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Allergy Products & Advice site - information for sinus,
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How do anti histamines
work ?
Antihistamines counteract the
effects of histamine released by
the body when disease-causing
microorganisms or antigens such
as bacteria, fungi or virus
attack it.
The body's immune system
recognizes its own organs and
tissues by the distinctive "self
marker" the body cells carry and
does not attack it. The system
is able to recognize "non-self"
molecules, or antigens, and
responds by producing antibodies
to counteract them. Antibodies
are Y-shaped proteins that
chemically 'read' surface
proteins of every cell they
encounter and 'stick' to any
that are foreign, thereby
marking the antigen for
destruction by leukocytes (white
blood cells). When the body
comes in contact with an
antigens, the antibodies release
histamine to "kill" the invader.
The release of histamine brings
more blood and lymph fluid to
the site of invasion, which acts
to bring more immune cells there
to help fight the infection and
more blood flow to help carry
away poisons. The swelling and
fluid caused by blood and lymph
vessel swelling results in the
symptoms of stuffy nose and
watery eyes. What to do? Take an
anti-histamine, of course.
Even transplanted organs and
tissues can cause the body to
release histamine. Sometimes
innocent and harmless bodies
(proteins) such as pollen,
peanuts, milk, penicillin etc.
may not be recognised by the
immune system and provoke it to
set off the inappropriate and
harmful response known as
allergy; in these cases the
antigens are known as allergens.
Histamine can also cause
breathing difficulties by
contracting the smooth muscles
in the walls of the lungs and
blood vessels and cause
wheezing.
Antihistamine drugs prevent
histamine carrying out these
actions. They are most often
used to treat allergic
reactions, although they can
also be used to treat other
conditions such as migraines,
travel sickness, and stomach
ulcers. Antihistamines dry up
mucus and decrease swelling, but
unfortunately, the drying up the
normally moist sinuses can make
you more susceptible to
infection. Antihistamines can
also interfere with - and
perhaps weaken - the immune
system and can lose their
efficacy on the body with
long-term use.
Antihistamine drugs are
available as tablets, creams,
and injections. The older,
first-generation antihistamines
tend to cause drowsiness and
heart arrhythmias, but the more
recent, new antihistamines,
cause less drowsiness. Some
antihistamines, such as creams
for insect bites, and some
tablets for hay fever, can be
bought over-the-counter from
your pharmacist.
Despite widespread concern about
the risks, most cold remedies
available over the counter
contain antihistamines. Reading
labels or consulting a
pharmacist can help people
identify cold remedies
containing antihistamines. Cold
remedies containing
antihistamines should not be
taken with alcohol, sleep aids,
tranquilizers, or other drugs
that also cause drowsiness and
decrease alertness. Such a
combination may intensify the
sedating effects of the drugs.
Anyone who drives, operates
heavy equipment, or performs
other activities that require
alertness should not take the
antihistamines included in OTC
products. Children, older
people, and people with brain
damage may feel nervous,
restless, and agitated with
pronged use of antihistamines.
People with glaucoma, heart
disease, or an enlarged prostate
gland should consult a doctor
before they take any drug that
contains an antihistamine.
Uma Shankari is a
Bangalore-based freelance
journalist. She is passionate
about writing. She writes
regularly on development issues,
health and fitness,
yoga/meditation, life and
relationships. Read some of her
articles on
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