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Can i take 2 zyrtecs a day: Zyrtec Dosing Charts for Adult & Children’s Cetirizine Products

Zyrtec Dosing Charts for Adult & Children’s Cetirizine Products

Products ∕ ZYRTEC® Dosing Charts For Adult and Children’s Cetirizine HCl Products

Whether you need to know ZYRTEC® dosages for adults or children, check out our dosing charts and FAQs for the ZYRTEC® family of products, to find all the information you need.

When taking any medication, it’s important to take the recommended dosage. If you’re in doubt, follow the instructions on the product packaging or our dosage chart below.

Filter by:

Use only as directed.

Under 2
Ask a doctor

2 to under 6 years
2.5 mL once daily. If needed, dose can be increased to a maximum of 5mL once daily or 2.5 mL every 12 hours

Do not give more than 5 mL in 24 hours

6+ years
5 mL or 10 mL once daily depending on severity of symptoms.

Do not give more than 10 ml in 24 hours

Adults 65 years and over
5 mL once daily; do not take more than 5 mL in 24 hours.

Consumers with liver or kidney disease
Ask a doctor.

Use only as directed.

Under 2
Ask a doctor

6+ years
One 10 mg tablet once daily; do not give more than 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over
Ask a doctor.

Consumers with liver or kidney disease
Ask a doctor.

Use only as directed.

Under 2
Ask a doctor

2 to under 6 years
2.5 mL once daily. If needed, dose can be increased to a maximum of 5mL once daily or 2.5 mL every 12 hours

Do not give more than 5 mL in 24 hours

6+ years
5 mL or 10 mL once daily depending on severity of symptoms.

Do not give more than 10 ml in 24 hours

Adults 65 years and over
Chew and swallow 2 tablets (5 mg) once daily; do not take more than 2 tablets (5 mg) in 24 hours.

Consumers with liver or kidney disease
Ask a doctor.

Use only as directed.

Under 6 years
Ask a doctor.

6+ years
Chew and swallow 1 tablet (10 mg) once daily; do not give more than 1 tablet (10 mg) in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over
Ask a doctor.

Consumers with liver or kidney disease
Ask a doctor.

Use only as directed.

Children under 6 years of age
Ask a doctor

Adults under 65 and children 6 years and older
One 10 mg tablet once daily; do not take more than one 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over
Ask a doctor.

Consumers with liver or kidney disease
Ask a doctor.

Use only as directed.

Children under 6 years of age
Ask a doctor.

Adults under 65 and children 6 years and older
One 10 mg tablet once daily; do not take more than one 10 mg tablet in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over
Ask a doctor.

Consumers with liver or kidney disease
Ask a doctor.

Use only as directed.

Adults under 65 and children 12 years and older
One 10 mg capsule once daily; do not take more than one 10 mg capsule in 24 hours.

Adults 65 years and over
Ask a doctor.

Adults with liver or kidney disease
Ask a doctor.

Children under 12 years of age
Ask a doctor.

Use only as directed.

Adults and children 6 years and older
Chew and swallow 2 tablet (10 mg) once daily; do not take more than 1 tablet (10 mg) in 24 hours. A 5 mg product may be appropriate for less severe symptoms.

Adults 65 years and over
Ask a doctor.

Adults with liver or kidney disease
Ask a doctor.

Children under 6 years of age
Ask a doctor.

Cetirizine: antihistamine that relieves allergy symptoms

1. About cetirizine

Cetirizine is an antihistamine medicine that helps the symptoms of allergies.

It’s used to treat:

  • hay fever
  • conjunctivitis (red, itchy eye)
  • eczema
  • hives (urticaria)
  • reactions to insect bites and stings
  • some food allergies

Cetirizine is known as a non-drowsy antihistamine. It’s much less likely to make you feel sleepy than some other antihistamines.

Cetirizine is available on prescription, but you can also buy it from pharmacies and supermarkets.

It comes as tablets, capsules and as a liquid that you swallow.

2. Key facts

  • It’s usual to take cetirizine once a day. Children aged under 12 take it twice a day.
  • Cetirizine is classed as a non-drowsy antihistamine, but some people still find it makes them feel quite sleepy.
  • Common side effects include headaches, dry mouth, feeling sick, dizziness and diarrhoea.
  • Some brands of cetirizine come as capsules. These may contain soya oil. Do not take cetirizine capsules if you are allergic to peanuts or soya.
  • Some Benadryl products do not contain cetirizine, but a different antihistamine such as acrivastine.

3. Who can and cannot take cetirizine

Most adults can take cetirizine.

Children

  • Children aged 1 and over can take cetirizine liquid if prescribed by their doctor.
  • Children aged 2 and over can take cetirizine liquid bought from pharmacies or prescribed by their doctor.
  • Children aged 6 and over can take cetirizine tablets and liquid that you buy from pharmacies and supermarkets.
  • Children aged 12 and over can take cetirizine capsules, tablets and liquid that you buy from pharmacies and supermarkets.

Who may not be able to take cetirizine

Cetirizine is not suitable for some people. To make sure it’s safe for you, tell your doctor or pharmacist if you:

  • have ever had an allergic reaction to cetirizine or any other medicine
  • have an allergy to food additives
  • have an allergy to peanuts or soya – some brands of cetirizine capsules (but not tablets) contain soya
  • have kidney failure
  • have epilepsy or another health problem that puts you at risk of having seizures or fits
  • have a condition that means you have difficulty peeing
  • are due to have an allergy test – taking cetirizine may affect the results, so you might need to stop taking it a few days before the test

4.

How and when to take cetirizine

If you or your child have been prescribed cetirizine, follow your doctor’s instructions about how and when to take it. If it is from a pharmacy or shop, follow the instructions that come with the packet.

Dosage and strength

Cetirizine comes as tablets and capsules (10mg) and as a liquid medicine (labelled either 5mg/5ml or 1mg/1ml).

The usual dose for adults is 10mg once a day.

Doses are usually lower for people with kidney problems.

Children
  • For children between 6 to 11 years of age, the usual dose is 5mg, twice a day. Try to leave 10 to 12 hours between doses. So, one first thing in the morning, and one before bedtime.
  • For children between 2 to 5 years of age, the dose is 2.5mg, twice a day.
  • For children between 1 to 2 years of age, your doctor will use their weight or age to work out the right dose.

How to take it

You can take cetirizine with or without food, but always take the tablets or capsules with a drink of water, milk or squash. Swallow them whole. Do not chew them.

Cetirizine liquid may be easier for children to take than tablets. The liquid medicine will come with a plastic syringe or spoon to give the right dose. If you do not have a syringe or spoon, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not measure out the right amount.

When to take it

You may only need to take cetirizine on a day you have symptoms – for example, if you have been in contact with something that has triggered your allergy, like animal hair.

Or you may need to take it regularly to prevent symptoms – for example, to stop hay fever during spring and summer.

What if I forget to take it?

Take your forgotten dose as soon as you remember, unless it’s nearly time for your next dose. In this case, skip the missed dose and take your next dose at the usual time.

Do not take 2 doses to make up for a forgotten dose.

If you forget to give a dose to a child who is taking cetirizine twice a day, you can give the missed dose if it’s within 4 hours of when they should have had it.

If you remember more than 4 hours after, do not give the missed dose. Instead, wait until the next dose and carry on as normal.

If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

What if I take too much?

Cetirizine is generally very safe. Taking more than the usual dose is unlikely to harm you or your child.

If you take an extra dose, you might get some of the common side effects. If this happens or you’re concerned, contact your doctor.

5. Side effects

Like all medicines, cetirizine can cause side effects, although not everyone gets them.

Common side effects

The most common side effect of cetirizine is feeling sleepy and tired. This happens in more than 1 in 10 people. Talk to your doctor or pharmacist if this side effect bothers you or does not go away.

Other common side effects of cetirizine happen in more than 1 in 100 people.

Talk to your doctor or pharmacist if these side effects bother you or do not go away:

  • headaches
  • dry mouth
  • feeling sick (nausea)
  • feeling dizzy
  • diarrhoea
  • sore throat
  • sneezing or blocked and runny nose

Children are more likely to get diarrhoea, sneezing or a blocked and runny nose than adults.

Serious side effects

It’s rare to have a serious side effect with cetirizine.

Call your doctor straight away if you have bruising or bleeding that’s more than normal.

Serious allergic reaction

In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to cetirizine.

Immediate action required: Call 999 now if:

  • your lips, mouth, throat or tongue suddenly become swollen
  • you’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
  • your throat feels tight or you’re struggling to swallow
  • your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
  • you suddenly become very confused, drowsy or dizzy
  • someone faints and cannot be woken up
  • a child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face)

You or the person who’s unwell may also have a rash that’s swollen, raised, itchy, blistered or peeling.

These can be signs of a serious allergic reaction and may need immediate treatment in hospital.

These are not all the side effects of cetirizine. For a full list, see the leaflet inside your medicines packet.

Information:

You can report any suspected side effect using the Yellow Card safety scheme.

Visit Yellow Card for further information.

6. How to cope with side effects of cetirizine

What to do about:

  • feeling sleepy and tired – try a different non-drowsy antihistamine. If this does not help, talk to your doctor.
  • headaches – make sure you rest and drink plenty of fluids. It’s best not to drink too much alcohol. Ask your pharmacist to recommend a painkiller for your headaches, but they usually go away after the first week of taking cetirizine. Talk to your doctor if your headaches last longer than a week or are severe.
  • dry mouth – chew sugar-free gum or suck sugar-free sweets.
  • feeling sick (nausea) – try taking your tablets with food. It may also help if you stick to simple meals and avoid rich or spicy food.
  • feeling dizzy – if cetirizine makes you feel dizzy when you stand up, try getting up very slowly or stay sitting down until you feel better. If you begin to feel dizzy, lie down so that you do not faint, then sit until you feel better. Do not drive, cycle or use tools or machines if you feel dizzy or a bit shaky.
  • diarrhoea – drink plenty of water or other fluids if you have diarrhoea. Speak to a pharmacist if you have signs of dehydration, such as peeing less than usual or having dark, strong-smelling pee. Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor.
  • sore throat – if you’re 16 and over, you can try gargling with an aspirin solution (1 soluble aspirin tablet dissolved in half a glass of water) or use a pain-relieving mouthwash such as Oraldene. If your symptoms last longer than a week, ask your pharmacist or doctor for advice. Children under 16 must not be given aspirin.
  • sneezing or blocked and runny nose – try a different non-drowsy antihistamine. If this does not help, talk to your doctor.

7. Pregnancy and breastfeeding

Cetirizine can be used in pregnancy. There is no good evidence that it causes harm to the baby. However, other antihistamines such as loratadine may be recommended as there is more information about its use in pregnancy.

Cetirizine and breastfeeding

If your doctor or health visitor says your baby is healthy, you can take cetirizine while breastfeeding.

There is some information available which shows that only very small amounts get into breast milk. Cetirizine has been used for many years while breastfeeding without side effects in babies.

If your baby is not feeding as well as usual, seems unusually sleepy, or if you have any other concerns about your baby, talk to your doctor, pharmacist, health visitor or midwife.

Non-urgent advice: Tell your doctor if you’re:

  • trying to get pregnant
  • pregnant
  • breastfeeding

Find out more about how cetirizine can affect you and your baby during pregnancy on the Best Use of Medicines in Pregnancy (BUMPS) website.

8. Cautions with other medicines

Some medicines can increase the chances of you having side effects with cetirizine.

Check with your pharmacist or doctor if you’re taking any medicine that makes you drowsy, gives you a dry mouth, or makes it difficult for you to pee. Taking cetirizine might make these side effects worse.

Mixing cetirizine with herbal remedies and supplements

There might be a problem taking some herbal remedies and supplements alongside cetirizine, especially ones that cause sleepiness, a dry mouth, or make it difficult to pee.

Important:
Medicine safety

Tell your doctor or pharmacist if you’re taking any other medicines, including herbal medicines, vitamins or supplements.

9. Common questions about cetirizine

How does cetirizine work?

Cetirizine is a type of medicine called an antihistamine. When you come into contact with something you’re allergic to, such as pollen, animal hair or fur, your body produces a chemical called histamine.

Usually histamine is a useful substance, but in an allergic reaction it causes unpleasant symptoms including itchy, watery eyes, a running or blocked nose, sneezing and skin rashes.

Cetirizine blocks the effects of histamine and reduces these symptoms.

When will I feel better?

You should start to feel better within an hour.

How long should I take cetirizine for?

It depends on why you’re taking cetirizine.

You may only need to take it for a short time or as a one-off dose.

For example, if you have a reaction to an insect bite, you may only need to take cetirizine for a day or two.

You may need to take cetirizine for longer if you’re taking it to prevent symptoms – for example, to stop hay fever when the pollen count is high.

Talk to your doctor or pharmacist if you’re unsure how long you need to take cetirizine for.

Is it safe to take cetirizine for a long time?

Cetirizine is unlikely to do you any harm if you take it for a long time.

However it’s best to take cetirizine only for as long as you need to. If you take it regularly over a long period there’s a very small chance of severe itching if you stop treatment suddenly.

If you’ve been taking cetirizine every day for a long time, talk to your doctor before stopping it.

Can I drink alcohol with it?

It’s best not to drink alcohol while you’re taking cetirizine as it can make you feel sleepy.

Is there any food or drink I need to avoid?

You can eat and drink normally while taking cetirizine.

Can I drive or ride a bike with it?

Cetirizine is classed as a non-drowsy antihistamine, but it’s still possible to feel sleepy after taking it.

If this happens to you, do not drive a car, ride a bike, use tools or machinery until you do not feel tired anymore.

It’s an offence to drive a car if your ability to drive safely is affected. It’s your responsibility to decide if it’s safe to drive. If you’re in any doubt, do not drive.

Talk to your doctor or pharmacist if you’re unsure whether it’s safe for you to drive while taking cetirizine. GOV.UK has more information on the law on drugs and driving.

What’s the difference between cetirizine and other antihistamines?

Cetirizine is known as a non-drowsy antihistamine. That’s because it’s less likely to make you feel sleepy than sedating antihistamines, such as Piriton (chlorphenamine).

Most people prefer to take a non-drowsy antihistamine instead of one that makes them drowsy. An exception is when you want the medicine to make you sleepy – for example, if you have itchy skin that’s keeping you awake.

What’s the difference between cetirizine and other non-drowsy antihistamines?

Other non-drowsy antihistamines, such as loratadine, desloratadine, fexofenadine and levocetirizine, seem to work just as well as cetirizine.

But cetirizine seems to be more likely to make you feel sleepy than loratadine, desloratadine or fexofenadine.

Can I take it with painkillers?

Yes, you can take cetirizine together with paracetamol or ibuprofen.

Can I take 2 types of antihistamine in 1 day?

Sometimes doctors recommend that people with a severe, itchy skin rash take 2 different antihistamines together for a few days.

As well as taking a non-drowsy antihistamine during the day (such as cetirizine or loratadine), your doctor may advise that you take a drowsy antihistamine at night time if the itching is making it difficult to sleep.

Do not take 2 antihistamines together unless recommended by your doctor.

Can I take cetirizine with other hay fever treatments?

Yes, it’s fine to take cetirizine together with some other hay fever treatments – for example, steroid nasal sprays (such as beclometasone (Beconase), Rhinocort Aqua and Flixonase Nasules) or eye drops.

Can I take cetirizine at higher doses than on the packet?

Your doctor may prescribe a higher dose of cetirizine (up to 4 times the usual dose) for you or your child, for a severe, itchy skin rash or swelling under the skin (angioedema).

Taking high doses of cetirizine is not suitable for everyone though. Speak to your doctor if you think cetirizine is not working for you.

Will it affect my fertility?

There’s no evidence to suggest that taking certirizine will reduce fertility in either men or women.

Speak to a pharmacist or your doctor before taking it if you’re trying to get pregnant.

Will it affect my contraception?

Cetirizine does not affect any type of contraception, including the combined pill and emergency contraception.

However, if cetirizine makes you vomit or have severe diarrhoea for more than 24 hours, your contraceptive pills may not protect you from pregnancy. Check the pill packet to find out what to do.

Read more about what to do if you’re on the pill and you’re being sick or have diarrhoea.

Can lifestyle changes relieve hay fever?

It’ll help if you do not spend too much time outside if the pollen count is high.

Tips for when you’re outside
  • Do not cut grass or walk on grass.
  • Wear wraparound sunglasses to stop pollen getting into your eyes.
  • Put Vaseline around your nostrils to help trap pollen.
  • Shower and change your clothes after you have been outside to wash off pollen.
Tips for when you’re inside
  • Keep windows and doors shut as much as possible.
  • Vacuum regularly and dust with a damp cloth.
  • Do not keep fresh flowers in the house.
  • Do not smoke or be around smoke as it makes hay fever symptoms worse.

Dosage, analogues, active substance, for which it is prescribed

Date of publication: 25.08.2022 POSSIBLE SIDE EFFECTS. A SPECIALIST’S CONSULTATION IS REQUIRED.

  • Zyrtec: what is it for
  • Zyrtec: active ingredient
  • Zyrtec: composition
  • Zirtek: dosage
  • Zirtek: drops for children
  • Zirtek: analogues
  • Zirtek or Zodak: which is better
  • Zirtek or Cetrin: which is better
  • Zirtek or Erius: which is better 9 0016
  • Summary
  • Ask an expert on the topic of the article

Allergic rhinitis is a disease accompanied by itching in the nasal cavity, endless watery discharge from the nose, paroxysmal sneezing and absolute nasal congestion. And such symptoms appear with the beginning of flowering plants. It’s all about the reaction of the body to irritating factors from the outside. In the case of allergic rhinitis, this is plant pollen.

During this period, people suffering from this disease are helped by antihistamines. One of them is Zyrtec. We asked pharmacist Kristina Khokhrina to tell us more about it, and this is what she told us: what it is used for, what is included in the composition of the product, in what dosage it is used and whether it is suitable for children. We also provided a small list of similar antihistamines and found differences between Zirtek and Zodak, Citrine and Erius.

All products Zyrtec

3 reviews

Zyrtec: what

Zyrtec is used for for allergies. The main indications for the use of Zirtek:

  • allergic rhinitis
  • allergic conjunctivitis
  • symptoms of chronic urticaria

The drug acts on the skin one hour after ingestion. Maximum efficiency is achieved within 2-12 hours. The effect gradually decreases, but persists for a day.

Zyrtec: active ingredient

Zyrtec: composition

Zyrtec is available in two forms: drops and tablets. Let’s talk about the composition of both drugs. The active substance in both forms is the same, only the auxiliary components change, since they determine the form of the drug.

Zyrtec drops: glycerol, propylene glycol, sodium saccharinate, methylparabenzene, propylparabenzene, sodium acetate, glacial acetic acid, purified water.

Zyrtec tablets: microcrystalline cellulose, lactose monohydrate, colloidal silicon dioxide, magnesium stearate, hypromellose, titanium dioxide, macrogol.

Zyrtec: dosage

The dosage of Zyrtec is determined by the amount of active ingredient per 1 ml drops or 1 tablet. In both cases, cetirizine is contained in a dosage of 10 mg.

The drug is prescribed for adults and children from 6 months. For each age, a certain dose is established. The manufacturer recommends taking Zirtek in the evening, as the symptoms of allergic diseases are most pronounced at night. It is taken with or without food and can be taken with water as needed.

Adults are advised to take 20 drops or 1 tablet once a day, which corresponds to a dosage of the substance 10 mg. Reception Zirtek in drops can be single in the evening or divided into 2 doses. For example, 10 drops in the morning and evening.

Zyrtec side effects

Zyrtec may rarely cause the following side effects:

  • general fatigue
  • dizziness
  • headache
  • abdominal pain
  • dry mouth
  • nausea
  • drowsiness

Children may additionally develop diarrhea. When taking medication, pay attention to your condition. If any changes appear, described or not described in the instructions, or if allergy symptoms increase, consult a doctor.

Zyrtec Drops for Children

Zyrtec should only be used in children aged 6 to 12 months on prescription and under the supervision of a physician. The drug is prescribed depending on age:

  • 6 to 12 months: Take 5 drops (2.5 mg) once a day
  • 1 to 6 years: Take 5 drops (2.5 mg) twice a day in the morning and evening, or 10 drops (5 mg) once a day in the evening
  • 6 to 12 years: Take 20 drops (10 mg) once daily
  • over 12 years old: take 20 drops (10 mg) once a day

Zyrtec may be used during pregnancy after consulting a physician only if the intended benefit to the mother outweighs the potential risk to the fetus. The same applies to use during lactation, since cetirizine passes into the mother’s breast milk.

Zyrtec: analogues

Zyrtec is one of the representatives of the group of antihistamines. Its analogues contain the same active ingredient: cetirizine:

  • Cetirizine
  • Zincette
  • Zodak
  • Cetrin
  • Sensor
  • Soloneks

Preparations with a different composition, for example, Erius, can also be analogues of Zirtek. Let’s compare Zodak with some of the remedies from this list.

Zyrtec or Zodak: which is better

The preparations have the same active substance, which defines them as antiallergic agents. Indications for use, dosage of the active substance, side effects and other characteristics of Zirtek and Zodak are the same.

The drugs are as similar as possible and even have the same forms of release: drops and tablets. The only difference is the manufacturers. Zyrtec is made in Switzerland, and Zodak is made in Russia, which is reflected in the price of the funds. Therefore, when choosing what is better to buy: Zodak or Zirtek, be guided by your preference, since the drugs are identical in terms of effectiveness.

Zyrtec or Cetrin: which is better

Similar to Zyrtec, Cetrin contains the same active ingredient in the same dosage of tofu. According to their characteristics, the preparations are identical, except that only Cetrin’s indications are slightly wider. It is additionally used for:

  • itching allergic dermatoses: atopic dermatitis, etc.
  • angioedema angioedema

Cetrin is available in tablet form only and is indicated for use in adults and children over 6 years of age, just like Zyrtec tablets. Manufacturers of drugs are also different, Citrine is produced in India. When choosing products, pay attention to the age of the patient and your preference in the manufacturer.

Zirtek or Erius: what is better

Zirtek and Erius are drugs for allergic manifestations. Their most important difference is the active substance.

Erius – contains desloratadine. It is produced in the form of tablets and syrup. The dosage of the active substance is 5 mg per 1 tablet and 0.5 mg per 1 ml of syrup. Erius is used by adults and children from 12 years old, and syrup can be given from 1 year old. The use of Erius does not adversely affect driving.

The method of administration depends on the age of the patient. Of course, manufacturers also differ: Erius is a Belgian drug.

Zyrtec – contains cetirizine. There are much more contraindications for use than Erius. Caution should be exercised when driving vehicles, as cetirizine causes drowsiness.

Thus, when choosing an antihistamine Erius or Zodak, pay attention to the list of contraindications and side effects. Especially if your activity is connected with increased concentration of attention.

All products Cetrin

20 reviews

All products Zodak

20 reviews

All products Erius

20 reviews

Summary

  • Zirtek is an antihistamine that is used to eliminate allergic reactions in allergic rhinitis and conjunctivitis, as well as urticaria.
  • The active substance of Zyrtec is cetirizine, and the auxiliary components depend on the form of release: drops or tablets.
  • The dosage of Zyrtec is the same, for example, 1 tablet or 20 drops of the drug contains 10 mg of the active ingredient.
  • Both forms of Zyrtec are suitable for children, tablets can be taken from 6 years and drops from 6 months.
  • Zyrtec analogues include many products, some of them have different active ingredients.
  • When comparing Zyrtec with Zodak, we found differences only in drug manufacturers. Cetrin is distinguished by the absence of a release form in the form of drops and also by the manufacturer. But Erius has the largest number of differences, which we described in the article.

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HealthMedicine NewsDIRECT LINE

Ekaterina SIMOKHINA

June 2, 2010 1:00

Candidate of Medical Sciences, Director of the Center for Allergology and Immunology, Chief Children’s Allergist of the Volgograd Health Department Tatyana Sadchikova answered our readers’ questions.

HOW TO SAVE FROM ALLERGY TO MOSQUITO BITES

– Nina Nikolaevna is calling from the city of Kotovo. My granddaughter is 2 years and 7 months old. As soon as mosquitoes and midges appeared, she was all swollen. The bites blew his entire forehead. Mom thinks she’s allergic. What drugs can we use?

– External swelling of the forehead is removed by “Advantan” in the form of an emulsion or cream. Apply the product to the bite site 1 time per day. In addition, take “Zirtek” or “Zodak” orally, 10 drops 1 time per day for two weeks. Use a mosquito repellent before going outside.

– Could a bite cause angioedema?

– If an insect bites on the eyelid, it can. Then you need to take an antihistamine and consult a doctor.

– Hello, my name is Elena. Can you tell me if you are allergic to cold? I have serious problems with the onset of bad weather: watery eyes, a constant runny nose, and so on almost until spring.

– Allergies to cold occur, but very rarely. More often it is a pseudo-allergic reaction caused by other causes (infections, parasites, etc.). You should contact both an allergist and other specialists: a dentist, an ENT specialist, a gynecologist, a gastroenterologist. If latent infections are not found, then we should already talk about allergies. But it is necessary to be examined during the summer period, in order to have time to carry out treatment by winter.

– In spring and autumn, as soon as the first fogs begin, I suffer from a cough. I have been going to a therapist for three years in a row, they treat me for ARVI, a cold. No antiviral agents and antibiotics help. Maybe it’s an allergy?

– You may have an allergic cough. You definitely need to consult a specialist. Most likely, you have a reaction to fungal allergens. This is how it manifests itself – cough, runny nose, watery eyes. The only thing – there is no weakness, lethargy and fever. If the disease recurs for several years in a row at the same time, then there is a big risk that this is an allergy that cannot be started. Otherwise, the case may end with asthma.

ASTHMATICS ARE IN NEED TO BE AFRAID OF HORMONES

– My name is Dasha, I am 18 years old. I was prescribed inhaled hormones for allergies. I’m afraid they might add weight. How do these drugs affect the hormonal background?

– Fear not, inhaled glucocosteroids have very low bioavailability and do not suppress the function of our adrenal glands. Therefore, height and weight are not affected. The only side effect is thrush in the oral cavity, which does not require discontinuation of the drug. Just after inhalation, you need to rinse your mouth, and if thrush appears, consult a doctor.

– Good afternoon! Tell me, please, can you really cure bronchial asthma with nothing but hormones? So says the allergist in our clinic. Is there no other means?

– You can treat other means, but it all depends on the severity of the disease. If this is a form of moderate severity, then nothing but hormones will help. With a mild degree, when attacks occur sporadically, bronchodilators can be used for the duration of an exacerbation. Also, instead of hormones, they take the drug “Tayled”, but only in mild cases. But hormones are afraid in vain and unreasonably. They have no side effects, but the disease is quickly suppressed and the quality of life improves markedly.

– Is it possible to go to the swimming pool with bronchial asthma? What activities are good for asthmatics?

– You can. The main thing is that there is no reaction in the form of a cough to physical activity and fungal allergies. Chlorine can also act as an irritant and lead to coughing. It’s worth a try. If everything is in order, then swimming is very useful because of breathing exercises. Swimming strengthens the muscles of the shoulder girdle. Also, as an option, asthmatics are recommended to play wind instruments. All kinds of pipes, flutes, saxophone, etc. train the respiratory system well.

IT IS BETTER TO BE TREATED IN SPRING AND AUTUMN

– Viktor Nikolayevich worries you. In April, I was in a clinic in Moscow, underwent a course of injections. It became easier to tolerate allergies, but the symptoms remained. You still have to take the pills anyway. Why are injections so weak?

– The effectiveness of these allergen injections is not evaluated until after two years of treatment. It is necessary to pierce two courses and see: if it becomes easier, then continue treatment for up to 5 years. In general, such injections can be done in Volgograd on an outpatient basis, it is not necessary to go to Moscow.

– My name is Anna, I’m from the Dzerzhinsky district. I have suffered from hay fever since childhood. From May to September – severe rhinitis. This year, a cough has been added to the runny nose. Is this a prerequisite for the development of asthma, and what prophylaxis can be done so as not to start the disease?

– If allergic rhinitis is present, you can be 95% sure that you will have asthma. This year, to stop the cough, you need to do inhalations with glucocosteroids after consulting an allergist, and in the fall, be sure to do specific immunotherapy.

– How long can I take allergy medication? I give the child “Ksizal” for almost two months, I’m afraid that it can be addictive.

-This drug is not addictive. Especially if you drink occasionally, then it’s okay. “Ksizal” is an active drug. It acts immediately, it does not need to be activated in the liver, like all other medicines, so it is the most gentle for the body.

– I have heard that allergy medicines do not work immediately, but must be accumulated in the body.

– No, all drugs except Ketotifen, rapid response. They all have an onset time of 5 to 15 minutes after taking the medication.

– Irina is bothering you, Krasnooktyabrsky district. My child has an obvious allergy. Last year, we went to the doctor, we were prescribed pills and told to come in the fall for an examination. But the doctor went on maternity leave, and now there is no specialist of this profile in the children’s clinic at all. Where to go, what tests should be taken? The child suffers from the end of March until October.

– In summer, samples can only be taken in the form of a blood test. Skin tests are usually done in early spring or late autumn. But this does not mean that you need to endure until autumn. Go to the allergist now, he will prescribe you a nasal spray and allergy pills to stop the aggravation. And in the fall, you definitely need to do allergy therapy, make tests.

– Maybe, for now, something to drink to increase the child’s immunity?

– Fortifying agents and vitamins will not help you in terms of allergies. Here we need antihistamines, anti-inflammatory, antiallergic drugs, which the doctor should prescribe. If your clinic does not have a specialist, contact any city children’s clinic where an allergist sees you. You must be accepted under the policy.

ALLERGIC DIET IS THE BEST MEDICINE

– Hello, my niece has atopic dermatitis. She’s 4 years old. She keeps a diet, goes to the sea, takes pills, but there is no sense. He cannot go to the kindergarten, there is no opportunity to eat dietary food. Tell me how to cure allergies? At what age can immunotherapy be used?

– If you mean immunotherapy with allergens, then they are allowed from the age of 5.

– What tests should be done?

– First, it is necessary to confirm that the child has a household allergy – to house dust or pollen. It is necessary to identify a causally significant allergen. Because no one in our city conducts therapy with food allergens. In Russia, there are no standard food allergens for treatment at all. In a situation with dermatitis, there must be a very strict diet. If the child has an allergy to cereals, milk, then do not make any indulgences. Even if he really asks. And constantly take care of the skin, use ointments and creams and do not quit at the first improvement. Bathe your baby with special products with a neutral pH.

Prepared by Ekaterina SIMOKHINA.

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