Inhaled triple therapy is being recommended for patients with severe chronic obstructive pulmonary disease (COPD) as a step up therapy. Inhaled triple therapy consists of 3 ingredients; Inhaled corticosteroids Long acting muscarinic antagonists (LAMA) Long acting Beta agonists (LABAs) This is considered a step up therapy for patients with frequent exacerbations. Two recent studies were […]
Solar Urticaria (Sun Hives)
Solar urticaria, is a type of skin response after exposure to the sun. There is an abrupt onset of redness, swelling and itching in light exposed areas. The light waves that trigger solar urticaria are usually within the range of 400 to 700 nm (visible light) and 320 to 400 nm (UV A). Patients often […]
Eosinophilic Esophagitis Diet
Elimination eosinophilic esophagitis diets are effective most patients, but their use is limited by the complexity of the diets and the need for multiple endoscopies. Up to three fourths of patients are found to have just one or two food triggers, most commonly milk and wheat/gluten. Complete elimination diets are hard to follow and difficult […]
Xolair for Food Allergies granted Breakthrough Therapy
Xolair for food allergies may become a treatment in the future as the FDA has granted Breakthrough Therapy Designation for Xolair. Xolair (omalizumab) would be used for the prevention of severe allergic reactions following accidental exposure to 1 or more foods in patients with allergies. From the FDA; Breakthrough Therapy designation is a process designed to […]
Nasonex OTC coming soon
Nasonex OTC will soon be available without a prescription. Perrigo Company announced today that it has entered into a licensing agreement with Merck (the manufacturer of Nasonex) for the exclusive rights in the United States to pursue regulatory approval for a non-prescription, Nasonex OTC (mometasone furoate monohydrate) Nasal Spray. Nasonex is currently available by prescription […]
Steroids for Asthma Exacerbations
Steroids for asthma exacerbations is commonly used by doctors. Asthma is characterized by many patients with recurrent exacerbations. Asthma exacerbations fill emergency rooms and are a major cause of hospitalizations. In the ER the treatment consists primarily of albuterol and systemic steroids. Albuterol is readily given at home, but oral steroids such as prednisone or […]
Do antibiotics or acid suppressor meds in infants promote allergy?
The use of antibiotics and acid suppressor medications can cause changes the gut flora. Changes in the microbes can increase the risk of allergic diseases. A recent study looked into the use of antibiotics or acid suppressive medications. Histamine 2 receptor antagonists, i.e. Zantac (ranitidine) or proton pump inhibitors, Prilosec (omeprazole), within the first 6 […]
Caregivers are not supporting early peanut introduction guidelines
Recent guidelines recommend early peanut introduction, beginning around 4-6 months in infants with severe eczema and/or egg allergy and around 6 months for all other infants. Peanut allergy affects an estimated 2% of children in the U.S. and it is often lifelong and associated with life threatening anaphylaxis. Recently a teenager died of anaphylaxis after […]
Best and Worst Exercises for Asthma
As asthma specialists, we are often asked which sports are the best exercises for asthma? There are approximately 25 million Americans with asthma and exercise may cause no problems at all. But for some, it can trigger shortness of breath and other asthma symptoms. That doesn’t have to stop most people from exercising though, 1 […]
Future Food Allergy Treatment
Current and future food allergy treatment has and will consist primarily of oral immunotherapy (OIT), sublingual immunotherapy (SLIT) and epicutaneous immunotherapy (EPIT), alone or in combination with Xolair (monoclonal IgE). However, other therapies are under current investigation. Despite advances in the field of food allergy treatment, the current therapies remain experimental because none of these […]
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