Pharmacology Of Emedastine

Indication For the temporary relief of the signs and symptoms of allergic conjunctivitis.
Pharmacodynamics Emedastine is a relatively selective H1-receptor antagonist.
Mechanism of action Emedastine is a relatively selective, histamine H1 antagonist. In vitro examinations of emedastine's affinity for histamine receptors demonstrate relative selectivity for the H1 histamine receptor. In vivo studies have shown concentration-dependent inhibition of histamine-stimulated vascular permeability in the conjunctiva following topical ocular administration. Emedastine appears to be devoid of effects on adrenergic, dopaminergic and serotonin receptors.
Absorption Ophthalmic use of emedastine usually does not produce measurable plasma concentrations.
Volume of distribution Not Available
Protein binding Not Available
Metabolism Two primary metabolites, 5-hydroxyemedastine and 6-hydroxyemedastine, are excreted in the urine as both free and conjugated forms. The 5'-oxoanalogs of 5-hydroxyemedastine and 6-hydroxy-emedastine and the N-oxide are also formed as minor metabolites.
Route of elimination Approximately 44% of the oral dose is recovered in the urine over 24 hours with only 3.6% of the dose excreted as parent drug. Two primary metabolites, 5- and 6-hydroxyemedastine, are excreted in the urine as both free and conjugated forms.
Half life The elimination half-life of oral emedastine in plasma is 3-4 hours.
Clearance Not Available
Toxicity Somnolence and malaise have been reported following daily oral administration.

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