Abstract
Both histamine and substance P are present during an acute allergic reaction. Interaction of these mediators with their respective receptors, i.e., the H1 receptor and the NK1 receptor, results in very similar symptoms, including bronchoconstriction, plasma extravisation and mucus secretion. Simultaneous blockade of both of these receptors may therefore lead to compounds with increased clinical efficacy over the corresponding monotherapies. These patents disclose novel compounds based on the H1 antihistamine astemizole and the NK2 antagonist SR 48968 which are claimed to be dual antagonists of the H1 and NK1 receptors.