Support For The Stronger Warning
The boxed warning is a step that the Allergy and Asthma Network has been pushing for.
AAN was the only national patient organization to advocate for this black box warning, Tonya Winders, president and chief executive officer of AAN, told Healthline. We have reports of thousands of families impacted by the neuropsychiatric side effects of Singulair/montelukast.
Winders noted that figure accounts for fewer than 10 percent of the total number of people whove taken the medication, but it is important to recognize the warning signs and talk with your doctor about alternative treatments.
For people with hay fever, Winders suggests that allergen immunotherapy, avoidance and other prescription or over-the-counter medications also may help.
Alternative treatments to treat hay fever could include antihistamines, eye drops, or just being aware of whats causing the allergies and trying to avoid triggers. That could include closing windows and washing hands more frequently.
Other allergy drugs come with their own potential side effects.
First-generation antihistamines such as Benadryl can cause drowsiness as well as headaches and dizziness. In the most serious cases, they can cause vision or urination problems.
Second- and third-generation antihistamines such as Allegra, Claritin, and Zyrtec reportedly have less potential for side effects, although drowsiness and headaches can still occur.
Should I Take Claritin Zyrtec Or Allegra
It’s common for people with hives or hay fever to wonder which over-the-counter antihistamine they should take: Claritin , Zyrtec , or Allegra . All of these antihistamines have been available OTC without a prescription for a number of years.
But if you’re thinking these antihistamines are the same, they’re actually not. Depending on the allergic condition being treated, the age of the person, as well as other underlying issues , the best choice of antihistamine might be different.
Verywell / Brianna Gilmartin
Are Cetirizine And Loratadine Safe To Use While Pregnant And Breastfeeding
Cetirizine has not been adequately evaluated in women. Available evidence suggests that risk to the developing fetus is low.
Cetirizine is excreted in human breast milk.
Loratadine is secreted in breast milk at levels similar to blood levels. mothers should decide whether to stop or discontinue loratadine.
Zyrtec Can Also Treat Feline Allergic Asthma
According to AmericanVeterinarian, Allergic asthma is prevalent in cats, but researchers cant explain why.
Symptoms range from sneezing, wheezing, and coughing, and oftentimes, a cat experiences all three. What they do know is early and constant treatment allow cats to live nearly symptom-free lives.
Cats can have this along with other conditions, especially a cold, so you should have your kitty checked by a vet to rule it out if you suspect allergies.
We Have Multiple Cats But Only One Has Food Allergies
Not every cat will have the same allergies or allergies period. However, in a multi-cat household, you should feed all of the cats the same food and treats if possible.
Otherwise, you might need to feed your non-allergic cats in an area off-limits to your cat with food allergies.
Some cats have severe allergies to the point where breathing in the allergen will trigger a response. In multiple pet households, this can pose a real threat.
One of our staff has a dog with severe food allergies, for example. He cant have chicken, turkey, pork, beef, wheat, corn, soy, eggs, or rice. When she adopted a cat, she had to feed the cat a similar ingredient diet to avoid triggering her dogs allergies.
It doesnt take much either to set off their allergies, so cross contamination is a real concern for your kittys overall wellbeing.
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Warning: Combination Allergy Medications
Antihistamines are also available in combination allergy products with , such as pseudoephedrine, that can interact with several medications and raise the risk of side effects. Consult your doctor before taking a combination product.
First-generation antihistamines are considered anticholinergic drugs since they block activity of acetylcholine, the neurotransmitter that transmits messages within the brain and throughout the central nervous system.
Anticholinergics can worsen certain conditions or lead to serious complications. Talk with your doctor before taking one of these drugs if you have any of the following conditions that may prohibit their use:
- Urinary obstruction
Research has also found a link between anticholinergics and an increased risk of dementia and Alzheimer’s disease. As none of the second-generation antihistamines are anticholinergics, those with a family history of Alzheimersor those taking Benadryl frequentlymay want to switch to one of these drugs.
How Is Asthma Treated
If you or a loved one has asthma, we can put together a comprehensive plan to treat it. This plan can address the particular allergens that affect you. Also, the frequency and severity of your symptoms will be factored into your plan.
Its common for an inhaler to be used in an asthma treatment plan. Its a portable device that can deliver a premeasured dose of asthma medicine into a patients lungs. Some inhalers have corticosteroids that can control swelling and irritation in the airway, while other inhalers have fast-acting drugs like bronchodilators which can help open up the airway quickly when necessary. A combination of medicines is possible. Inhalers are very effective for many patients, not just for seasonal use, but for daily use.
For some patients, a nebulizer can help, while for others, an oral medicine will help. Different medicines have different purposes, like reducing inflammation or helping to open up the airway, and its also possible to get an oral corticosteroid. Sometimes with more severe cases of asthma, a patient will benefit greatly from injections of a biologic medication that can reduce the patients sensitivity to allergens.
Some or many of the aforementioned treatments will be factored into your treatment plan with us at Allergy & Asthma Center. Together in your plan, the treatments can reduce or even relieve your symptoms so you can live the kind of life youve been missing.
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Is There Anyone Who Should Not Take Zyrtec
Zyrtec is safe for most people, but there are some populations that should stay away from it. Children under 2, anyone with a history of allergic reaction to Zyrtec or hydroxyzine/piperazine derivatives, and people with severe renal impairment are all people who probably shouldn’t take Zyrtec, says Dr. Patel. For people with these conditions, Zyrtec can cause adverse health effects.
If you are pregnant and breastfeeding, Dr. Patel recommends speaking to your doctor before using it, since some women have experienced side effects. Dr. Eitches suggests taking it with caution if you’re on other medications or take some kind of sleeping aid to help you go to bed.
When in doubt, it’s best to go to your doctor with any questions before you take Zyrtec as an allergy medicine. All things considered though, youre likely to be fine when using Zyrtec, as side effects arent terribly common, Boomershine notes. Still, it’s best to be aware of potential Zyrtec side effectsespecially if you’re planning on popping the stuff on the reg over the next few months.
Our Response To Covid
At Johnson & Johnson Consumer Health, we are committed to helping individuals and communities around the world manage the unprecedented impacts of COVID-19. As COVID-19 strains healthcare resources globally, it is more important than ever to help people stay healthy and out of a stressed healthcare system.
Our teams are actively working to maintain production of high-demand consumer health products, including ZYRTEC® brand products. ZYRTEC® is in high demand, with many parts of the country experiencing high pollen levels, and we are prioritizing the continued production of high-demand products to maintain supply, all while ensuring the highest level of quality and safety.
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Does Claritin Help With Asthma
4/5asthmaasthmamore on it
Antihistamines work well to prevent or relieve allergic symptoms in the eyes and nose. Unfortunately, they have little effect on asthmatic symptoms. It turns out that histamine is only one of many chemicals that can cause narrowing of the bronchial tubes, and antihistamines leave these other chemicals unopposed.
what is the best treatment for allergic asthma? There are many good asthma treatments, but most require a prescription. These medications include inhaled steroids, which fight inflammation, and bronchodilators, which open up your airways. If traditional treatments don’t help your allergic asthma, Xolair, an injectable medication that reduces IgE levels, may help.
Furthermore, which antihistamine is best for asthma?
Some popular OTC antihistamine medications include: Zyrtec. Claritin. Benadryl.If you are not able to get your allergy symptoms under control with an OTC antihistamine, your doctor may prescribe one of the following prescription antihistamines:
What medications should be avoided with asthma?
- Non-steroidal anti-inflammatory drugs, like ibuprofen and naproxen
- Beta-blockers, which are usually used for heart conditions, high blood pressure and migraines.
Here Are A Few Tips To Help Allergy Sufferers Enjoy The Beautiful Spring Weather:
Oral allergy medications
Oral medications are especially useful for mild allergy symptoms, and many are available over the counter.
Nonsedating antihistamines can relieve itching, sneezing, runny nose and watery eyes. Options include:
- Loratadine , cetirizine , levocetirizine and fexofenadine all are available without prescription.
- Oral decongestants, like pseudoephedrine and phenylephrine can ease stuffiness, and pseudoephedrine is often combined with an antihistamine. These medications are generally well-tolerated, with minimal side effects.
Common side effects
Oral decongestants cause insomnia and elevated blood pressure for some people, and antihistamines can cause drowsiness. If you find that one brand of antihistamine makes you sleepy, try a different one to see if you tolerate that better.
Older antihistamines, like diphenhydramine , are more likely to cause drowsiness compared to the newer antihistamines. Be careful about driving or working around heavy machinery if you take diphenhydramine.
Nasal steroid sprays
For more persistent allergy symptoms, nasal steroid sprays often are the best treatment option. Nasal steroid sprays block inflammation and swelling caused by airborne irritants and allergens, and prevent allergy symptoms.
Over-the-counter steroid nasal sprays include:
However, you may first want to know more details about allergy shots before considering:
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Benadryl Vs Zyrtec: Dosing
How each is dosed shows significant differences in the duration of action of each.
Benadryl has a duration of action of around 4 to 6 hours, although this can be prolonged in those with liver disease or in the certain populations like the elderly. In addition, some individuals can be ‘slow-metabolizers’ or ‘fast-metabolizers’ of Benadryl, which alters how long the effects last for.
Benadryl is typically dosed at 25 to 50 mg at 4 to 6 hour intervals.
Zyrtec has a duration of action of 24 hours, which is the claim to fame of most ‘second-generation’ antihistamines. This long duration of action allows it to be dosed only once a day, which is ideal for treating perennial and seasonal allergy symptoms.
The most common dose of Zyrtec is 10 mg once daily, although low doses of Zyrtec twice daily can be used in young children for certain indications, like atopic dermatitis .
How Do I Know If Other Medicines Im Taking Are Making My Asthma Worse
Any medicine can cause wheezing or shortness of breath if youre allergic to it. If you notice that your asthma gets worse every time you take a certain medicine, tell your doctor as soon as possible. If you use a peak flow meter to check your asthma, tell your doctor if you see changes in your peak flow readings after you take a certain medicine. Your doctor can decide whether your medicine should be changed.
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What Happens If I Overdose
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include extreme drowsiness, vision problems, agitation, feeling restless and then drowsy or tired, fast heartbeats, stomach pain, nausea, vomiting, trouble walking, or trouble swallowing or speaking.
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What Are Cetirizine And Loratadine
Cetirizine is a non-sedating . It is similar to other second-generation antihistamines including loratadine , and . Histamine is a chemical responsible for many of the signs and symptoms of allergic reactions such as swelling of the lining of the nose, sneezing, and eyes. Certirizine blocks one type of receptor for histamine and prevents activation of H1 receptor-containing cells by histamine. Unlike first generation antihistamines, cetirizine and other second-generation antihistamines do not readily enter the brain from the blood so they cause less drowsiness though cetirizine may cause more drowsiness than other second-generation antihistamines.
Loratadine is a long-acting, non-sedating antihistamine used to treat . Loratadine blocks one type of histamine receptor and thus prevents activation of cells with H1 receptors by histamine. Unlike some antihistamines, loratadine does not enter the brain from the blood and does not cause drowsiness when taken at recommended doses.
Respiratory Problems And Nonprescription Products
W. Steven Pray, PhD, DPhBernhardt Professor, Nonprescription Products and DevicesCollege of Pharmacy
Gabriel E. Pray, PharmD CandidateCollege of PharmacyWeatherford, Oklahoma
Pharmacists render dozens of judgments each week incommunity pharmacies when patients request assistance with treatment ofminor health problems with nonprescription products. Virtually allnonprescription products have contraindications, and a variety of theserefer to patients with respiratory problems such as asthma, wheezing,emphysema, or chronic bronchitis.1 When the pharmacist isaware that a particular patient has been diagnosed with a respiratoryproblem, it can be vital to advise against use of contraindicatedproducts, unless a physician has suggested that the patient use them.
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Comparisons With Other Allergy Medications
Researchers are often studying, comparing, and improving antihistamines. Other popular brands on the market today are Allegra and Benadryl.
- Allegra contains the active ingredient fexofenadine. Allegra is non-sedating, so it should not make a person feel drowsy. Allegra is also a second-generation antihistamine.
- Benadryl contains the active ingredient diphenhydramine. This acts faster than the other three and aims to treat minor skin reactions, not seasonal allergies. Benadryl is a first-generation antihistamine, which makes it sedating, so people tend to feel drowsy after taking it.
When a person comes into contact with an allergen, their immune system reacts and produces a chemical called histamine.
Histamine causes many allergy symptoms, including inflammation of the skin or sinuses, pain, redness, and wheezing.
Immune responses also encourage extra mucus to develop, which helps to clear allergens from the nose and throat.
Allergy medications block histamine responses. This dulls the bodys response to minor or harmless allergens, such as pollen, dust, and pet dander.
Claritin and Zyrtec are effective and safe for most people with minor allergies. However, as with all medications, there may be some side effects.
Loratadinepresent in Claritinmay not be safe for people with severe liver conditions. The liver has to break down loratadine. The kidneys break down cetirizinefound in Zyrtecand the body excretes it in the urine, largely unchanged.
Singulair Vs Zyrtec Differences
Singulair is part of a class of drugs called leukotriene receptor antagonists. This medication works by blocking the effects of a substance produced by the human body in response to certain triggers, called leukotriene. This substance causes swelling and narrowing of the airways in the lungs.
It is used to prevent narrowing of the airway which occurs with exercise in children who are at least 6 years old and adults. Moreover, it is used to prevent asthma attacks in children and adults.
Zyrtec is an over-the-counter medication which is used for the treatment of seasonal allergies, hay fever, and hives. It belongs to a group of drugs called antihistamines.
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What Is Zyrtec
Zyrtec is used in adults and children to treat cold or allergy symptoms such as sneezing, itching, watery eyes, or runny nose.
Zyrtec is also used to treat itching and swelling caused by chronic urticaria .
How To Take It
Adults and children 6 years and older can take cetirizine capsules and tablets.
The usual dosage for adults younger than 65 years and children who are 6 years and older is one 10-milligram dose per day.
You shouldnt take more than 10 mg in 24 hours. Your doctor may recommend a 5-mg dose once or twice per day if your allergies are mild.
Talk to your doctor about dosage for people who:
- are 2 to 6 years old
- are older than 65 years
- have liver or kidney disease
Cetirizine is a newer, second-generation antihistamine. Unlike first-generation antihistamines, cetirizine is less likely to cause side effects such as dangerous drowsiness, dry mouth, blurred vision, and overheating.
That said, Cetirizine can cause adverse effects, such as:
- some drowsiness
Tell your doctor about any unexpected side effects that you have while taking cetirizine. Also, discuss any ongoing or bothersome side effects. These side effects are usually not emergencies.
Following are a few things to consider before taking cetirizine.
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