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Doctor insights on: Prostigmin Allergy In Children

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How can you restore blood pressure in hypotensive crisis? Prostigmin (neostigmine)?

How can you restore blood pressure in hypotensive crisis? Prostigmin (neostigmine)?

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

Dr. John Chiu
2,638 Doctors shared insights

Allergies (Definition)

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


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To restore BP in hypotensive crisis should they give you prostigmin (neostigmine)?

To restore BP in hypotensive crisis should they give you prostigmin (neostigmine)?

Possibly: This may be necessary. To goal is to address the cause of the low blood pressure. For example, if due to acute bleeding, replacement of blood volume is appropriate. If due to vasodilation, vasoconstrictors are helpful. In severe crisis, combinations of treatments are needed. ...Read more

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Can you tell me how could neostigmine works and its mechanics?

Can you tell me how could neostigmine works and its mechanics?

Yes!: Acetyl choline is the neurotransmitter across the neuromuscular junction. It is removed by hydrolysis. Neostimine slows this process and therefore increases acetylcholine concentration at this site ...Read more

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During a hypotensive crisis how is neostigmine used?

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

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What are the medical benefits of botox, curare, neostigmine, atropine?

Very broad question: You have asked a very broad question and therefore difficult to answer. ...Read more

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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

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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 more

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How can neostigmine works and its mechanics?

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

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Why neostigmine is not a drug for treatment of Alzheimer's disease?

Why neostigmine is not a drug for treatment of Alzheimer's disease?

Doesn't get in brain: Neostigmine's chemical structure (quaternary amine) does not allow it to cross the blood brain barrier, so it does not affect cholinesterases in the brain. ...Read more

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Why is neostigmine preferred over edrophonium as a treatment for myasthenia gravis?

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

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Why do some children have allergies?

Why do some children have allergies?

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 more

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How are children tested for allergies?

How are children tested for allergies?

See below: They are tested the same as everyone else. They can have skin testing performed by an allergist, or blood work ordered by their primary care provider. ...Read more

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I have an allergy to nuts and I was wondering if my children would also be allergic?

I have an allergy to nuts and I was wondering if my children would also be allergic?

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 more

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How do docs test children for indoor & outdoor allergies?

How do docs test children for indoor & outdoor allergies?

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 more

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What testing is there for? Children and food allergies?

What testing is there for? Children and food allergies?

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 more

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Can a parents allergies be passed on to their children?

Can a parents allergies be passed on to their children?

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 more

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What kind of allergy medicine is best for children under 3 years old, with bad allergy probelms?

What kind of allergy medicine is best for children under 3 years old, with bad allergy probelms?

Antihistamine: Zyrtec and Claritin (loratadine) are approved for age 6m and older. But speak with your doctor before giving this medication to your child. ...Read more

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Where can I find a statistic for the number of children who died from allergies causing anaphylaxis in the u.S.?

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

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My husband has nut and fish allergies. I have 4 children, 2 without allergies should I get rest of kids tested before giving them these foods?

My husband has nut and fish allergies. I have 4 children, 2 without allergies should I get rest of kids tested before giving them these foods?

Food testing: Food allergies can be frightening but there is no reason to test the children if they have not had reactions. Always be cautious when introducing a new food to an allergic child. ...Read more

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I give my 17mnth old 1/2 teaspoon of children's zyrtec (cetirizine) for allergies but some days it's not enough. Can I increase the dose or try something differ t?

I give my 17mnth old 1/2 teaspoon of children's zyrtec (cetirizine) for allergies but some days it's not enough. Can I increase the dose or try something differ t?

Do not increase: A 17 month old should not have allergies to inhaled items like dust or pollen. Zyrtec (cetirizine) could cause drowsiness and I would avoid long term use of zyrtec (cetirizine) in your child. If your child has a runny or stuffy nose that is unresponsive to zyrtec (cetirizine) then see your doctor to make sure there isn't an infection brewing. ...Read more

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Do children grow out of allergies?

Do children grow out of allergies?

Yes: Not all of the food allergies are created equal. Food allergies like dairy, egg, wheat tend to be outgrown. Tree nut and peanut are less likely (although recent studies suggest that 20-30% outgrow the peanut allergy). Environmental allergies tend to "grow on you" with time. Note: the allergy test may remain positive despite the child having outgrown the allergy. Consult with an allergist. ...Read more

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How are children tested for allergies these days?

How are children tested for allergies these days?

Allergy testing: Usually encompasses skin and/or serum (blood) test which are consistent with the child's clinical history. ...Read more

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How often should children be tested for allergies?

How often should children be tested for allergies?

It depends: It really depends on the age of the child, and whether you're talking about food or environmental allergies. I generally will skin test children over age 2 for environmental allergies, while many younger kids need food testing. In terms of frequency, children with environmental allergies may benefit from repeat testing after 2 years, as their allergies can change as they get older. ...Read more

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Why is it that so many children have allergies nowadays?

Why is it that so many children have allergies nowadays?

Hygiene hypothesis: The immune system has two opposing arms, one makes protective antibodies against bacteria and viruses, the other makes allergic antibody. One theory is that early antibiotic use disrupts the gut flora which tips the scale away from fighting infection and more toward making allergic antibodies. Clean environments might be at fault as well, farm kids don't get allergies as much as city kids. ...Read more

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How do you confirm children's allergies from? Different foods?

How do you confirm children's allergies from? Different foods?

Skin testing: The easiest way to determine whether or not a child is allergic to certain foods is skin testing. Blood testing might also be considered. The gold standard (best) test for food allergy is an oral food challenge (should be done under supervision of a qualified allergist). ...Read more

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Does a cough come with allergies in children?

Sometimes: But not all the time. Nasal allergies are not a frequent cause of a really bad persistent cough. In a child with allergies and a really bad cough (assuming no fever) I would be concerned about a reactive airway/asthma type condition. If the child also had eczema I would be even more concerned. ...Read more

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How can I prevent my children from getting allergies?

Breastfeed!: Breastfeeding is shown to be protective for children with a strong family history of allergies. If unable to breast feed, try a hypoallergenic formula such as "nutramigen" or "alimentum". Try to avoid introducing baby foods until 4-6 months of age; once you do, introduce them slowly. Interestingly, exposure to dogs & cats appears to reduce the risk of becoming allergic to those household pets! ...Read more

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What are common signs of allergies towards animals in young children?

What are common signs of allergies towards animals in young children?

Nasal, eye, skin: Children will exhibit sneezing, itchy nose/eye, stuffy nose or cough with close exposures with pets. If licked by a cat or dog and allergy is present, a rash could develop at that site. The allergies could manifest as asthma with cough, wheezing or difficulty breathing. Typically a pattern will be seen, but if it is an indoor pet, the symptoms may be continuous. ...Read more

Dr. John Savarese
53 Doctors shared insights

Neostigmine (Definition)

Neostigmine is a nasal preparation which is a kind of ...Read more


Prostigmin (Definition)

Prostigmin is a nasal preparation which is a kind of ...Read more