A 34-year-old member asked:
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what is the overall approach to patients with allergies and asthma?

3 doctor answers
Dr. Alan Goldsobel
43 years experience Allergy and Immunology
Avoid allergens: 1.Avoidance one should avoid things to which you are allergic. Also avoid irritants like cigarette smoke and air pollution. 2. Medication medications control inflammation and symptoms, but do not cure. It is important to take medications regularly. 3. Immunotherapy for environmental allergies, allergy shots are effective. New research shows oral desensitization effective for food anaphylaxis.
Answered on Mar 17, 2014
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Dr. William Walsh
16 years experience Addiction Medicine
Treat and control: The general approach to patients with allergies and asthma is to treat both. Allergies should be identified and treated (if possible), if that is not possible a leukotriene agonist is a reasonable adjunct. Additionally, any symptoms should be addressed - rhinorhea from allergies should be treated with nasal steroids and saline washes (+/- claritin), and asthma should be controlled with (comment.
Answered on Oct 4, 2016
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Dr. William Walsh
16 years experience Addiction Medicine
Provided original answer
inhaled steroids with long acting beta agonists if needed. Rescue inhalers (albuterol, etc) should be on the patient and the patient should be instructed in their use with a spacer. If the allergies are severe, the patient should have an epi pen on their person at all times. Therapy should be individualized, and each patient should have an action plan.
Mar 15, 2012
Dr. Sue Ferranti
28 years experience Internal Medicine
Treatment...: Treatment of allergies and asthma includes avoiding the triggers responsible for the reactions as much as possible. Other treatments aim at relieving symptoms like bronchodilators and anti-inflammatory meds like steroids.
Answered on Jun 7, 2012

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