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Doctor insights on: Anti Neo Plastic Immunotherapy

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Dr. Michael Palumbo
1,128 doctors shared insights

Immunotherapy (Definition)

Encompasses subcutaneous, patch or sublingual treatment with increasing amounts of specific allergen. Used for allergic rhinitis, allergic asthma, and hymenoptera hypersensitivity (and in ongoing trials for food allergy). Specific IgE-mediated disease must be proven. Indications are lack of symptom control despite medication/avoidance, reduce risk of anaphylaxis, or ...Read more


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Which is better for seasonal allergies: nasal steroid sprays like Dymestra or steroid injections?

Which is better for seasonal allergies: nasal steroid sprays like Dymestra or steroid injections?

Allergy nasal sprays: Steroid injections are not appropriate treatments for seasonal allergies. Usually, a combination of antihistamines and nasal sprays can be helpful. Steroid nasal sprays reduce inflammation inside the nose in order to allow improved breathing. They must be used daily and they take about 1 week to achieve peak efficacy. ...Read more

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Does immunotherapy involve antitoxins?

Does immunotherapy involve antitoxins?

Definition: Immunotherapy indicates the use of immunological mechanisms for treatment. Allergy immunotherapy (allergy shots) do not include antitoxins. Antitoxins are antibodies against toxins and are used whaen toxins are suspected, for example posionous snake bites. This treatment can be called immunotherapy. ...Read more

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Which topical steroid would you consider best for treating dishydrotic eczema , and wich pharmaceutical form (ie cream vs ointment)?

Which topical steroid would you consider best for treating dishydrotic eczema , and wich pharmaceutical form (ie cream vs ointment)?

Eczema: I like to use mometasone sparingly once daily (cream for less severe and ointment for more severe), but this is opinion only. Many are effective. Decreased bathing, careful selection of soaps and moisturizers are more important in treatment.I hope this helps. ...Read more

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Is there any systemic absorption when using intranasal steroid medication for allergy treatment?

Is there any systemic absorption when using intranasal steroid medication for allergy treatment?

Very little: Almost nil. Some people who are very sensitive to steroids say they may feel a little difference, but normally systemic spread is very very little, if at all. ...Read more

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Interventional radiologists/oncologists: The FDA has approved Nanoknife IRE for use in surgical ablation of soft tissue tumors. An option. Beneficial?

Interventional radiologists/oncologists: The FDA has approved Nanoknife IRE for use in surgical ablation of soft tissue tumors. An option. Beneficial?

Partial: AppliesHeat: Study the device at http://www.angiodynamics.com/products/rfa-in-service;. The device is basically a method of applying heat to kill tissue using RF energy via a catheter. The problem, as usual, is crude ill-defined targeting; the area affected will be diffuse, not selective/differential of healthy vs. diseased tissue. This only possible advantage is driving tissue damage through smaller incisions ...Read more

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M57, do you approve usage of nasal decongestant xylometazoline;antiallergic cetirizine;antibiotics as holistic approach to combat resistant flu/cold ?

M57, do you approve usage of nasal decongestant xylometazoline;antiallergic cetirizine;antibiotics as holistic approach to combat resistant flu/cold ?

Let's be clear: Antibiotics won't help a cold which is caused by viruses. They'll just give you diarrhea. Afrin spray can dry you up but never use for >72 hours or you'll get rebound nasal congestion with nasal blockade and misery! Cetirizine is excellent for allergy but has minimal benefit for a cold. None of the above would be considered "holistic". ...Read more

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Are steroid shots better than laser surgery for keloids?

Are steroid shots better than laser surgery for keloids?

Not Sure.: Both are acceptable treatments for Keloids. Both treatments have their advocates. Keloids are difficult to treat and what works for one may not work for another. It is an issue that should be discussed with a plastic surgeon. I have seen excellent result with both and I have seen treatment failures with both. Decision to treat should be carefully weighed. Treatment can make some worse. ...Read more

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4 years old child gets hives rashes after fever took 4 months treatment which includes anti allergy medications (montilukast, ketotifen, avil) ?

4 years old child gets hives rashes after fever  took 4 months treatment which includes anti allergy medications (montilukast, ketotifen, avil) ?

Common: It is very common for children to get hives with viral infections. Most important is making child comfortable with antihistamines like Benadryl, (diphenhydramine) Zyrtec or Allegra. If hives lasting longer than 6 weeks, this is considered chronic hives and usually a specific cause is not found. Please see allergist if hives persists despite child not having a viral infection and longer than 6 weeks ...Read more

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What topical steroid cream do chemotherapy patients use for hair?

What topical steroid cream do chemotherapy patients use for hair?

Steroids: If you are asking whether topical steroids have any value for hair loss during chemotherapy, the answer is that they have no value in this condition. ...Read more

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Nasonex, (mometasone) nasacort aq or flonase, which quicker for nasal congestion/ seasonal allergies? I also nasal colloidal silve-nott o2 binding, will that work

Nasonex, (mometasone) nasacort aq or flonase, which quicker for nasal congestion/ seasonal allergies?  I also nasal colloidal silve-nott o2 binding, will that work

Nasal sprays: All nasal steroids take a few days to start working and need to build up a dose before they become fully effective. Nasal antihistamines are quicker in onset of actiion. A combination nasal spray should help your symptoms for fast and long lasting relief. Now i don't know anything about the coooloidal silver spray you mentioned. ...Read more

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What does a steroid resistance transplant mean? Are steroids first line for anti-rejection prophylaxis?

Steroids: In the old days- which really is in the last 29 years steroids have always been first line therapy for transplants. Recently physicians have been moving to steroid- free protocols because of the side effects of steroids including diabetes, weight gain and bone disease. Steroid resistant if that is what you mean may be someone who is not a candidate for steroid therapy. ...Read more

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Montelukast (singular) for prior breast surgery?

Montelukast (singular) for prior breast surgery?

Encapsulation?: This anti-inflammatory medication, as well as others, may be used to reverse breast implant encapsulation (capsular contraction); some plastic surgeons may also use it “prophylactically”, especially for patients who have had a history of capsular contraction previously. ...Read more

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How do slit & traditional allergy injections differ?

How they are given: SLIT stands for sublingual immunotherapy. SLIT and allergy shots both reduce allergy symptoms by inducing immune tolerance. SLIT has been much studied in Europe, but still considered research in the US and it is not FDA approved. Details of dose, side effects and long-term efficacy are being defined and available for not many pollens. ...Read more

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Would pollen (birch) immunotherapy help resolve OAS? (Apple, hazelnut, peanuts ara h8, etc)

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 more

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How effective are allergy shots, immunotherapy injections or drops?

Depends: The efficacy of allergy shots (immunotherapy) can be maximized by seeing a board certified allergist. Allergists receive extensive training in treating with allergy shots. In the right patient, they can be curative, and hopefully decrease or eliminate the need for allergy medications. Allergy drops have also been shown to be very effective, but are not yet fda approved. ...Read more