NCIt definition : A second generation, selective histamine H1 receptor antagonist with anti-allergic
activity. Emedastine reversibly and competitively blocks histamine by binding to H1
receptors, thus blocking its downstream activity. As a result this agent interferes
with mediator release from mast cells either by inhibiting calcium ion influx across
mast cell/basophil plasma membrane or by inhibiting intracellular calcium ion release
within the cells. In addition, emedastine may also inhibit the late-phase allergic
reaction mediated through leukotrienes or prostaglandins, or by producing an anti-platelet
activating factor effect. Upon ocular administration, emedastine causes a dose-dependent
inhibition of histamine-stimulated vascular permeability in the conjunctiva. Emedastine
does not affect adrenergic, dopamine, or serotonin receptors.;