What is the Difference Between Histamine and Antihistamine?

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Histamine and antihistamines are both involved in the body's immune response, but they have different functions and effects.

Histamine is a chemical created by the immune system that plays a key role in allergic reactions. When exposed to an allergen, histamine is released, causing symptoms such as itchiness, sneezing, runny nose, itchy eyes, and hives.

Antihistamines, on the other hand, are medications designed to block histamine's effects in the body. They work by binding to histamine receptors, preventing histamine from having an effect on those receptors. Antihistamines are used to treat various allergy symptoms, as well as some gastrointestinal and respiratory conditions.

There are two main types of antihistamines: H-1 receptor antagonists (H-1 blockers) and H-2 receptor antagonists (H-2 blockers).

  • H-1 blockers are used to treat allergy symptoms, such as allergic rhinitis, allergic conjunctivitis, urticaria, and angioedema.
  • H-2 blockers are used to treat gastrointestinal conditions, including gastroesophageal reflux disease (GERD), peptic ulcers, gastritis, motion sickness, nausea, and vomiting.

Antihistamines can be further classified into first-generation and second-generation agents. First-generation antihistamines, which are older and have been in use since the 1930s, tend to cause drowsiness due to their ability to cross the blood-brain barrier. Second-generation antihistamines, on the other hand, are less likely to cause drowsiness and have a more selective binding to peripheral histamine-1 receptors.

Comparative Table: Histamine vs Antihistamine

Histamine and antihistamines are involved in the regulation of immune responses, particularly in the context of allergic reactions. Here is a table comparing the differences between histamine and antihistamines:

Histamine Antihistamines
Histamine is a naturally occurring chemical involved in local immune responses, regulating physiological functions in the gut, and acting as a neurotransmitter. Antihistamines are drugs that bind to histamine receptors and block the effects of histamine.
Histamine mediates its effects by binding to histamine receptors, such as H1 and H2 receptors, which are extensively expressed by many cells within the body. Antihistamines are classified into two groups: first-generation (sedating) and second-generation (non-sedating).
Histamine is involved in various physiological functions, including regulating the movement of the gastrointestinal tract, increasing blood flow to gingiva, and promoting sexual arousal. Antihistamines are used to treat various conditions, including allergic rhinitis, vasomotor rhinitis, allergic conjunctivitis, urticaria, angioedema, insect bites and stings, nausea and vomiting, and motion sickness.
Histamine receptors have constitutive activity, and antihistamines are considered inverse agonists, producing the opposite effect on the receptor compared to histamine. Second-generation antihistamines are safer and preferred over first-generation antihistamines due to their longer duration of action and higher selectivity for histamine H1 receptors.

In summary, histamine is a naturally occurring chemical involved in various physiological functions and immune responses, while antihistamines are drugs that block the effects of histamine. Antihistamines are classified into two groups: sedating and non-sedating, with second-generation antihistamines being safer and more selective than first-generation antihistamines.