Pharmacology of non sedating antihistamines

These physiological effects are mediated by the histamine type 1 (H1)-receptors, a G-protein coupled receptor situated on the cellular membranes of cells.

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The alkylamines include brompheniramine (Dimetapp) and chlorpheniramine (Chlor-Trimeton.) These agents cause relatively little sedation, and are used primarily for treatment of allergic reactions.

Promethazine (Phenergan), in contrast, is a phenothiazine, chemically related to the major tranquilizers, and while it is used for treatment of allergies, may also be used as a sedative, the relieve anxiety prior to surgery, as an anti-nauseant, and for control of motion sickness.

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