Astemizole

Astemizole is a second-generation H₁-antihistamine known for its non-sedating action due to limited blood-brain barrier penetration. Structurally, it features a benzoxazole ring fused to a piperazine moiety, contributing to its high receptor selectivity. It effectively treats allergic rhinitis, urticaria, and chronic idiopathic urticaria by blocking H₁ receptors and exhibiting mild anti-inflammatory properties without significant central nervous system effects.

Structure of Astemizole

Structure of Astemizole

  • Astemizole is a non-sedating second-generation antihistamine with a benzoxazole ring fused to a piperazine moiety.
  • Chemical Formula: C₂₇H₃₁NO₃

Mode of Action

  • Selective H₁-receptor antagonist with minimal penetration of the blood-brain barrier, reducing sedation.
  • It also exhibits anti-inflammatory properties.
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Uses

  • Allergic Rhinitis: Relieves symptoms like sneezing, itching, and runny nose.
  • Urticaria: Alleviates hives and skin itching.
  • Chronic Idiopathic Urticaria: Effective in long-term management of hives.

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