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Diphenhydramine (Benadryl)
MOA: First-generation antihistamine; high affinity for central H1 receptors. Use: Allergies, motion sickness, insomnia, severe pruritis. SE: Sedation; anticholinergic effects.
Hydroxyzine (Atarax)
MOA: First-generation antihistamine; high affinity for central H1 receptors. Use: Allergies, motion sickness, insomnia, pruritis, anxiety. SE: Less sedating than diphenhydramine; anticholinergic effects.
Cetirizine (Zyrtec)
MOA: Second-generation antihistamine. Use: Allergies. SE: Lacks antiemetic activity.
Buspirone (Buspar)
MOA: 5-HT1A partial agonist. Use: Anxiety and depression. SE: Use caution with SSRIs.
Sumatriptan (Imitrex)
MOA: 5-HT1B and 5-HT1D serotonin agonist; produces vasoconstriction. Use: Acute migraine treatment. SE: Caution with SSRIs; can cause coronary vasospasm; avoid in patients with angina/CAD; risk of serotonin syndrome.
Ondansetron (Zofran)
MOA: 5-HT3 antagonist. Use: Nausea and vomiting (including chemotherapy-induced). SE: Higher doses associated with QTc prolongation.
Alprostadil
MOA: Naturally occurring prostaglandin (PGE1); vasodilatory properties. Use: Maintain ductus arteriosus patency in neonates; erectile dysfunction. SE: Can cause priapism.