Names of non sedating antihistamines
However, a 1955 study of "antihistaminic drugs for colds," carried out by the U. Army Medical Corps, reported that "there was no significant difference in the proportion of cures reported by patients receiving oral antihistaminic drugs and those receiving oral placebos.Furthermore, essentially the same proportion of patients reported no benefit from either type of treatment."-receptor and their ability to cross the blood-brain barrier.The authors of the American College of Chest Physicians Updates on Cough Guidelines (2006) recommend that, for cough associated with the common cold, first-generation antihistamine-decongestants are more effective than newer, non-sedating antihistamines.First-generation antihistamines include diphenhydramine (Benadryl), carbinoxamine (Clistin), clemastine (Tavist), chlorpheniramine (Chlor-Trimeton), and brompheniramine (Dimetane).
As such, they are very polar, meaning that they do not cross the blood–brain barrier and act mainly outside the central nervous system.
However, some second-generation antihistamines, notably cetirizine, can interact with CNS psychoactive drugs such as bupropion and benzodiazepines.-antihistamines are second-generation antihistamines informally labeled third-generation because the active enantiomer (levocetirizine) or metabolite (desloratadine and fexofenadine) derivatives of second-generation drugs are intended to have increased efficacy with fewer adverse drug reactions.
Fexofenadine is associated with a lower risk of cardiac arrhythmia compared to terfenadine.
The most common adverse effect is sedation; this "side-effect" is utilized in many OTC sleeping-aid preparations.
Other common adverse effects in first-generation H-antihistamines include dizziness, tinnitus, blurred vision, euphoria, uncoordination, anxiety, increased appetite leading to weight gain, insomnia, tremor, nausea and vomiting, constipation, diarrhea, dry mouth, and dry cough.
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They act on histamine receptors in the brain and spinal cord and in the rest of the body (called the periphery).