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First generation antihistamine
Mepyramine , also known as pyrilamine , is a first-generation antihistamine , targeting the H1 receptor as an inverse agonist .[ 1] Mepyramine rapidly permeates the brain, often causing drowsiness .[ 2] It is often sold as a maleate salt, pyrilamine maleate .
The medication has negligible anticholinergic activity, with 130,000-fold selectivity for the histamine H1 receptor over the muscarinic acetylcholine receptors (for comparison, diphenhydramine had 20-fold selectivity for the H1 receptor).[ 3]
It was patented in 1943 and came into medical use in 1949.[ 4]
It was marketed under the names Histadyl, Histalon, Neo-Antergan, Neo-Pyramine, and Nisaval.[ 5] In the 1960s and 70s it was a very common component in over-the-counter sleep aids such as Alva-Tranquil, Dormin, Sedacaps, Sominex , Nytol, and many others.[ 5] The US Food and Drug Administration (FDA) included it in the list of chemicals and compounds barred from use in over-the-counter (OTC) nighttime sleep aid products in 1989.[ 6]
It is used in over-the-counter combination products to treat the common cold and menstrual symptoms such as Midol Complete .[ 7] It is also the active ingredient of the topical antihistamine creams Anthisan[ 8] and Neoantergan[ 1] sold for the treatment of insect bites, stings, and nettle rash.
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