | Which generation of H1 blockers do not cross the BBB to any extent? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | 1st generations are _____ drugs. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | 1st generations also block... |  | Definition 
 
        | -muscarinic receptors -alpha receptors
 -5-HT receptors
 -Na channels
 |  | 
        |  | 
        
        | Term 
 
        | 1st generation indications |  | Definition 
 
        | -acute and chronic allergic rhinitis -vasomotor rhinitis
 -eosinophilic nonallergic rhinitis
 -viral URI
 -urticaria
 -allergic conjunctivitis
 -anaphylactic reactions (add to epi)
 -motion sickness/nausea (H1 and m)
 -insomnia (H1 and m)
 |  | 
        |  | 
        
        | Term 
 
        | rhinitis symptoms treated by 1st generations |  | Definition 
 
        | sneezing (H1) itching (H1)
 rhinorrhea (m)
 
 sinus congestion is NOT treated
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | 1st generation side effects |  | Definition 
 
        | sedation CNS effects
 dry mouth
 blurred vision
 urinary retention
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | key points about 2nd generations |  | Definition 
 
        | -less complete distribution to CNS so less sedation compared to 1st generations -longer half life therefore longer duration of action
 |  | 
        |  | 
        
        | Term 
 
        | rhinitis symptoms treated by 2nd generations |  | Definition 
 
        | sneezing (H1) itching (H1)
 
 sinus congestion is NOT treated
 rhinorrhea is NOT treated
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | alpha agonist oral decongestant
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | alpha agonist oral decongestant
 |  | 
        |  | 
        
        | Term 
 
        | alpha agonists mechanism of action |  | Definition 
 
        | cause vasoconstriction, reduce edema |  | 
        |  | 
        
        | Term 
 
        | oral decongestant effects |  | Definition 
 
        | -reduce sinus congestion -reduce fluid in Eustacian tubes
 -DO NOT reduce sneezing, itching, rhinorrhea
 -raise BP
 -myadriatic
 |  | 
        |  | 
        
        | Term 
 
        | Oral decongestants are commonly combined with... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Oral decongestants may cause... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Other therapy for rhinitis that inhibits degranulation of mast cells |  | Definition 
 
        | intranasal cromolyn sodium (nedocromil) |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | claimed to facilitate removal of viscous mucus (expectorant) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | claimed to decrease viscosity of mucus (expectorant) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | non-opioid, local anesthetic (lung) used as an antitussive |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | OTC opioid used as antitussive central suppression of cough reflex
 lacks addictive properties
 |  | 
        |  |