Doctor insights on:
Medicine For Physostigmine Allergy
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
Physostigmine is an inhibitor of acetylcholinesterase, increasing the availability of acetylcholine. It is used to treat myasthenia gravis, alzheimer's disease & glaucoma. Other carbamates include neostigmine, pyridostigmine, ambenonium
demarcarium, & rivastigmine. Edrophonium has a similar mechanism of action. ...Read more
Great question! Certain causes of muscle weakness, such as those caused by organophosphates and succinyl choline, are made much worse by physostigmine, and this can lead to a respiratory crisis.
If the cause of weakness is not known, this medicine might be avoided.
Hope that helps! ...Read more
Please explain why is it risky to administer physostigmine to all patients presenting with muscle weakness?
Bad idea: Physostigmine is a powerful drug with many nasty side-effects. The vast majority of people presenting with muscle weakness do not have undiagnosed myasthenia gravis or anticholinergic poisoning. Give it to somebody heat exhaustion and you'll further mess up the electrolytes. Give it to some who's having a stroke and they may throw up and aspirate. Botulism / neuropathy? It can kill them. ...Read more
For the full list: Would see your pharmacist.Get a more detailed answer ›
Stop taking it: If it is an extreme necessity, and there are no alternatives, and you don't know whether this an allergic reaction or an adverse drug reaction (side effect), see an allergist/immunologist for evaluation and possible desensitization to the said drug for treatment of a particular disease episode, good luck ...Read more
Various Options: Daily steroid or antihistamines nasal sprays (fluticasone, azelastine) are helpful. Determining exactly what you could be sensitized to in order to practice appropriate avoidance measures is also important. If medications and avoidance are not effective or not feasible allergen immunotherapy (allergy shots) could be an option as well. Other meds include Sudafed, Mucinex, (guaifenesin) Afrin, oral antihistamines ...Read more
Could be!: Without understanding the circumstances and the type of reaction, it is impossible to answer the question. If you started the new medicine, and experienced a reaction, it could be due to allergy to the medication. ...Read more
No cure yet, but...: Allergy shots (allergen immunotherapy) is currently the only treatment that is disease modifiying, meaning it can change how the body responds to exposure to allergens. It is "natural" and long lasting effects carry on after shots are stopped. It works for most, but not all people. Closest thing to a cure so far..... For more read my blog at: http://www. Familyallergyasthmacare. Com/2013/03/its-no. ...Read more
OTC Allergy: Not fair. Truly, it is trial-and-error. What works best for you might not work best for someone else. Loratadine is the weakest binding non-sedating antihistamine; Cetirizine is the strongest binding non-sedating antihistamine. Benadryl (diphenhydramine) works better than both but it makes people sleepy. ...Read more
Several choices: The most effective treatment for relief of seasonal allergies are prescription nasal steroid sprays (qnasl, nasonex, (mometasone) rhinocort, flonase). If symptoms are mild then over the counter zyrtec, claritin, or Allegra can help. It's best to start treating seasonal allergies before the "season" starts. This is a prevention approach. If the above meds haven't controlled symptoms, consider allergy shots. ...Read more
Big question: There are a lot of allergy medications & your time span is enormous. Could you take a medication that expired last month? Yes. Last year? Yes, but it might not work as well. Five years ago? Sure but why bother? Medications don't become dangerous as they age just gradually less effective. One exception is Epinephrine it rapidly loses effectiveness after expiration & its needed to save lives. ...Read more
Think whole airway: Upper airway allergies trigger clear, watery discharge along with itch and congestion; this can tickle the back of throat: thus cough - but lower airway involvement must be considered. Allergies can cause cough through asthma-like reactions (or outright cough asthma). Albuterol inhaler +\-montelukast worth a try after oral antihistamines and nasal steroids/antihistamines. ...Read moreSee 2 more doctor answers
Varies: Each child may respond differently to allergy medicines, all of the second generation antihistamines can be effective. These include loratadine, Cetirizine and fexofenadine. Each medication is dosed once daily and causes minimal sedation or behavioral effects. ...Read moreSee 1 more doctor answer
ALLERGIC RHINITIS: YES:Allergic rhinitis causes Swelling of nasal mucosa/itchy eyes /post nasal drip. You can do nasal irrigation with Neil Med system. Zaditor (ketotifen) Eye Drops and Claritin & Flonase are all effective. If symptoms persist follow up with your doctor for exam and labs ...Read moreSee 1 more doctor answer