Pharmacological actions

PHARMACOLOGICAL ACTIONS

  • H2 antagonists block histamine induced gastric secretion, cardiac stimulation (in guinea pigs), uterine relaxation in rat) and bronchial relaxation (H2 blockers potentiate histamine induced bronchospasm)
  • Attenuate fall in BP due to histamine,specially at the late phase response with high doses
  • Selective in action
  • Have no effect on H1 mediated responses or on other transmitter/autacoid.
  • Significant in vivo action of H2 blockers is marked inhibition of gastric secretion.
  • Basal, psychic,neurogenic and gastric phases of secretion are suppressed dose dependantly.
  • Secretory responses to Ach, gastrin, insulin, alcohol,food are attenuated.
  • Reflects the permissive role of histamine in amplifying responses to other secretions.
  • Reduces acid output,volume of pepsin content and intrinsic fator secretion.
  • Normal vitamin B12 absorption is not interfered
  • Have antiulcerogenic effect (60-70% inhibition of 24hour acid output).
  • Gastric ulceration due to NSAIDs, cholinergic and histaminergic agents is prevented
  • They do not possess any direct effect on gastric or oesophageal motility or sphincter tone.
Last modified: Tuesday, 15 May 2012, 8:08 AM