Doctor insights on:
Lithium carbonate is a medication approved to treat bipolar type 1 acute manic episodes. It is also used for as maintenance therapy to prevent future bipolar mood episodes. Its clinically efficacy is related to serum levels which require blood draws. It can cause a minor to serious side effects and is life threatening in overdose. For additional information, please refer ...Read more
Question of the week: Delores ibanez et al reported in allergy 59; 1127:2004 an association between latex from the poinsettia (euphorbia pulcherrima) & asthma. In at least 1 patient skin testing was positive to latex from the poinsettia & natural rubber latex. Inhalation challenges with poinettia extract but not latex rubber triggered asthma. Poinettias & not xmas trees may be the cause of xmas time asthma attacks! ...Read moreSee 3 more doctor answers
What is the best allergy medication for seasonal allergies like pollen, dust, ragweed, hay fever, dogs, cats, hamsters etc?
There are a few: Not one medicine is better than another....Everyone's system is different...Some people get better with allegra..Others with zyrtec..Others with Claritin or even benadryl (diphenhydramine). These are now over-the-counter...Try some and read the labels. If you don't feel better, see a board certified allergist (www.Acaai.Org). Good luck. ...Read moreSee 1 more doctor answer
Take 9 meds including 900mgs of lithium carbonate. Would it be wise to wear a medic alert id considering the amount of meds i take? Thank you.
How long does it take for lithium carbonate to be effective for bipolar II symptoms? And what is theraputic level? Thanks.
Varies: Onset of benefit can occur in days. This is very welcomed when this occurs but it is not discouraging if it doesn't. Depend end on a patients course of illness benefit from lithium can be realized over a few to several weeks. Therapeutic blood levels for lithium range from 0.5 to 1.2 meq/l. ...Read moreSee 1 more doctor answer
Can environmental allergies (food, pollen, dust mites, contrast dye, penicillin) cause a high positive ANA?
I have seen this: While the +ANA is suggestive of SLE there can be other causes - other connective tissue disease, autoimmune thyroid disease, auto immune hepatitis to name some. I have seen a lot of people with + ANAs who only have as another problem a history of allergic reactions and I am convinced that thee allergic reactions can cause a + ANA. Everyone can have very low titters (amount) of ANA. ...Read more
Different: They are both immune reactions but the similarity ends there. They involve different cells of the immune system, have different symptoms, onset and duration and are treated differently. ...Read more
Varied symptoms: The symptoms vary by affected area and type of allergy. Food allergies typically affect the skin (hives, itching). Environmental allergies typically affect the respiratory tract (nose - itching and congestion, throat - itching and mucus, lungs - tightness and mucus). Eyes (itching, redness and watering) and ears (itching) are also frequently involved. See an allergist for specific answers. ...Read moreSee 1 more doctor answer
Often to nickel: The skin can get red itchy and bumpy...Stop wearing it and if not severe(or infected) try cortisone cream(not benadryl) and avoid the jewelry..If it happens with several pieces, bring them to an allergist with a description of the reaction(and maybe picures). The testing can often be done. ...Read more
Varies: Allergic reactions varies with individuals.Some can consume cashews, while to others they are toxic.Reactions can be mild or severe. Mild reactions include nausea , vomiting, diarrhea. Skin rash and itching on the skin.The eyes , roof of mouth and throat may itch.Severe reactions include difficulty breathing, swelling to face and throat.The most dangerous is anaphylaxis.This can be fatal ...Read more
Sulfa allergy?: Not all sulfas cross react. Sulfa antibiotics do not cross react with most other sulfa drugs. Of course you could develop a second allergy though it is unlikely. ...Read more
There are two: Skin testing (prick/puncture and intradermal) and RAST (radioallorsorbent) testing are the only truly reliable tests for allergies and these need to be performed by an allergist who is not only trained in performing the test but in interpreting the results as well. Keep in mind you may test positive for something that you don't actually react to or need intradermal testing as well as prick testing ...Read moreSee 1 more doctor answer
Bean protein: Pinto bean allergy is uncommon but has been described. Typically the allergen is a protein. Beans are legumes and reactions may be seen with other legumes (pea, bean, soy). It is also possible that it wasn't the pinto bean and a more common food allergen is to blame. An allergist can assist. ...Read more
I had allergy patch tests put on yesterday and they told me not to get them wet. Any tips on how to do that?
What is use of tablets containing bee pollen, granular, honey, stearic acid, silica and royal jelly?
Unknown Supplement: This is definitely not a prescribed medication. It has nothing in the ingredients list that would have any medical or health benefit. It is probably one of the thousands of fraudulent products designed by herbal or 'supplement' factories to sell to gullible humans. ...Read more
IgE antibodies : Theoretically, one would expect monoclonal IgE antibodies to be very effective in blocking the allergic response. In the US, this has not been rigorously tested to establish its effectiveness. It is not FDA approved therapy at this time. However, it is approved for IgE mediated asthmatic disease and can concomitantly help allergic rhinitis in those patients. ...Read moreSee 1 more doctor answer
Yes: The exact process of lithium causing tooth decay is not known. But health professionals have observed an increase of amount of tooth decay in some patients on lithium. The most probable cause is due to the side effect of the medication, poor oral hygiene and bad dietary habits. ...Read moreSee 2 more doctor answers
Same thing: Fish and shellfish have a tendency to concentrate iodine in their flesh. If you are allergic to iodine, often you will have a cross reactivity when you consume fish or shellfish. My wife, in fact, has this problem, and while she can eat fish from southern waters, she reacts poorly when she eats halibut caught in alaska. Particularly from the largest/oldest fish. ...Read more
Maybe: Will birch immunotherapy help with oral allergy syndrome? I agree with Dr. Al Hegab that the benefits are not fully understood at this point in time and immunotherapy solely for the purpose of treating OAS is not recommended. However, if you also have allergic rhinitis and/or allergic asthma symptoms, immunotherapy could improve these symptoms, and maybe symptoms of OAS. ...Read moreSee 1 more doctor answer
When healthtap doctor says, allergy shots could work for eczema, is that mean atopic dermatitis is also treatable? Are they similar terms?
What is the pharmacological mechanism of action of lithium carbonate when used to treat bipolar disorder?
Unknown: The exact mechanism is not fully understood. It effects sodium transport in nerve cells and may have effects on several neurotransmitters, most notably glutamate and serotonin. It is the most effective agent for mood stability, but may have effects on thyroid and kidneys after many years of continuous use. ...Read moreSee 1 more doctor answer
Does risk for anaphylaxis vary with type of allergen from immunotherapy? Example: pollen, stings, mites, cat, food, etc..
Complex: Risk of anaphylaxis from immunotherapy depends on many factors: identifying the allergens causing the symptoms, severity of symptoms, whether well controlled prior to start of therapy, choosing the right allergens and right concentrations, assessment at each visit prior to administration of therapy, and observation for at least 30 minutes. Very rare in the hands of a competent allergist, good luck ...Read more
Allergy shots: Treatment for cat allergy includes avoiding cats (not keeping them at home), medications to treat symptoms, and for long term relief, allergy injections (allergy shots). An allergist can review the benefits and risks of allergy shots. This is the only disease modifying strategy to relieve symptoms long term. ...Read more
Yes: Drug allergy is a complex issue, so many drugs r in the market with many active / inactive ingredients, fortunately enough only few people develop drug allergy, if at all in doubt stop the medicine review it with ur doctor to replace it, if it is an absolute necessity to take the drug in question consult an allergist. ...Read more
Can't say I would:
Airborne products may contain Vitamin's A , C, E, B2, Magnesium, Zinc, selenium, Managnese,Lonicera , Forsythia, Schizonepeta, ginger, Chinese Vitex, Isatis ,Echinacea glutamine & lysine . This company has been sued for false advertising /claims that it's prodcts can prevent the flu, common cold and other infections. it would be difficult for me to recommend if the claims have not been backed
Loaded Question: To some degree they may be. For example in peanut allergic children subsequent sibs are probably at a higher risk than the general population for peanut allergy. However, the genetics of allergic disease is very complex and one generally passes on the ability to be allergic rather than a specific allergy. ...Read moreSee 1 more doctor answer
Is 1200 mg of lithium carbonate / day an acceptable dosage for the treatment of bipolar? What are the risks of such a high dosage?
Level more important: The blood level is more important than the dose. The kidneys are the way the body gets rid of lithium. Ansaids like motrin, Aleve (naproxen) can double lithium levels at same dose. So can many blood pressure meds- so all your prescribers need to know you are on lithium to avoid interaction. 1200mg is a typical dose. Normal blood levels are betwn 0.5-1.0 , toxic is abover 1.2-1.5. I like <0.8. ...Read moreSee 4 more doctor answers
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more