what's the advantage of levocetirizine over cetirizine for pediatrics with allergic rhinitis?

Question

Is it safe if Cetirizine be given to persons with colds? Can it relieve symptoms of sneezing and runny nose? Thanks.

Answer 1

None: There is no outcome benefit to levocetirizine (xyzal) over Cetirizine (zyrtec). Levocetirizine is just the left mirror image of the chemical while Cetirizine contains both right & left halves. In theory, for this chemical, the left half is supposed to be the active molecule but in real life, it's doubtful anyone can really tell the difference. More likely than not, levocetirizine is more expensive.

Answer 2

None really: Possibly less sedation, otherwise no advantages.

Answer 3

Both are effective: Levocetrizine is third generation non sedative antihistamine developed from cetirizine which is second generation.It is claimed to be more effective and with fewer side effects than cetirizine.But there are no published studies to support that In my opinion they are both effectice and cetrizine is available over the counter and is cheaper and as effective as levocetrizine There is no advantage

Answer 4

None: There are no published articles that show one has an advantage over the other. You might want to do your own trial. All the best.

Answer 5

Antihistamines: Otc antihistamines such as Benadryl (diphenhydramine) as well as longer acting nondrowsy formulations such as Claritin have been standard recommendations for years. However if you want to avoid medicines cleaning out the nasal passages with a neti pot or saline spray is also helpful and flushes out allergens such as pollen as well.

Answer 6

Only a few.: For allergic rhinitis Nasalcrom or other products containig Cromolyn Sodium (sodium chromoglycate) are same but you have to use then 4 times a day. Nasal sinus rinse will help remove irritants, allergens or obstructing mucus nasal decongestant sprays can be used if totally obstructed but you run the risk of worse rebound congestion.Do not use more than 3 days.

Answer 7

Suction and humidity: Babies cannot blow into kleenex the way we do with a congested nose, so we basically have to perform this for them. I recommend bringing your baby into the bathroom and turning the shower on hot. Hold your baby there while the bathroom gets steamy- this will help soften the mucus. Then using suction (blue bulb or nasal aspirator) suck the mucus from his/her nose.

Answer 8

Supportive care: Elevating their heads (a car seat angle is good) & using a cool mist humidifier can help. (be sure to clean the humidifier daily - mold grows fast.) also, make sure they drink plenty to keep hydrated, use a bulb syringe to gently suction the secretions from their nose, and use nasal saline drops to help clear the passages. (your doc can help you learn how if you aren't familiar with using these.).

Answer 9

Saline & suction: Nasal saline spray is very helpful to clear your baby's stuffy nose. If there is a lot of mucus, gently suctioning the nostrils with a bulb syringe will help to removed the drainage. Also, a cool mist humidifier with plain water may help your breathing at night when she is sleeping.

Answer 10

Spray & suction: Using an over-the-counter "saline spray" will help thin the discharge and then suctioning with a "bulb syringe" will help remove it from her nose.

Answer 11

Bulb suction, saline: Bulb suctioning and saline nose drops are the safest way to help your baby's runny nose. The simplest one often works best (a red rubber suctioner often given in the hospital after birth). A humidifier can be helpful sometimes as well. Ask your pediatrician to demonstrate how to use the bulb suctioner if you are uncertain.

Answer 12

Nasal saline drops: Babies ages 3-12 months can easily catch colds from other people. If there is just a runny nose, without much fussiness, without any high fever, without other worrisome symptoms, then parents can leave the nose alone. The runny nose will get well on its own in most cases. If the mucous is blocking the nose somewhat, try a few drops of saline, followed by gentle suctioning with a suction bulb.

Answer 13

Bulb syringe,suction: Squeeze the the bulb, place the tip in your baby's nostril and then loosen the grip but keep the syringe in place. This will create and suction and remove the mucus.

Answer 14

Nasal saline drops: Saline nose drops will act to loosen up the mucus and help your child breath easier.

Answer 15

Saline: Put 10-15 drops of nasal saline such as little noses in each side then remove with a bulb syringe.

Answer 16

Humidity and fluids: Cough and cold medicines are generally not recommended for children especially children under 4 years. Giving extra fluids by mouth helps to liquify the secretions as does a humidifier. Saline nose drops with suction if needed helps to clear the nasal passages making it easier for the baby to breath. The cold will resolve by itself in 7 to 10 days.

Answer 17

Yes: If you see that your baby is having difficulty breathing such as gasping for air wheezing or pulling chest muscles you need to contact your physician for further advice.

Answer 18

Yes: You do not need to call your doctor for an uncomplicated runny nose but if there is wheezing the baby may be developing bronchiolitis or reactive airway disease which can result in difficulty breathing.

Answer 19

Yes: Wheezing can indicate airway obstruction that may need treatment. Any wheezing should be evaluated by your baby's doctor promplty. Your pediatrician may prescribe a bronchodilator medication such as albuterol to help with this or steroids if the wheezing is severe.

Answer 20

Yes: Parents should contact the doctor if their child is wheezing. Wheezing is a noise a person makes when exhaling (breathing out). The noise is due to obstruction to the air flowing out of the lungs, so wheezing can be a serious problem. If a child looks very ill, such as with trouble breathing in or out, parents should call 911 for an ambulance first, and call the doctor afterwards.

Answer 21

Worry about iron: You must realize that your doctor is talking about safe nutritional doses of iron for the kids. One of the common poisoning that occurs in children is iron, usually in the form of candy like multivitamins which are now phased out. Growing children and menstruating women need adequate iron on a daily basis. Other adults do not usually need much iron unless they are anemic due to iron deficieny.

Answer 22

Not entirely true: Children with hemolytic disease, e.g., sickle cell disease, are at risk to develop iron overload when they receive frequent transfusions or iron supplement.

Answer 23

No: Cetirizine is also marketed with pseudoefedrine, which can be a stimulant in some people. Avoid zyrtec-d.

what's the advantage of levocetirizine over cetirizine for pediatrics with allergic rhinitis?

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