30:718:409 Lecture 32: Antihistamines-Lecture-2_ClassNotes

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Piperazine can be considered a constrained analog of ethanolamines. Same number of atoms between the two heteroatoms. The primary use of these agents is for the treatment of motion sickness and vertigo and for suppression of nausea and vomiting. It is believed to inhibit the chemoreceptor trigger zone (ctz) which stimulates the vomiting center within the cns. The neurotransmitters implicated in the control of nausea and vomiting include acetylcholine, dopamine, histamine, substance p (nk-1 receptor), and serotonin (5-ht3 receptor) Cyclizine (hydrochloride, marezine : available otc, primary use to prevent motion sickness, taken 50 mg prior to travel and every 4 to 6 hrs, what are the side effects that you would expect. It has significant anticholinergic properties. for this drug: teratogenic in rodents, but no adverse effects reported in humans. Meclizine (hydrochloride; bonine , antivert : available otc, primary use to prevent motion sickness, the recommended dose is 25 to 50 mg one hr prior to travel.

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