Allergies Treatments

Allergies Treatments

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  • 1 Answer
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    A Allergy & Immunology, answered on behalf of
    Allergists and ENTs (ear, nose and throat specialists) are different medical specialists.

    An allergist is a board-certified allergy/immunology specialist who goes through a full internal medicine or pediatric residency (three years), plus an additional two years dedicated only to the study of allergy/immunology based problems. Allergists are the right choice for the following situations:
    • You want the full range of medication options for treatment.
    • You want access to all types of immunotherapy and want to use the nationally standardized immunotherapy protocols.
    • You are unsure if you have an allergy and are curious to know your options.
    • You do not want surgery or want to look at other options before surgery.
    • You have questions about asthma, about food allergy (or food allergy verus food intolerance), eczema, cough, medication allergy or insect allergies.
    An ENT is trained as a head and neck surgeon. ENTs are the right choice in the following situations:
    • You need a sinus surgery (or any other head/neck surgery).
    • You need help with structural problems, including narrow passages or a broken nose.
    • Medication is not helping your symptoms and a surgical option is possible.
    Overall, remember that a good allergist should refer to an ENT if appropriate and a good ENT should refer to an allergist if appropriate.
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    A answered

    The first step to working with your doctor is to be sure he or she has all the information needed to treat your allergies effectively. Use these seven strategies before, during and after all your doctor visits:

    • Keep a detailed journal of your symptoms and share the information with your doctor.
    • Prepare a written list of questions before each doctor’s appointment.
    • Learn everything you can about the different kinds of allergy medications and their side effects, including antihistamines, decongestants, saline drops and corticosteroid nasal sprays.
    • Tell your doctor which medications you currently take (and have taken in the past) and how well they work. Report any side effects, and include in your discussion the doses and time of day you take your meds.
    • Be honest if you're inconsistent about taking your meds, or if you frequently switch from one allergy medication to another. Ask your doctor how long you should stick to a particular treatment before deciding it is -- or isn't -- working for you.
    • Ask about other treatments, such as immunotherapy (allergy shots), trigger-avoidance strategies, alternative therapies and self-care techniques.
    • Also ask whether you need allergy testing (or retesting) to more accurately pinpoint your triggers and to help your doctor determine the appropriate medication.

    Once your doctor tailors a new regimen for you, follow it to the letter and maintain your symptom diary. If after a time the new plan isn't working, ask your doctor to adjust it again. It may take a bit of trial and error before you find the right combination of medication, self-care and trigger-avoidance strategies to fully relieve your allergy symptoms.







  • 1 Answer
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    A , Dermatology, answered
    To treat allergic skin, look for petrolatum, glycerin, sodium PCA, sodium hyaluronate, and urea in the skin care products used.
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    A , Allergy & Immunology, answered
    The effectiveness of allergy treatment, like the management of any other chronic disease, rises and falls with the patient's adherence to a routine. Immunotherapy is no different than any other kind of regimen in this respect, which is a shame since it is the only therapy that offers relief from routine. That is, it changes the body in ways that make it easier to live a regular life -- by eating more foods, taking part in more activities, and enjoying different environments without constantly worrying about allergies and taking medications.

    There is no denying, however, that some people find the weekly or monthly routine of dropping around to the doctor for a shot intolerable.

    We have done all we could: We have combined the sera for multiple allergies into a single shot. We have reduced the frequency from weekly to monthly, where possible. We prepare months of treatments in advance and provide them to patients' primary care physicians if it's more convenient to go to the general practitioner (GP) or pediatrician than to come to our offices. Yet, even that is too much for some.
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    A , Emergency Medicine, answered
    The first allergy tablet must be taken at your doctor's office in case you have an allergic reaction. You will need to wait there for 30 minutes after taking the tablet. You will also get a prescription for an epinephrine kit for emergency use at home.
     
    Oralair should be started 4 months before the expected start of grass pollen season. Ragwitek and Grastek should be started at least 3 months before the expected start of ragweed and pollen seasons. All are continued throughout their pollen seasons.

    If you are 65 or older, you should not take allergy tablets.

    Short ragweed pollen extract tablets should not be taken by children.

    Arrhythmia, high blood pressure, and poor lung function can lower the chances of survival if you have a serious reaction to an allergy tablet.

    If you have severe or poorly controlled asthma, you should not take allergy tablets.

    Unstable angina or a recent heart attack lowers your chances of survival if you have a serious reaction to an allergy tablet.

    If you have had an allergic reaction that interfered with breathing, you should not take allergy tablets.

    If you have eosinophilic esophagitis, you should not take allergy tablets.

    Allergy tablets may not be a good option for you if you are pregnant, planning to become pregnant, or may be pregnant. It is not known if they are safe for pregnant women.

    If you are breastfeeding, allergy tablets may not be a good option for you. It is not known if they can be passed into breast milk. 

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
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    A , Emergency Medicine, answered
    Beta blockers increase your risk for a severe reaction to an allergy shot and may make it more difficult to treat it. If you have a serious reaction to an allergy shot, you will need immediate treatment with epinephrine. Beta blockers can prevent epinephrine from working. 

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
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    A , Allergy & Immunology, answered
    The first major advantage allergists such as ourselves offer is that we are up on the latest medications targeted at specific conditions. We read the literature on trials, we go to the meetings where these drugs are presented, and we talk with the people at the companies that produce them.

    So chances are we have the latest weapons in our arsenal, whereas a busy GP, who has to keep up with developments in a broad array of specialties, won't.

    Second of all, because we know the strengths and weaknesses of the full allergy pharmacopoeia, we recognize that there are certain trailing-edge medications that still have their uses for limited purposes.

    Another advantage of the allergist's approach to using medications is that we are aware of the chemistry behind a particular medicine and thus might use it in ways that are not enumerated in the Physicians' Desk Reference (PDR) or on the literature from the manufacturer.
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    A , Family Medicine, answered
    There are so many allergy remedies out there, including antihistamines, decongestants, and expectorants. It's often tough to figure out when to take which drug. Here are the basics:
    • Decongestants simply narrow the blood vessels in the lining of the nose, allowing air to pass more easily. Use these when your nose is stopped up. Caution: do not use if you have high blood pressure, as they can potentially raise your pressure.
    • Antihistamines block the release of histamine, the chemical in your body that causes cells to swell and leak fluid, resulting in itchy eyes, sneezing, and runny nose. Use these to dry up, but not when you are simply stuffy.
    • Expectorants are all medications that include guaifenesin. This drug breaks up mucus, allowing it to drain down from sinuses or be coughed up from your lungs. It won't work if you are dehydrated, so drink extra water, especially if you are also taking an antihistamine, because they dry up mucus and that makes it tougher to break up and clear. Use these when you have sinus and ear pressure or if you have a cold that seems to settle in your chest. There is little evidence-based medicine to support the use of these, but clinically doctors see them do a great deal to relieve head congestion and help avoid the use of antibiotics.
  • 2 Answers
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    A , Internal Medicine, answered
    According to the World Health Organization, sublingual immunotherapy (SLIT) allergy drops are a viable alternative to immunotherapy injections, and they've been used successfully for years in Europe. The safety record is very good and major studies have demonstrated their effectiveness, but although the drops are Food and Drug Administration (FDA)-approved in the U.S. (the ingredients are the same as what's in immunotherapy injections), the delivery method is not. It's considered off-label use.

    Is it right for you? If you have allergies year round and they interfere with your daily routine, immunotherapy may provide enormous relief. You should explore your options: shots or drops.
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    A , Allergy & Immunology, answered
    Current research holds the promise of much safer courses of immunotherapy. One promising avenue is changing the allergy material so that it provokes a good immune response but without being allergenic enough to provoke an allergic response. This is much like a classic vaccination.

    Another exciting development, now in final stages of evaluation, is the second type of allergy shot. This is anti-immunoglobulin E (IgE), in effect an antibody to the allergic antibody, which would be injected into the blood stream or beneath the skin and accomplish what would otherwise require a lengthy course of traditional allergy shots. If you block or neutralize the functioning of the allergic antibody IgE, allergies get better. Laboratory anti-IgE has shown in trials to effectively improve asthma and allergies, including peanut allergy, the most critical and stubborn food-allergic problem. It also helps remove IgE antibodies, accelerating the traditional immunotherapy process. Thus, high or maintenance levels of allergy vaccine may be administered much sooner than with conventional immunotherapy.