Histamine is an important mediator released from activated mast cells in ac
ute bronchoconstriction provoked by allergen, exercise, hypertonic stimuli
and inhaled adenosine. Histamine may also contribute to the allergen-induce
d late asthmatic response probably following the recruitment and activation
of basophils. H-1-receptor antagonists partially attenuate these responses
but greater inhibition when these drugs are combined with cysteinyl LT1-re
ceptor antagonists indicative of an interaction between mast cell-derived m
ediators. The combination of two or more selective mediator antagonists in
the treatment of allergic disorders such as asthma offers a new therapeutic
approach worthy of careful appraisal.