Allergy Treatment, Symptomatic Treatment

Symptomatic treatment

Most allergies are treated with medication, the incidence of allergic symptoms mitigate or prevent, but does not cure the allergic disease it can cause. This anti-allergy will form depending on the disease and severity of the disease in different dosage forms (tablets, nasal sprays, asthma sprays, eye drops, creams, ointments and injections) and at different intervals (for acute needs, prophylactically, permanently) applied.

Submitted ingredients are:

  • Antihistamines such as Loratadine
  • β-2-sympathomimetics, such as salbutamol
  • Leuko tri receptor antagonists in asthma, such as Montelukast
  • Theophylline for asthma
  • Immunomodulators (pimecrolimus and tacrolimus) in atopic dermatitis
  • Corticoid
  • Immunosuppressants in very severe cases (cyclosporine A)
  • Of the humanized monoclonal antibody omalizumab (Xolair ®) in severe allergic asthma
  •  Severe acute cases (such as Quincke’s edema, anaphylactic shock) are life threatening and require emergency medical measures. There are adrenaline, cortisone and plasma expander used. Patients who were aware that they run the risk of an anaphylactic shock to suffer (e.g., insect allergies), an adrenaline syringe (EpiPen ®) should be prescribed to them for emergency always be with you.

Primary prophylaxis

A primary prophylaxis means preventive measures must be set so that awareness and consequently the emergence of allergic disease can be avoided.

The best prevention is to avoid allergen contact. The complete avoidance of all allergens is impossible, but in certain cases and certain situations, allergens can be avoided very well. Examples are:

  • Children who are born with an open spine (spina bifida), have a very high risk of sensitization to latex. It is therefore of clinical standard today, that these children from birth must be avoided with any contact with latex (latex surgical gloves, etc.) to protect it.
  • The exogenous allergic alveolitis is usually an occupational disease, caused by the inhalation of certain dusts (e.g. flour in the so-called Baker-lung). With appropriate safety measures, such as the wearing of fine dust masks, the use of hoods, etc., can contact allergen and thus prevent employees from an awareness of protection.

The optimal nutrition for newborns is the exclusive breastfeeding for at least the first 4 months of life. There are retrospective studies that have observed that children fed less are likely to suffer from allergies as a non-fed. The significance of these studies, however, is questionable. Highly allergic children can also be allergic to milk react and will of course not feed. A blinding of breastfeeding behavior is ethically unacceptable and practically not feasible. A protective effect of breastfeeding against allergic diseases is not documented. As primary prophylaxis for newborns with an increased risk of allergy, which cannot be fed, the diet with a hypoallergenic infant formula is recommended.

Still too early to assess the preventive effect of so-called “probiotics”, such as lactobacilli. These natural intestinal bacteria such as probiotic yoghurts and in the meantime in baby foods contain. Finnish studies give a first indication that these products provide protection against the emergence of allergies it might offer.

Secondary prophylaxis

Secondary prophylaxis is used in existing or allergic sensitization and disease, the recurrence of symptoms and prevents worsening of the disease.

The Waiting allergen, i.e. the allergen avoidance, in sensitized individuals is important to the triggering of an allergic reaction should be avoided, and secondly, to a so-called “boost” the IgE response should be avoided. Because people already sensitized allergen triggers the re-contact to reinforce the allergen-specific IgE production, whereas for permanent leave the allergen allergen-specific IgE antibody titers decline. For a complete allergen, avoidance is often difficult. Certain products, such as mite’s density mattress covers or pollen filter in air conditioning systems help to reduce allergen contact. Even if a waiver of the pets allergen contact is greatly reduced, so are animal dander allergens are very stable, and may be delayed even in places such as schools, be demonstrated, where normally no animals are kept. Food allergens, however, may very well often be avoided.

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