Doctor insights on:
Serevent Allergy In Children
If I had Class 1 on milk allergy on rast testing, but negative on skin testing is it safe to take advair diskus (salmeterol and fluticasone) to help control asthma?
Yes: Yes, it is completely safe to take Advair diskus (salmeterol and fluticasone) with your supposed "milk allergy." That being said I would talk to your Allergist about your allergy in detail. From the results of your testing it is likely that you do not have a milk allergy. ...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
Inhaled steroid: Serevent (salmeterol) used without an inhaled steroid will make asthma worse over time. It needs to be used with an inhaled steroid. This combination is effective making both medications more effective. Most data shows that serevent (salmeterol) does not make asthma worse when used with an inhaled steroid. ...Read more
Generally tolerated: Salmeterol is a long acting beta agonist (laba). Side effects of jitteriness, increased heart rate and tremor can occur. Also consider the "black box warning" of increase severe asthma attaches and asthma associated deaths. Many asthma specialists question the validity of the "black box" warnings due to shortcomings of the study and the overall almost 50% drop in asthma deaths since combo release. ...Read more
Half life: This drug is completely gone from your system in under 72 hours. ...Read more
12 hours: A standard dose of salmeterol lasts about 12 hours. ...Read more
I was prescribed qvar and serevent (salmeterol). Qvar is 3 puffs twice a day and serevent (salmeterol) is 1, twice a day. Is it ok to take them at the same time ie: 9am and 9pm?
Yes, Serevent (salmeterol) first,: Use serevent (salmeterol) first, then qvar. Serevent (salmeterol) opens the airway and lets Qvar get in better. Serevent (salmeterol) is slow acting and waiting a few minutes would help. ...Read more
The combination help: Pulmicort is an inhaled steroid that reduces inflammation in the lung. Serevent (salmeterol) is a long acting bronchodilator that when used with an inhaled steroid, can help the effectivess of the inhaled steroid. Serevent (salmeterol) used without the inhaled steroid can over 1-2 weeks or more can make asthma worse. Serevent (salmeterol) with asthma should only be used with an inhaled steroid. ...Read more
Can cold air cause breathlessness without asthma? It's my trigger but inhalers barely help! (Ventolin, plus Clenil and Serevent (salmeterol) twice a day)
Consider other cause: Cold air exposure is a common trigger. Could be undiagnosed/improperly treated asthma or another condition that mimics asthma like vocal cord dysfunction. Would suggest seeing specialist for further workup and evaluation. An allergist would be someone good to talk to. ...Read more
Asthma. I take ventolin and serevent (salmeterol) and singular and flovent...without enough relief. Always have shortness of breath. What can help me breath : (?
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
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
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
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
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
Can I as a 46 year old, take children's Benadryl. It's all I have in the house and my allergies are terrible.
Okay to use: Okay to use children's Benadryl. Dosage will be 20 ml (4 teaspoons) per dose. ...Read more
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
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?
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
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
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
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
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
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
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
No: The pain is minimal with skin testing, similar testing can be done with a blood test which requires some blood being withdrawn with a needle. ...Read more