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