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Allergic Reactions: Anaphylaxis01:30

Allergic Reactions: Anaphylaxis

Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin, heparin),...
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Upper Respiratory Drugs: First and Second-Generation Antihistamines01:15

Upper Respiratory Drugs: First and Second-Generation Antihistamines

Antihistamines are a class of drugs widely used to alleviate the symptoms of allergies, such as sneezing, itching, and nasal congestion. They work by inhibiting the actions of histamine, which is released by immune cells in response to allergenic substances or tissue injuries.
Histamine binds to specific receptor sites, known as H1 receptors, on tissue cells, triggering inflammation and swelling. Antihistamines combat these effects by competing with histamine for these receptor sites. By...
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs

Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Allergic Drug Reactions01:27

Allergic Drug Reactions

Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing numerous...
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Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...

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Updated: Jun 25, 2026

Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis
03:40

Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis

Published on: December 20, 2024

Antibiotics for the allergist: part 2.

Mark S La Shell1, Michael S Tankersley

  • 1Department of Allergy and Immunology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas 78236, USA. mark.lashell@lackland.af.mil

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|February 12, 2009
PubMed
Summary

Antibiotic use in allergy practice is shifting, with observation periods gaining favor over traditional first-line treatments. Understanding microbiology and resistance patterns is crucial for appropriate antibiotic selection in evolving treatment paradigms.

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Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis
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Basophil Activation Test for Allergy Diagnosis
07:22

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Published on: May 31, 2021

Area of Science:

  • Allergy and Immunology
  • Infectious Diseases
  • Pharmacology

Background:

  • Antibiotics have historically been primary treatments for many conditions managed in allergy practice.
  • Emerging research questions the necessity of antibiotics for certain disorders.
  • Microbial resistance patterns are continuously changing, impacting treatment efficacy.

Purpose of the Study:

  • To review current antibiotic use and selection strategies for common allergy practice disorders.
  • To examine the evolving role of antibiotics in allergy management.
  • To highlight the importance of microbiology and resistance data in therapeutic decisions.

Main Methods:

  • Conducted comprehensive MEDLINE searches using keywords related to antibiotics, antimicrobials, management, and treatment.
  • Included a review of references from selected relevant articles.
  • Selected studies based on their direct relevance to allergy practice and antibiotic use.

Main Results:

  • Extensive research exists on both established and novel antibiotic applications.
  • The role of antibiotics is under scrutiny for some conditions, with macrolide antibiotic therapies being actively investigated.
  • Evolving microbial resistance necessitates careful consideration of antibiotic choices.

Conclusions:

  • The traditional paradigm of antibiotics as first-line therapy is shifting towards observation and investigation of nonbacterial causes.
  • Appropriate antibiotic selection remains critical, requiring knowledge of microbiology and current resistance trends.
  • Awareness of evolving resistance patterns is essential for effective antibiotic selection in allergy practice.