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Classification of antihistamine

  • The medications listed can be classified into three main categories: H1-antagonists (antihistamines), H2-antagonists (histamine H2 receptor blockers), and gastric proton-pump inhibitors (PPIs).

  • Below is a proper classification of antihistamine:


  1. H1-Antagonists (Antihistamines) (Classification of antihistamine):

These are drugs that block the H1 histamine receptor, often used to treat allergic reactions, motion sickness, and as sedatives

A. First-Generation H1-Antagonists:

  • Diphenhydramine hydrochloride

  • Dimenhydrinate

  • Doxylamine succinate

  • Clemastine fumarate

  • Diphenylpyraline hydrochloride

  • Triphelenamine hydrochloride

  • Chlorcyclizine hydrochloride

  • Meclizine hydrochloride

  • Buclizine hydrochloride

  • Chlorpheniramine maleate

  • Triprolidine hydrochloride*

  • Phenidamine tartrate

  • Promethazine hydrochloride*

  • Trimeprazine tartrate

  • Cyproheptadine hydrochloride

  • Azatidine maleate

B. Second-Generation H1-Antagonists:

  • Astemizole (discontinued in some regions due to safety concerns)

  • Loratadine

  • Cetirizine

  • Levocetirizine

C. Mast Cell Stabilizer:

  • Cromolyn sodium (although not a true H1-antagonist, it stabilizes mast cells to prevent histamine release and is often grouped with antihistamines for allergic treatment)

  1. H2-Antagonists (Histamine H2 Receptor Blockers):

·        These drugs block the H2 histamine receptor, reducing stomach acid production, often used in the treatment of ulcers and gastroesophageal reflux disease (GERD).

  • Cimetidine

  • Famotidine

  • Ranitidine* (discontinued or restricted in many regions due to safety concerns)

  • Gastric Proton-Pump Inhibitors (PPIs):

·        These inhibit the proton pump in the stomach, reducing acid secretion, commonly used for GERD, peptic ulcers, and other acid-related disorders.

  • Omeprazole

  • Lansoprazole

  • Rabeprazole

  • Pantoprazole

This classification separates the drugs based on their mechanism of action and therapeutic use.


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