Doctor insights on:
Prostigmin Allergy In Children
HyPOtensive crisis?: I've never heard of hyPOtensive crisis. HyPERtensive crisis, yes. When someone's blood pressure is dangerously low, that's called "shock." There's hemorrhagic shock & septic shock & shock from low cardiac output due to MI or CHF, etc. Drugs commonly known as pressors such as dopamine, dobutamine, and levarterenol are used to keep BP up. I'll defer to my intensivist colleagues for better answers. ...Read more
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
Hypotension: neostigmine isn't used in hypotensive crisis, read this: https://books.google.com/books?id=5zd_W_PUwvYC&pg=PA193&lpg=PA193&dq=hypotensive+crisis+and+neostygmine&source=bl&ots=SWufyt2QhL&sig=5vWWEMUYn3pGZ3CDqoR_Gdq3hsM&hl=en&sa=X&ei=tj1aVYuZIcLKogSxyILwCg&ved=0CCAQ6AEwAA#v=onepage&q=hypotensive%20crisis%20and%20neostygmine&f=false ...Read more
Why should why should a woman who is planning a pregnancy that use neostigmine stop use it particullary before two weeks ?
Less time is ok.: Neostigmine has a very short "half-life". This means that it's eliminated from the body quickly. Virtually all it will be gone within a week of stopping. Studies show elimination of 1/2 of it in just 90 minutes. Another 1/4 in 90 more minutes. Another 1/8 in 90 more minutes, etc...So you can see by doing this math that Neostigmine will be completely gone from your system in quite a short time. ...Read more
Why should why should a woman who is planning a pregnancy that use neostigmine stop use it particullary before two weeks
why two weeks?"
Caution in pregnancy: Neostigmine is category c in pregnancy, meaning that we really don't know how safe it is because it hasn't been studied. You have to weigh the risks and benefit to the mother against that unknown. Particularly before conception there may be a higher risk of affecting the fetus during organogenesis, when all of the vital organs are being created. Second trimester may be a little safer. ...Read moreSee 1 more doctor answer
Anticholinesterase: neostigmine inhibits the activity of the enzyme responsible for breaking down the acetylcholine, the ubiquitous neurotranmitter. In anesthesia it is commonly used to reverse action of curare-like medications that cause muscle relaxation/ temporary paralysis necessary to facilitate surgery. Hope that helps ...Read more
Different uses: Acetylcholinesterase inhibitors are the first line of treatment due to their safety and ease of use. Pyridostigmine (Mestinon) is the usual choice. Neostigmine is available but not commonly used. Edrophonium is an acetylcholinesterase inhibitor but does not come in an oral form. It is mainly used as a diagnostic agent for MG. ...Read more
Exposure + Genes: One needs both a genetic component and "exposure" to a said allergen to develop an allergy. There is a growing support over the past 20 years, that growing up in an environment which is "too clean" can also lead to development of allergies down the road. Either way, allergies are on the rise. ...Read moreSee 2 more doctor answers
Nut allergy: Maybe. Your children may have inherited genes from you that make them more likely to develop an allergy, but they do not inherit a specific allergy to a food e.g. Nuts. The children have to be exposed to food proteins in the diet, before an allergy can develop. Once one develops an allergy then they are always allergic and need proper medical attention to prevent severe problems. ...Read moreSee 1 more doctor answer
Allergy tests: There are several types of testing. Some involve certain types of blood tests. Another method is to do a series of skin tests done by pricking the skin and applying different allergens. Other tests are provocative tests that can involve challanging the patient with allergic materials. Testing should be done by doctors specializing in allergy to obtain the best results. ...Read moreSee 1 more doctor answer
Skin & blood tests: Prick testing with allergenic extracts or fresh foods can help confirm allergy, as can blood tests for specific ige antibodies (rast-type tests). However, both types of testing can produce false positive results, and confirmation with food challenges may be needed. ...Read moreSee 2 more doctor answers
Not exactly: The ability to react to certain proteins in an allergic way is passed on from parents to their children, but a specific allergy is not. So if a mom is allergic to pollen and the dad is allergic to fire ants, their child may develop allergies but it may be to a food instead. If 1 parent has allergies, the child is 50% likely to develop allergies, but it's a 75% chance if both parents are allergic. ...Read moreSee 2 more doctor answers
Can I as a 46 year old, take children's Benadryl. It's all I have in the house and my allergies are terrible.
Where can I find a statistic for the number of children who died from allergies causing anaphylaxis in the u.S.?
Only overall numbers: The incidence of anaphylaxis in children is unknown. Estimates of anaphylactic deaths (from drugs, foods, insect stings, and latex) in the us are 0.002 percent annually (2 per 100, 000): 500 fatalities from penicillin anaphylaxis; 40 fatalities from bee stings; 125-150 from food anaphylaxis. ...Read more