Sabbah A
Laboratoire d'Immuno-allergologie, CHRU, ANGERS.
Allerg Immunol (Paris). 1992 Jun;24(6):224-30.
Anti H1s of the third generation, of which the first was Terfenadine, possess not only blocking effects on H1 receptors to histamine, but also have a "cromone-like" action on the membranes of cells that have been, or not, activated by specific stimuli (antigens). They act on the early phase of immediate hypersensitivity. These anti H1s of the new generation also have wider indications: asthma, perennial or pollen rhinitis, dermatoses such as urticaria and atopic dermatitis. Their tolerance has been remarkably improved with regard to the central effect (very reduced), such as absence of an atropine effect.
第三代抗组胺药,其中第一个是特非那定,不仅对组胺的H1受体具有阻断作用,而且对已被或未被特定刺激(抗原)激活的细胞的细胞膜具有“色酮样”作用。它们作用于速发型超敏反应的早期阶段。新一代的这些抗组胺药也有更广泛的适应症:哮喘、常年性或花粉性鼻炎、皮肤病如荨麻疹和特应性皮炎。它们在中枢作用方面(非常降低)的耐受性有了显著改善,如无阿托品样作用。