Allergy Sulfa
Allergy Medication
Allergy is closely associated with the way your body's immune system responds to external factors like dust, pollen grains, food, etc. Very common and often ignored symptoms like running nose, irritation in eyes or palate to skin rash are also allergies. An allergy can be attributed to immune system over reacting to normally harmless substances. An allergy may aggravate the sense of smell, sight, taste or touch causing irritation, disability or even may be fatal. Allergies are caused by substances in environment. These agents, termed allergens, could be pollen dust, mites, dogs, cats, insects, chemicals or even food items like milk or egg. If proper medication is not taken, an allergy may take the form of asthma, eczema, headaches, lethargy, conjunctivitis, etc.
How to recognize if I've allergy?
Allergy can be easily recognized by its symptoms like running nose, irritation in eyes or palate to skin rash. Other symptoms are atopic dermatitis which is characterized by itching, blisters and red and dry rashes. Food allergies may induce symptoms like nausea, vomiting, stomach aches, diarrhea, breathing difficulties (asthma symptoms), runny nose, sneezing, and lightheadedness. Another very acute and severe allergy that is known in children is Anaphylaxis which may prove fatal. Coughing, wheezing, running short of breath and chest tightness are other major identifiers of Allergies.
What are the precautions to be taken while suffering from an allergy condition?
Make sure you know what medicines or allergens your body responds do. Always consult a physician and ensure that you make him aware of any allergy history and the drugs you are allergic to. You might have to try the trial and error method to zero in on to the allergen. Seek medical attention if you show any allergy symptoms.
What are common drugs that may cause allergies?
Sulfa drugs, penicillin injections, phenylbutazone, eye drops like brimonidine, neomycin and fluorescein dyes used in fundus fluorescein angiography are common known drugs causing allergic reactions.
Pharmacy safeguards for people with drug allergies?
Pharmacy safeguards for people with drug allergies?
I have a question that hopefully some of our pharmacy techs or even a pharmacist can answer for me.
This weekend I had a severe allergic reaction to a medication I was prescribed by my doctor. This was a medication I had not taken before, biaxin and allegra-d. It was prescribed for an ear/sinus infection.
I have severe drug allergies (sulfa, morphine, and pcn) I also have Stevens-Johnson syndrome.
Within 2 doses of both the biaxin and allegra-d I started having symptoms of my Stevens-Johnson, which only happens when I come into contact with a sulfa based drug.
Within two hours of my second dose of the medications I was in and out of consciousness and I stopped breathing.
The doctors at the emergency room could only assume that I came into contact with a sulfa based drug since the reaction was so quick and so severe.
I need to know if the pharmacy, since they know of my drug allergies could have accidentally cross contaminated my medications with something that I am allergic to.
Is there a safeguard in place so that people with drug allergies are protected from coming into contact with a potential allergen like sulfa or penicillin?
Do I have to request something from my pharmacist to ensure that none of my medications or none of the people touching them come into contact with anything I'm allergic to?
I know I sound paranoid but I spent 3 days in ICU unable to breathe and covered in burns.
Please let me know what I can do to ensure that a mistake like this never happens again.
Get the answers...
Pharmacy safeguards for people with drug allergies?
I have a question that hopefully some of our pharmacy techs or even a pharmacist can answer for me.
This weekend I had a severe allergic reaction to a medication I was prescribed by my doctor. This was a medication I had not taken before, biaxin and allegra-d. It was prescribed for an ear/sinus infection.
I have severe drug allergies (sulfa, morphine, and pcn) I also have Stevens-Johnson syndrome.
Within 2 doses of both the biaxin and allegra-d I started having symptoms of my Stevens-Johnson, which only happens when I come into contact with a sulfa based drug.
Within two hours of my second dose of the medications I was in and out of consciousness and I stopped breathing.
The doctors at the emergency room could only assume that I came into contact with a sulfa based drug since the reaction was so quick and so severe.
I need to know if the pharmacy, since they know of my drug allergies could have accidentally cross contaminated my medications with something that I am allergic to.
Is there a safeguard in place so that people with drug allergies are protected from coming into contact with a potential allergen like sulfa or penicillin?
Do I have to request something from my pharmacist to ensure that none of my medications or none of the people touching them come into contact with anything I'm allergic to?
I know I sound paranoid but I spent 3 days in ICU unable to breathe and covered in burns.
Please let me know what I can do to ensure that a mistake like this never happens again.
Get the answers...
Do I have any other options for migraine preventatives?
I am a 25 year old female that has suffered from migraines since the age of 15. I have been on several medications over the years to control the migraines. I finally found a successful preventative medication and have been on it since 2007.My only preventative is Verapamil 240 mg twice daily. My doctor tried me on 240 mg three times daily but it was causing my blood pressure to drop too much. My abortive medication is the 6 mg Imitrex injection and Ultram for pain.
List of preventatives tried and failed:
Topamax
Depakote
Zanaflex
Magnesium supplements
Klonipin
Cardizem LA
Zonegran
Namenda
Keppra
oxyen therapy
Health Conditions:
Asthma
Severe indoor and outdoor allergies
Hypertension
High cholesterol
Depression
Anxiety
Sciatica
Medication allergies:
Sulfa antibiotics
tricyclic antidepressants
SNRI medications
Ergotamine medications
Current medications and doses
Trazodone 100 mg daily for sleep
Celexa 40 mg daily for depression/anxiety
Verapamil 240 mg twice daily for migraine prevention/hypertension
Advair 250/50 twice daily for asthma
Proventil inhaler-rescue medication for asthma
Singulair 10 mg daily for allergies/ asthma
Zyrtec 10 mg daily for allergies
Pravastatin 40 mg for high cholesterol
Lyrica 75 mg three times daily for sciatica
Flexeril 10 mg three times daily for muscle spasms
daily multivitamin
daily fish oil
Imitrex injection 6 mg as needed for migraine
Ultram 50 mg if needed
Nexium 20 mg daily
The problem I am having now is the return of daily headaches with severe migraines about once a week. And they are not rebound headaches. I have had experience with those before and I don't care to repeat that. I am only taking pain medication and abortive medication about once a week so I can try to keep from experiencing rebound headaches.I also suffer from a TMJ disorder and wear an NTI device at night. I just had it refitted at the dentist so I know that teeth grinding is not causin the headaches. I keep a daily pain journal, a daily headache log, and a food log so I cazn avoid my trigger foods. Do I have any options left that I may be able to try for PREVENTATIVES that I can discuss with my doctor at my appointment at the end of next month?
Get the answers...
Anyone know about sulfa antibiotics?
When I was a kid, I was put on a sulfa antibiotic that almost killed me or something. Of course that was a long time ago, around 1986-1990ish, so I'm just curious. My mom only remembers that it was a new drug on the market around that time and started with an A. She thinks it was Au something. All we know is that it made me look dead and I was staring in space, possibly I was a little blue in the face? She shook me and I snapped out of it. Most health professionals we mention this to say that it sounded like cardiac arrest. Anyone know what the name of that drug might be? It seems like some things with sulfur I'm allergic to and others I'm not. On top of the sulfa antibiotic allergy, I have multiple random and unusual allergies (Sulfa antibiotics, aloe vera, pine needles, Tide, and etc) so I'm curious about it all lol. And I'm good at diagnosing myself/figuring out what's wrong with my body... Now before anyone gives me any stupid comment about that, I have successfully diagnosed myself three times and it's pretty easy... just think of yourself in third person a bit and do a lot of research. The trick is to try and disprove you have that problem, not go by a check list and say "I have that!" Then compare it to your medical history/history that other people can verify (family and friends). The last part is the hardest: Finding an intelligent doctor and not some idiot. Anyway, please keep the comments to a minimum, unless of course, you do answer my question first ;)
Get the answers...
i need the final diagnosis today please :)?
A 76-year-old African American female (AAF) was admitted to the hospital with a chief complaint of fatigue for one month, and shortness of breath (SOB) and dyspnoea on exertion (DOE) for one week.
The patient denied abdominal pain, nausea, vomiting, diarrhea, constipation (N/V/D/C), hematemesis, melena . She denied use of NSAIDs or anticoagulants. No paroxysmal nocturnal dyspnoea (PND), chest pain (CP) or cough.
She was hospitalized with acute GI bleeding
6 months ago and she had both upper and lower endoscopies at that time. The upper endoscopy showed an angiodysplasia* of the duodenum that was treated with bipolar electrocoagulation
* Vascular malformation of the gut leading to unexplained anaemia
The colonoscopy showed diverticulosis but an adequate visualization of the ceacum was not obtained due to the presence of a moderate amount of blood in the ceacal pouch. A small bowel capsule endoscopy was canceled as the patient's stool was guaiac negative and she had no more symptoms.
Mitral valve repair with metallic prosthesis, currently taking Coumadin, angiodysplasia of the of the duodenum, diverticulosis, HTN (Hypertension), PVD(peripheral vascular disease), CAD(cardio vascular disease) , CABG (coronary artery bypass surgery), 5 cm AAA (abdominal aortic aneurysm) identified 6 months ago.
?Medications:
?Digoxin,
? FeSO4,
?Lasix (furosemide) ,
? Imdur (isosorbide mononitrate) ,
?Protonix (pantoprazole) ,
?Coumadin (warfarin)
?Allergies:
?Sulfa,
?Atorvastatin (Lipitor),
?Simvastatin (Zocor),
?Ipratropium (Atrovent) and
Penicillin.
Physical examination :
?VS : 36.7-78-16-131/63.
Pale conjunctivae.
Chest: CTA (B).
CVS: 2/6 systolic murmur at LSB, metallic click.
Abdomen: Soft, +BS, NT.
Rectal exam: brown stool, sent for fecal occult blood testing (FOBT).
Extremities: no edema.
?The finding of pale conjunctivae is significant because the hemoglobin (Hb) is usually below 8 mg/dL before we can see it.
?CHF is less likely with clear lungs and
?No leg edema on physical examination.
Questions related to case:
1. What is your differential diagnosis of the very vague chief complaint of fatigue?
2. What is the most likely diagnosis?
3. What laboratory workup would you order?
4. What is the etiology of the anemia?
5. What would you do?
Get the answers...
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