However, some patients may benefit from a short course of glucocorticoids, for example if they had severe facial swelling or asthma symptoms related to their anaphylactic reaction. Anyone who has had anaphylaxis is at increased risk of experiencing anaphylaxis again.
Unless there is minimal risk of re-exposure to the allergen, you should carry an epinephrine autoinjector with you at all times. In addition, you should see an allergist for further evaluation and management, especially if there is any doubt about what triggered your anaphylaxis or whether you may have other allergic triggers. Finally, do your best to completely avoid your allergic trigger, as even small amounts can cause a severe allergic reaction.
As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Sodiumbisulfate is used as a preservative. In Epi-Pens. Asthmatics can be sensitive to this additive. Benadryl helped keep a second reaction from occurring greater than the first reaction for my family member.
Just to make people aware…they MAY have changed it a bit over the years…but be very beware of cat scan dye. My mother had a reaction to it once…and years later took her for cat scan…told doctor do not use dye and he did and she went into severe anaphalyaxis.
Took her to hospital where they gave her benedryl to only make matters worse…. It would really be nice if doctors understood the fact that patients know a little about their bodies too.
Kothari: Bravo for your article! We have entered into an agreement with a leading global pop musician who will be supporting the activities of our non-profit, along with the leading health organizations throughout the U. Stay tuned! Epinephrine is the standard first-line treatment for patients with anaphylaxis, but its use is often replaced or delayed by administration of antihistamines and corticosteroids. Researchers evaluated the efficacy of alternate interventions for anaphylaxis using a cohort of patients who were seen in emergency departments EDs and were included in a Canadian anaphylaxis registry.
Most cases were associated with food allergy in children. Fewer than one third of patients received epinephrine in the prehospital setting, and fewer than one half received it in the ED.
Prehospital use of antihistamines further lowered the need for ED epinephrine. Patients who received prehospital corticosteroids were 2. I must admit that old habits die hard, and I often still give corticosteroids along with epinephrine and antihistamines for anaphylaxis. My typical symptoms occurred throat swelling, difficulty breathing, dizziness, and extreme nausea but this time they came on like a freight train.
Then I took an antihistamine. We alerted and sat on the couch. Even as I write this right now, I become very emotional. Those were some very tense minutes that felt like an eternity. I was still gasping for air and my swollen throat would not let any air in.
The fire fighters burst through the door. I am so thankful that I did what I did, and that my friend and his family knew what to do too. They saved my life. In retrospect, I wish I had used it every time. Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Epinephrine is the first-line treatment for anaphylaxis. Data indicate that antihistamines are overused as the first-line treatment of anaphylaxis.
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