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Hidden Risks: Drugs and Allergy Medications

Avoiding drugs that could precipitate an asthma attack (or, in the case of severe adverse drug reaction, anaphylactic shock) is not always easy. This is because some of the most likely asthma triggers are the drugs themselves! One class of drugs, the beta-blockers, is liable to cause severe attacks in any asthma sufferer.

What You Should Tell Your Doctor if You Are Asthmatic

The importance of informing your physician of a previous adverse drug reaction to any drug before being prescribed any allergy medications or drugs for allergy-induced asthma cannot be stressed enough. Tell your doctor if you use any of the drugs listed in the table to the right. This list is by no means comprehensive and represents only a sample.

 

Prescription Drugs albuterol, bitolterol, ephedrine, epinephrine, isoproterenol, isoetharine, terenol, pseudoephedrine, terutaline
Allergy Medications ncluding any other drugs that contain the above, e.g. cold medications, diet pills
Beta-Blockers particularly propranalol, labetalol, atenolol and timolol
Antidepressants/MAO Inhibitors particularly phenelzine, isocarboxazid, tranylcypromine
Non-Prescription Drugs aspirin, cold and flu remedies


Also tell your doctor if you have received drug treatment in the past for any of the following conditions:

 • heart disease
 • diabetes
 • high blood pressure
 • overactive thyroid gland
 • epilepsy
 • depression.

The Dangers of Beta-Blockers

The ß2 antagonist (beta-blocker) drugs can be very dangerous for asthmatics. This is because they interfere with the body's normal autonomic system action that widens the airways.

Remember: Some of the most effective drugs used to treat all forms of asthma, including allergy-induced asthma, are the beta receptor agonists. Clearly, the asthmatic must avoid, at all cost, any drugs that have the opposite effect.

Although some beta-blockers are less dangerous than others, asthmatics should always bear in mind that all beta-blockers have some action in blocking the ß2 receptors.

What is reassuring to know, however, is that diagnosed asthmatics are rarely prescribed beta-blockers, unless in the form of eye drops.

Although, not well documented, research suggests that taking beta-blockers produces an increased risk for anaphylactic shock caused by an adverse drug reaction among those with food allergies.

 

Identifying Beta-Blockers

A beta-blocker's generic name can generally be recognized by its ending: "-olol"

Examples include propranalol, atenolol, labetalol, timolol, oxprenolol, acebutolol, metoprolol, sotalol, esmolol, nadolol, bisoprolol and pindolol.


Aspirin and Aspirin Type Drugs

Sensitivity to aspirin may trigger an adverse drug reaction in the asthmatic. This can set off an asthma attack or occasionally lead to the onset of anaphylactic shock.

Because this type of reaction doesn't appear to involve the immune system, aspirin sensitivity is often referred to as a "pseudo-allergy." From the asthmatic's point of view, however, this description is entirely academic since the effect is the same!
 
Asthmatics should avoid all forms of aspirin and medications containing aspirin, including: Anadin, Aspro, Beecham's Powders, Codiphen, Decrin, Disprin, Ecotrin, Equagesic, Migravess, Solcode, Solprin, Veganin and Winsprin.
 
Also, if you have suffered from an adverse drug reaction to aspirin in the past you may also react to compounds in the non-steroidal anti-inflammatory drugs (NSAIDs) group, including: aloxiprin, diclofenac, fenbufen, ibuprofen, indomethacin, mefenamic, naproxen, piroxicam and tolmetin.

Alternative Methods of Relieving Asthma Symptoms

If you are asthmatic and have a cold, sore throat, influenza, bronchitis, or any other non-asthma related respiratory type condition, seek medical advice immediately.

Discuss with your physician whether secondary respiratory infection prevention is necessary or not. Under these circumstances, most medical practitioners agree that asthmatics should be given antibiotic medication.

And Finally . . . Prevention is Better than Cure!

If you are asthmatic and have previously suffered an adverse drug reaction to allergy medications, take preventive measures to avoid the need for these drugs in the first place! Here are a few simple, practical measures you can take, in your everyday life:

 • If you are a smoker, the most useful thing you can do for yourself is to
   stop. Right NOW.
 • Avoid passive smoking: steer clear of bars, clubs or other environments
   in which your ability to enjoy clean air is compromised.
 • Insist on clean air in your home.
 • The workplace is a danger zone for allergy-induced asthma attacks. Take
   positive steps to remove yourself from dangerous allergens that you know
   may trigger an attack.
 • Have your vehicle checked for exhaust emissions.
 • Try to avoid driving in dense traffic.

Source of Information

Drug Allergies

An allergic reaction is a relatively rare side effect of medication, but medicine such as penicillin and sulfa drugs can cause the body's immune system to react. There's no cure for an allergic reaction: avoiding the offending medication is the best solution.

Reactions to medications vary, but the two most common offenders, penicillin and sulfa drugs, can cause skin rashes and hives. A more serious effect is anaphylaxis, which restricts breathing and causes blood pressure to drop suddenly. Anaphylaxis may occur within minutes of taking the medication, or develop up to two hours later. Anaphylaxis is a rare but serious condition that requires immediate medical attention.

Penicillin and sulfa drugs are by no means the only medications that can set off your immune system: almost any prescription or over-the-counter medication has the potential to do so. Learning to avoid them and knowing how to get emergency treatment in cases of accidental exposure are the key to controlling such allergies.

Source of Information

Since one of the most common cores of allergy, asthma and sinusitis is fungal infections, as well as polyps, reflux disease and bacteria, you have to make sure that your home and real estate is free from molds and mildew, which later may develop into molds, and prevent any of their future growth.              

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