Nasal Allergy Medications (cont.)
Omudhome Ogbru, PharmD
Omudhome Ogbru, PharmD
Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.
Charles Patrick Davis, MD, PhD
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
In this Article
The above table simply shows the overview of treatments; the following sections provide additional information about these treatment types and helps explain some of the details about these treatments.
What's the difference between a controller and a reliever?
Throughout this section on nasal allergy management, the various treatments will be referred to as "controllers" or "relievers" of symptoms. Controllers are used to prevent symptoms by interfering with the underlying causes of the inflammatory response or the actions of chemical mediators. Examples of controllers include:
Other medications, called relievers, are used to alleviate symptoms without affecting the inflammation. They are also called "rescue" medications and in general provide only temporary relief. Relievers should only be used alone for mild or intermittent symptoms. Examples include:
What are antihistamines?
The term "antihistamine" is a combination of two words; "anti-" means against, and "histamine" is a naturally occurring chemical that is released by the mast cells. Histamine is responsible for many of the signs and symptoms of allergic reactions, for example, swelling of the lining of the nose, sneezing, and itchy eyes. Histamine is released from histamine-storing cells (mast cells) and then attaches to other cells that have histamine receptors. The attachment of the histamine to the receptors causes these cell to be "activated," releasing other chemicals which produce the effects (symptoms, see previous sectiohn "Nasal allergy symptoms: an overview of treatments") that are associated with nasal allergies.
How do antihistamines work?
Human cells have three different types of histamine receptors (H1, H2, and H3). Histamine works by attaching itself to these receptors on the surface of cells and thereby causing its effects. It is mainly through the H1 receptors that histamine causes symptoms of nasal allergy. Antihistamines compete with histamine to attach to these same H1 receptor sites, thereby preventing histamine from binding to them. This action prevents histamine from causing allergic symptoms because the antihistamines that bind do not activate the cells.
Histamines can cause symptoms of swelling, sneezing, itching (nose, throat, roof of mouth), and a runny nose through the nostrils or down the back of the throat (post-nasal drip). Antihistamines are effective in treating the sneezing, post-nasal drip, and itching. They usually begin working between 30 to 60 minutes after being taken. However, histamine is only one of the many chemicals involved in the allergic reaction, which explains why relief from antihistamines is usually only partial.
Antihistamines have an interesting history. Bovet and Straub at the Pasteur Institute discovered the first antihistamine in 1937. It was too weak, however, and caused many side effects. In 1942, phenobenzamin (Antegan) was the first antihistamine used to treat allergies. Within a few years, diphenhydramine (Benadryl) and tripelennamine (PBZ) were formulated. These were the first and oldest generation of antihistamines
Many of the older antihistamines are now available OTC. Many different preparations are available, and are derived from six separate chemical classes. Although these inexpensive OTC drugs are helpful in controlling milder symptoms, they also cause various side effects. Drowsiness and reduced mental alertness are particularly common (seen in up to 50% of those taking the medications). Cells that line the blood vessels in the brain regulate which chemicals can enter the brain. These cells are referred to as the blood brain barrier. The reason these drugs induce sleepiness is that they are able to cross the blood brain barrier. The next table lists some common first generation antihistamines; these are widely available and may help people with nasal allergies sleep at night, but should not be used by people who need to be alert (driving vehicles or doing any action that involves high mental concentration) because they can be sedating.
Asking the pharmacist for generic version of the doctor's brand name suggestion or prescription requires caution. Check that the generic name and strength is the same as the medicine doctor recommended or prescribed.
The second generation antihistamines are often referred to as "non-sedating." In general, this group of antihistamines is more expensive, has a slower onset of action, is longer acting, and induces less sleepiness. However, even some of these can be slightly sedating, so the persons taking these medications should use them with caution (see table below). Two of the earlier second generation antihistamines, terfenadine (Seldane) and astemizole (Hismanal), were found to have unacceptable heart side effects and are no longer available on the market.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
Need help identifying pills and medications?
Back to Medications Index