Are they a safe combination?

Seasonal allergies are as common as they are annoying. According to the Asthma and Allergy Foundation of American, allergic rhinitis (aka hay fever) affects 20 million adults in the United States each year. And millions more experience various other types of allergies—everything from insect bites and pet dander to shellfish, peanuts, and mold spores (to name a few). If your allergy is severe enough, you might carry an EpiPen or receive allergy shots from your doctor. For most people, however, over-the-counter allergy medicine is the first line of defense.

But how does taking allergy medication impact your ability to enjoy those #weekendvibes? In other words, will you still have the option to enjoy a cold beer on a hot summer night if you are taking something to combat your itchy eyes, runny nose, hives, or scratchy throat?

First-generation allergy medicines, like Benadryl, and alcohol

If your allergy med of choice is diphenhydramine, also known as Benadryl, the answer is an emphatic NO. Benadryl and alcohol should never, EVER, be combined, says David Corry, MD, a pulmonologist and professor of medicine in the immunology, allergy, and rheumatology department at Baylor College of Medicine in Houston, Texas. The same rule goes for other first-generation allergy medications such as chlorpheniramine (Chlor-Trimeton), clemastine (Tavist) and hydroxyzine (Atarax).

“That is a big contraindication,” Dr. Corry says.

Why? Because the primary side effect of these medications is drowsiness (case in point: Benadryl is also used to treat insomnia), which is also one of the primary side effects of alcohol consumption.

“First-generation antihistamines will cause drowsiness in just about everybody, [and] alcohol does that, too,” Dr. Corry explains. “So if you are taking alcohol and antihistamines your chances of having a double dose of that drowsiness are very, very high.”

And in the worst-case scenario, he explains, this double-dose of drowsiness can not only impair your ability to function and increase the likelihood of some sort of accident, it can also lead to unconsciousness. Meaning, that cold beer is not worth the risk.

RELATED: Diphenhydramine details | Chlorpheniramine details | Clemastine details | Hydroxyzine details 

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The only exception to this hard-and-fast rule is if someone has a severe allergic reaction to something, like food or an insect bite, in the midst of alcohol consumption.

“If you are allergic to shellfish and you had two martinis and then somebody passes you a shrimp and you are having a reaction … you would not withhold Benadryl,” says Maria Marzella Mantione, Pharm.D., director of the Doctor of Pharmacy program at St. John’s University in Queens, New York. She adds that in this scenario the patient needs professional medical care so call 911 or get them to a doctor immediately.

“These concerns [about antihistamines and drowsiness] are really outside of this particular context of severe, life-threatening situations,” Dr. Corry agrees.

Fortunately, Benadryl clears from your system in four to six hours, says Dr. Mantione. So, presuming the allergic reaction is kept at bay, you won’t be teetotaling indefinitely.

Second-generation allergy medicines, like Zyrtec, and alcohol

If you have chronic seasonal allergies it is unlikely your doctor will recommend a first-generation antihistamine, says Dr. Mantione, because these are normally used for acute reactions. Instead, she explains, you’ll likely be steered toward one of the second-generation allergy medications. Loratadine (Claritin), fexofenadine (Allegra), or cetirizine (Zyrtec) and alcohol are generally considered a slightly safer combination. These medications do not typically cause drowsiness or other side effects that are intensified by alcohol consumption.

“Most of these have a reduced, if not completely absent, side effect of sleepiness,” Dr. Corry says.

This is not to say, however, that it is okay to go on a bender while taking Claritin, Zyrtec, Xyzal, or Allegra—Dr. Corry recommends avoiding alcohol altogether while taking any medication.

But is doing so going to lead to a critical medical emergency? Probably not, explains Dr. Mantione. “It is one of those situations where, as a pharmacist, I say it is best to avoid because we don’t know how it is going to affect you, but it is not [considered] a life-threatening combination,” she says.

She also offers an alternative for those who don’t want to give up the opportunity to have a drink—nasal corticosteroids, such as Flonase or Nasonex. These are used as needed, and are safe to use regularly throughout the allergy season. They don’t have a contraindication with alcohol, and they don’t cause drowsiness or other systemic side effects, she says.

“If somebody came to me and said ‘I am on this allergy medication but I am going away on vacation and I am hoping to have Bahama Mamas every day’ I would recommend the nasal corticosteroid,” Dr. Mantione says.

RELATED: Loratadine details | Claritin details | Fexofenadine details | Allegra details | Cetirizine details | Zyrtec details | Xyzal details 

Fexofenadine: antihistamine that relieves allergy symptoms

If you or your child have been prescribed fexofenadine, follow your doctor’s instructions about how and when to take it.

Dosage

Fexofenadine comes as tablets in different strengths: 30mg, 120mg and 180mg.

How much you take depends on why you’re taking it.

The usual dose for treating hay fever is:

• 120mg once a day for adults and children aged 12 years and over
• 30mg twice a day for children aged 6 to 11 years, with the doses spaced 10 to 12 hours apart

The usual dose for treating hives is 180mg once a day for adults and children aged 12 years and over.

Fexofenadine is not recommended for treating hives in children under 12.

How to take it

If you’re taking 30mg fexofenadine tablets, you can take them with or without food.

If you’re taking 120mg or 180mg fexofenadine tablets, take them before a meal.

Always take your fexofenadine tablets with a drink of water. Swallow them whole – do not chew them.

When to take it

Try to take fexofenadine tablets at about the same time every day. Choose a time that is easy to remember.

You may only need to take fexofenadine on a day you have symptoms, such as when you’ve been exposed to something you’re allergic to, like animal hair.

Or you may need to take it regularly to prevent symptoms, such as to stop hay fever during spring and summer.

What if I forget to take it?

If you’re taking fexofenadine once a day, 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 fexofenadine twice a day, you can give the 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?

Fexofenadine is generally very safe. Taking more than your usual dose is unlikely to harm you.

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.

Alcohol intolerance – Diagnosis and treatment

Diagnosis

Besides conducting a physical exam, your doctor might request these tests:

• Skin test. A skin test can determine whether you might have an allergy to something in alcoholic beverages — for example, the grains in beer. Your skin is pricked with a tiny amount of a substance that could be causing your reaction. If you’re allergic to the substance being tested, you’ll develop a raised bump or other skin reaction.
• Blood test. A blood test can measure your immune system’s response to a particular substance by checking the amount of allergy-type antibodies in your bloodstream known as immunoglobulin E antibodies. A blood sample is sent to a laboratory to check reactions to certain foods. However, these tests aren’t always accurate.

Treatment

The only way to avoid alcohol intolerance symptoms or an allergic reaction is to avoid alcohol or the particular beverage or ingredients that cause the problem. For a minor reaction, over-the-counter or prescription antihistamines might help reduce symptoms, such as itching or hives.

Preparing for your appointment

Although alcohol intolerance usually isn’t a serious issue as long as you don’t drink alcohol, you might want to discuss it with your doctor at your next appointment. Here’s some information to help you get ready for your appointment.

Make a list of:

• Your symptoms, including any that seem unrelated to the reason for which you scheduled the appointment, and when they occur.
• Key personal information, including major stresses or recent life changes. Stress can sometimes worsen allergic reactions or sensitivities.
• All medications, vitamins or supplements you take and the dosage.
• Questions to ask your doctor.

For alcohol intolerance, some questions to ask your doctor include:

• What do you think is causing my reaction to alcoholic beverages?
• Are any of my medications likely causing or worsening my reaction to alcohol?
• Other than the most likely cause, what are other possible causes of my symptoms?
• What tests do I need?
• What treatments are available?
• Do I need to give up alcohol?

Don’t hesitate to ask other questions you have.

What to expect from your doctor

Your doctor might ask:

• When did you notice a reaction to alcoholic beverages?
• What beverages — beer, wine, mixed drink or a particular type of liquor — trigger your symptoms?
• How severe are your symptoms?
• How long does it take for symptoms to appear after drinking the beverage?
• How much of the beverage do you drink before you notice a reaction?
• Have you tried over-the-counter allergy medications, such as antihistamines, for your reaction, and if so, did they help?
• Do you have allergies, such as to particular foods or to pollens, dust or other airborne substances?

What you can do in the meantime

Avoid the beverage or beverages that seem to cause your reaction until your doctor’s appointment.

If you drink a beverage that causes a mild reaction, over-the-counter antihistamines might help relieve symptoms. However, for a severe skin reaction, weak pulse, vomiting or trouble breathing, seek emergency help right away, as you could be having an anaphylactic reaction.

April 15, 2020

Show references

1. Fazio SB. Approach to flushing in adults. https://www.uptodate.com/contents/search. Accessed Feb. 9, 2018.
2. Alcohol allergy. Australasian Society of Clinical Immunology and Allergy. https://www.allergy.org.au/patients/other-allergy/alcohol-allergy. Accessed Feb. 9, 2018.
3. Out to eat with food allergies? Don’t forget about your drinks. American Academy of Allergy, Asthma & Immunology. https://www.aaaai.org/conditions-and-treatments/library/allergy-library/food-allergy-drinks. Accessed Feb. 9, 2018.
4. Allergy testing definition. American Academy of Allergy, Asthma & Immunology. https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/allergy-testing. Accessed Feb. 9, 2018.
5. Aoki Y, et al. Quantification of skin erythema response to topical alcohol in alcohol-intolerant East Asians. Skin Research and Technology. 2017;23:593.
6. Diet and migraine: Q&A with Dr. Vincent Martin. American Headache Society. https://americanheadachesociety.org/news/diet-migraine-qa-dr-vincent-martin/. Accessed Feb. 9, 2018.
7. Ma L, et al. Hodgkin lymphoma presenting as alcohol-induced back pain. British Medical Journal. 2019; doi:10.1136/bcr-2018-228440.

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Fexofenadine capsules or tablets

What is this medicine?

FEXOFENADINE (fex oh FEN a deen) is an antihistamine. This medicine is used to treat or prevent symptoms of allergies. It is also used to help reduce itchy skin rash and hives.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Allegra, Allegra Allergy 12 Hour, Allegra Allergy 24 Hour, Allegra Children’s Allergy, Allergy Relief

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• kidney disease
• an unusual or allergic reaction to fexofenadine, terfenadine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. You may take this medicine with food or on an empty stomach. Take your medicine at regular intervals. Do not take it more often than directed. You may need to take this medicine for several days before your symptoms improve.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years old for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• antacids
• erythromycin
• grapefruit, apple, or orange juice
• ketoconazole
• magnesium-containing products

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your health. Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• breathing problems
• chest pain
• fast heartbeat
• infection or fever

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• cough
• drowsiness
• dry or irritated nose, mouth, or throat
• headache
• menstrual changes
• pain
• stomach upset, nausea

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77degrees F). Protect from moisture. Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Frequently Asked Questions – Colon & Rectal Surgery Associates

COLONOSCOPY – Frequently Asked Questions

Q: Can I drink anything other than water?
A: Yes! It is important that you drink a variety of allowed clear liquids to avoid the possibility of becoming nauseated and dehydrated. Clear liquids include: apple and white grape juice or other non-citrus juices without pulp, Gatorade, ginger ale, diet or regular 7-Up, Sprite or colas, Kool Aid, water, clear broth, Popsicles, honey and hard candies without filling. Also included in a clear liquid diet is jell-O without added fruit.

Q: Can I take other medications before the procedure?
A: Yes, except the ones listed on the enclosed medication information form. Please carefully review the medication information form. Generally, you should take prescribed medication, as directed, both on the preparation day and on the day of the procedure. However, you must not take anticoagulants (blood thinners) for at least 7-10 days prior to the procedure. These include Coumadin, aspirin, Plavix, vitamin E, and ibuprofen.

Q: Do I need antibiotics before the procedure?
A: If you have had a total joint replacement longer than 6 months ago, or if you have a mitral valve prolapse, then you do not need antibiotics. If you have had a total joint replacement less than 6 months ago, or if you have had a mitral valve replacement, or if you require daily antibiotics for any other medical condition, then you do need antibiotics. Please contact the doctor who manages these conditions for the prescription.

Q: How long will the colonoscopy take?
A: The entire procedure usually takes less than an hour. You should plan to be at the facility for approximately 2 hours. The amount of time may vary from patient to patient, depending on how much sedation is needed and how you feel afterwards.

Q: I am diabetic. What should I do about my insulin?
A: Call the physician that manages your diabetes and tell them of your prep at least five (5) days prior to your procedure. That physician should determine diet and medication modifications related to the prescribed colonoscopy prep.

Q:  Why can’t I drink or consume anything red or purple during my clear liquid diet?
A:  When you consume something red or purple, it can stain the colon or appear to be small amounts of blood.  To help ensure an accurate exam, these liquids should be avoided.

Q:  Why do I have to stop drinking three hours before I come in?
A:  We ask that you stop all clear liquids three hours prior to your procedure to allow your stomach to empty.  If there are liquids in your stomach when given sedation, those liquids could be aspirated into your lungs causing serious complications.

 
Q:  Why can’t I drive myself home after my procedure?
A:  Due to the sedation given during the procedure, you are considered legally impaired.  The sedation medication impairs your judgment and reflexes.  You will not be permitted to drive for 12 hours following your procedure.

Q:  Can I take a bus or a taxi home by myself after my procedure?
A:  No.  Due to the sedation given during the procedure, you are considered legally impaired.  The sedation medication impairs your judgment and reflexes.  A trusted person must be with you to drive you home or accompany you on public transit. 

Q:  I already have diarrhea before starting my prep, do I still have to take all of the laxatives?
A:  Yes.  You must follow the preparation instructions given to you.  Your colon is approximately 6 feet long and must be completely emptied to help ensure an accurate and thorough exam.

Q:  I am very thin.  Do I still have to take all of the laxatives?
A:  Yes.  You must follow the preparation instructions given to you. Your colon is approximately 6 feet long and must be completely emptied to help ensure an accurate and thorough exam.

Q:  I seem to be all cleaned out but I haven’t finished my laxatives, do I have to finish them?
A:  Yes.  You must follow the preparation instructions given to you.  Your colon is approximately 6 feet long and must be completely emptied to help ensure an accurate and thorough exam.

Q:  I feel nauseous.  What should I do?
A:  You can take a short break from drinking the laxatives.  Try drinking ginger ale or another clear liquid to help settle your stomach.  Continue your prep when the feeling has subsided. We can also prescribe a medication to help with this. 

Q:  Can I use cream during my prep to avoid anal irritation?
A:  Yes.  You may apply Desitin, A & D ointment, Vaseline or any other cream during the prep.

Q:  How long will it take to complete my bowel prep?
A:  The entire prep can take approximately four to eight hours.  You should plan to be near a restroom during this period.

Q:  I started my laxatives and I haven’t had a bowel movement yet.  What should I do?
A:  Some patients have a bowel movement immediately after starting the laxatives and for others it may take 2 hours or longer.  Continue drinking clear liquids and following your bowel prep instructions.

Q:  Can I chew gum during the prep?
A:  Yes, however it must be stopped the day before yoru procedure. 

Q:  Can I have sugar in my coffee/tea during my clear liquid diet?
A:  Yes.  You may use sugar or sugar substitutes in your drinks during your clear liquid diet.

Q:  Can I have cream in my coffee/tea?
A:  No.  Avoid all dairy products including milk, cream and powdered creamer.

Q:  Can I drink alcoholic beverages during the prep?
A:  Alcoholic beverages can cause dehydration, so we strongly suggest you do not drink alcoholic beverages during your bowel prep.

Q:  Can I smoke during the prep?
A:  Yes.

Q:  Can I brush my teeth the morning of my procedure?
A:  Yes.

Q:  Can I take my antianxiety medications the morning of my procedure?
A:  Yes.  You may take your antianxiety medications with a small sip of water.

Q:  Can I have soup during my clear liquid diet?
A:  You can only have broth.  You may not have noodles, meat or vegetables.

Q:  Can I have a colonoscopy if I am having my menstrual period?
A:  Yes.

Q:  Will the procedure hurt?
A:  You will be given sedation during the procedure to help you stay comfortable. 

Q:  Why can’t I eat popcorn a week before my procedure?
A:  The hulls from popcorn can stay in the colon for days.  During your procedure the hulls can appear to be growths in the colon.  Popcorn hulls can also clog the scope.

Q:  When can I eat after my procedure?
A:  Generally, you can eat immediately after your procedure avoiding greasy or spicy foods.  Occasionally, there is mild nausea from the sedative medications.  You may not have a full appetite until the following day.

Q:  After the procedure, when will I have a normal bowel movement?
A:  Because your intestines were completely cleaned out for your procedure, it may take a couple of days of eating solid foods before you have a bowel movement.

Q:  I am having a lot of pain and discomfort after my procedure.  What should I do?
A:  You may call our office to speak with one of the physicians.  If you are having severe pain, you should go to the emergency room.

Q:  Can I go back to work after my procedure?
A:  Due to the sedation given during the procedure, you should plan to rest at home for the remainder of the day.  You may resume your usual activities the day after your procedure.

Back to Colonoscopy

Who Should have a Colonoscopy?

What is a Colonoscopy?

Preparation for Colonoscopy 

Can You Take Allergy Medicine After the COVID Vaccine? Doctors Explain

No allergy season is easy, but this one might be particularly stressful if you’re feeling stuffy, itchy, and fatigued around the time of your COVID-19 vaccine appointment.

So far, nearly half of all Americans have received at least one dose of the available COVID-19 vaccines, according to the Centers for Disease Control and Prevention (CDC).

If your appointment is fast approaching, you might be wondering whether you can continue taking your usual allergy meds before and after your jab. Thankfully, most over-the-counter allergy drugs like antihistamines are perfectly safe to use—but the same isn’t necessarily true for allergy shots or prescription meds.

Here’s everything you need to know about taking allergy medications before and after receiving the COVID-19 vaccine, according to doctors.

Can you take OTC allergy medications before or after the vaccine?

In short, yes. Over-the-counter antihistamines and nasal steroid sprays “will not affect vaccine efficacy,” says Purvi Parikh, M.D., an allergist with the Allergy & Asthma Network who specializes in infectious disease. So if you regularly rely on meds like Claritin, Flonase, or Zyrtec, you can keep taking them—even on the day of your appointment.

These medications help block your body’s reaction to allergens like pollen and dust, keeping swelling, itching, and congestion to a minimum; they don’t interfere with the production of antibodies spurred by the COVID-19 vaccines.

However, if you don’t take allergy medications daily, the CDC advises against taking them to try to mitigate potential side effects before your shot (just like their guidance with OTC pain medications like ibuprofen).

“You can take these medications to relieve post-vaccination side effects if you have no other medical reasons that prevent you from taking these medications normally,” the CDC explains.

What about allergy shots?

Out of an abundance of caution, you should avoid getting any routine allergy shots on the same day as your COVID-19 vaccination, says Abinash Virk, M.D., an infectious disease expert at the Mayo Clinic.

The reason: There isn’t enough research to determine whether getting the vaccine on the same day as an allergy shot is safe and effective, since any injection has the possibility, however faint, of messing with your body’s immune response. In this case, it’s just best to err on the side of caution. The recommended wait is “similar to how we separate vaccines from the COVID-19 vaccine by 14 days,” notes Dr. Virk. “We recommend 48-hour separation from allergy shots to decrease the risk of adverse effects from the vaccine.”

Experts at Penn Medicine, meanwhile, recommend separating shots by at least one full week. Ultimately, the decision will be up to you and your doctor, who knows your medical history and can take a personalized approach to your needs.

The same goes for prescription steroid medications for allergies, like Depo-Medrol and Kenalog, which have the potential to meddle with your immune system’s reaction to the COVID-19 vaccines, Dr. Parikh says. (Worth noting: One study published in March found no evidence that steroid injections interfere with vaccine efficacy, but the researchers still recommended caution for now.)

Should you worry about allergic reactions to the COVID-19 vaccine?

Allergic reactions to the COVID-19 vaccine are possible, but rare—they occur in every two to five people per million vaccinated, per the CDC. This type of allergic reaction almost always presents within 30 minutes of the shot, which is why you have to wait 15 to 30 minutes before leaving your vaccination site.

“The majority of allergy patients can take the vaccine with no problem.”

“Fortunately, vaccination providers have medicines available to effectively and immediately treat patients who experience anaphylaxis following vaccination,” the CDC notes. This means that you should not attempt to treat any adverse reaction on your own with OTC allergy medications.

Anyone with a history of severe allergic reactions for any reason should be aware of the risks of anaphylaxis from the COVID-19 vaccine. (Any vaccine, not just the COVID vaccines, can trigger a serious allergic reaction.) If you are allergic to polyethylene glycol, polysorbate, or any of the components in the available COVID-19 vaccines, you should not receive the vaccine, per the CDC.

When in doubt, talk to your doctor to discuss your options. “Consult an allergist if you are worried you may be allergic to the vaccine,” Dr. Parikh recommends. “The majority of allergy patients can take the vaccine with no problem.”

This article is accurate as of press time. However, as the COVID-19 pandemic rapidly evolves and the scientific community’s understanding of the novel coronavirus develops, some of the information may have changed since it was last updated. While we aim to keep all of our stories up to date, please visit online resources provided by the CDC, WHO, and your local public health department to stay informed on the latest news. Always talk to your doctor for professional medical advice.

Go here to join Prevention Premium (our best value, all-access plan), subscribe to the magazine, or get digital-only access.

Jake Smith
Jake Smith, an editorial fellow at Prevention, recently graduated from Syracuse University with a degree in magazine journalism and just started going to the gym.

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Over-The-Counter Remedies To Ease COVID-19 Symptoms

If you come down with a mild case of COVID-19 (meaning you aren’t having serious symptoms like shortness of breath) it’s best to nurse yourself back to health at home. 

“Get plenty of rest and drink lots of water, especially if you have a high fever, as it means you are dehydrated,” says Sana Zuberi, MD, a primary care physician with Henry Ford Health System. “A rise in body temperature requires more water for the body to function properly. Drinking water doesn’t ‘flush out’ the virus, as some may think, but it helps your body work optimally so that it can fight off the virus.”

Replenishing your electrolytes—especially if you’ve been vomiting or have had diarrhea—is also important, Dr. Zuberi says. Try coconut water or Pedialyte, which Dr. Zuberi prefers over Gatorade, as it contains more sugar.

And while vitamin C in the form of fruits and vegetables is always recommended to boost immunity, there’s no miracle cure to help you quickly treat COVID-19. There are, however, over-the-counter medicines and remedies to help you feel more comfortable while the virus is taking its course. 

Here, Dr. Zuberi shares the medicine that can help ease your pain.

1. For a fever and body aches: Acetaminophen. Acetaminophen, such as Tylenol, can reduce fevers, aches and pains. Dr. Zuberi recommends Tylenol instead of pain relievers like aspirin. Aspirin is often combined with caffeine (in drugs like Excedrin) and can speed up your heart rate, which you especially don’t want when your body is working hard to battle a virus, she says. Follow the instructions on the label and don’t take more than the recommended amount.
2. For nasal congestion: Antihistamines like Claritin or Allegra. Both of these options can reduce stuffiness and congestion, making you feel more comfortable. Again, follow the recommended dosage and do not over medicate.
3. For a sore throat: An apple cider vinegar rinse. 3 or 4 times a day, mix half a teaspoon of apple cider vinegar in half a glass of water and gargle. Anecdotal evidence shows it may help soothe a sore throat, says Dr. Zuberi. (Just be sure to always dilute it with water, as gargling or drinking apple cider vinegar by itself can be too acidic and potent.)
4. To aid recovery: Glutathione. Glutathione is an antioxidant that helps strengthen the immune system. Certain studies are starting to show that people who have low levels of glutathione in their body may have worse outcomes of COVID-19. “If you take glutathione, it could potentially help you recover more quickly from the virus,” says Dr. Zuberi. Glutathione is available in supplement form, and can also be found in vegetables like spinach, asparagus and broccoli.

As for a cough, you can try a cough medicine like Mucinex to thin mucus, but Dr. Zuberi recommends not taking anything. “It’s best, when you can, not to mask your symptoms too much, so you know how serious your condition is,” she says. Being conservative with medication will also help you know when you are getting better.

“I tell patients they should have no fever for 3 days straight, and lingering symptoms (like a cough and congestion) should be gone after a week—all without the help of any medication. That is generally the point in which you can say you’ve recovered from COVID-19.” 

Want more health and wellness advice from Henry Ford experts?
Subscribe to receive a weekly email of our latest articles on health, fitness, parenting, nutrition and more.

To learn more about safety precautions at our facilities, ways to get care at Henry Ford, or for details on our response to COVID-19, visit henryford.com or call 1-800-436-7936.

Dr. Sana Zuberi is a family medicine physician with Henry Ford Health System. She sees patients at Henry Ford Medical Center in Plymouth.

90,000 How and how to treat allergies?

Diagnosis established

“Find and neutralize” ²
Imagine: an allergen enters the body, an allergic reaction begins, during which histamine is released. By binding to receptors, this substance causes edema, redness of the skin, bronchospasm, difficulty in nasal breathing, therefore it is very important to block its action, to stop the inflammatory reaction.
Receptors for histamine are found in blood vessels, smooth muscles, heart, tissues of the central nervous system, epithelium, and also in the brain. ⁷ In order to relieve allergy symptoms, it is enough to act on peripheral receptors. However, first-generation antihistamines also block receptors in the brain, which has a number of side effects:
– They affect the central nervous system, and therefore cause a sedative effect of – drowsiness, inhibition of reactions .
– Their action is not stable and persistent, which makes it necessary to use high doses of of these drugs several times a day (up to 4-6 times).( And this despite the fact that the therapeutic concentration is achieved only after 2 hours! ³ ) As a result, when using these funds there is a possibility of a whole spectrum of side effects: drowsiness, dizziness, lethargy, lack of coordination, inability to concentrate.
– They do not have selectivity (“targeting” action “on histamine receptors), they also block other types of receptors, which can cause tachycardia, dryness of the nasopharynx and oral cavity, urinary retention, constipation, visual impairment.The condition in bronchial asthma may even worsen (the viscosity of sputum increases) and cardiac arrhythmia may occur as a result of toxic effects on the heart. ¹
– They can be addictive, and with prolonged (more than 7-10 days) use, the therapeutic activity of the drug decreases.
It is clear that in diseases such as bronchial asthma, chronic urticaria and perennial allergic rhinitis, requiring long-term use of antihistamines, the use of first-generation drugs is highly undesirable. ²
The mistakes we make ¹
Perhaps the worst mistake in using 1st generation drugs is due to the fact that many mothers give these drugs to babies before bedtime, hoping that the sedative effect will contribute to a deeper sleep of the child.
In the course of recent studies of the effect of 1st generation antihistamines on the work of the brain, it was proved that they cause unnatural sleep, disrupt the course of sleep phases! ¹ The onset of the REM sleep phase (necessary for the formation of memory and brain development) is delayed, and its duration decreases.The use of first-generation antihistamines often leads to daytime sleepiness, decreased daytime activity and impaired brain function, which is especially dangerous when used in children.

It has also been proven that 1st generation drugs significantly reduce the ability of schoolchildren to learn, impairment of concentration and memory.
With the regular intake of such funds, cognitive functions (the ability of the brain to perceive and process information) are seriously affected, and therefore there is a threat to the full intellectual development of the child.

In the UK, a special study was carried out with the participation of 1834 adolescent students taking exams. Among the students were those who suffered from allergic rhinitis. They were divided into two groups – those who were not treated with anything, and those who took first generation antihistamines. The former had a 40% chance of failing the exam, and the latter 70%. ¹
In general, it becomes clear why in many developed countries the question of limiting the use of first generation antihistamines without a prescription is being raised. ²
So, if you see one of the following substances on the package or in the instructions, you should know that you have in your hands a 1st generation antihistamine: Diphenhydramine, chloropyramine, promethazine, dimethindene, clemastine, mebhydrolin, etc. . ²

Allegra 180 – instructions for use, dosage, composition, analogs, side effects / Pillintrip

See also:
What are the possible side effects of Allegra 180?

Clinical Trials Experience: Because clinical trials are conducted in a wide variety of settings, the frequency of adverse reactions observed in clinical trials of a drug cannot be directly correlated with the frequency of clinical trials of another drug and may not reflect the frequencies observed in practice.

The safety data described below reflect exposure to Allegra 180 HCl in 5083 patients in a study on allergic rhinitis and chronic idiopathic urticaria. In these studies, 3010 patients ≥12 years of age with seasonal allergic rhinitis were exposed to Allegra 180 HCl at doses of 20-240 mg twice daily or 120-180 mg once daily. A total of 646 patients aged 6-11 years with seasonal allergic rhinitis were exposed to Allegra 180 HCl at doses of 15-60 mg twice daily.The duration of treatment in these studies was 2 weeks. A total of 534 patients aged 6 months to 5 years with allergic rhinitis were exposed to Allegra 180 HCl at doses of 15-30 mg twice daily. The duration of treatment in these studies ranged from 1 day to 2 weeks. 893 patients ≥12 years of age with chronic idiopathic urticaria were exposed to Allegra 180 HCl at doses of 20-240 mg twice daily or 180 mg once daily. The duration of treatment in these studies was 4 weeks

Seasonal Allergic Rhinitis: Adults and adolescents: In placebo-controlled clinical trials of seasonal allergic rhinitis in patients over 12 years of age, 2,439 patients received Allegra 180 HCl capsules at doses of 20-240 mg twice day.All adverse reactions reported by> 1% of subjects receiving the recommended daily dose of Allegra 180 HCl (60 mg capsules twice daily) are listed in Table 1.

In another placebo-controlled clinical trial in the United States, 571 subjects aged For ≥12 years received Allegra 180 HCl tablets at doses of 120 or 180 mg once daily. Table 1 also lists adverse reactions reported by> 2% of patients treated with Allegra 180 HCl 180 mg once daily.The incidence of adverse reactions, including drowsiness / fatigue, was not dose-related and was similar across age, gender and race subgroups.

The incidence and magnitude of laboratory abnormalities were similar in patients treated with Allegra 180 HCl and placebo.

Pediatrics: Table 2 lists adverse reactions in subjects 6-11 years of age reported by> 2% of subjects treated with Allegra 180 HCl 30 mg tablets twice daily in placebo-controlled trials of seasonal allergic rhinitis in the United States and Canada.

Table 3 lists adverse reactions in patients 6 months to 5 years, reported by> 2% of patients treated with Allegra 180 HCl in 3 open-label single- and multi-dose pharmacokinetic studies and 3 placebo-controlled safety studies with Allegra 180 capsule HCl (484 patients) and suspensions (50 patients) at doses of 15 mg (108 patients) and 30 mg (426 patients) twice a day.

Chronic idiopathic urticaria: Adverse reactions reported by subjects ≥12 years of age in placebo-controlled studies of chronic idiopathic urticaria were similar to those reported in placebo-controlled studies of seasonal allergic rhinitis.

In a placebo-controlled clinical trial of chronic idiopathic urticaria, 726 patients over 12 years of age received Allegra 180 HCl tablets in doses of 20-240 mg twice daily.

Table 4 lists adverse reactions in patients over 12 years of age reported by> 2% of patients treated with Allegra 180 HCl 60 mg tablets twice daily in controlled clinical trials in the United States and Canada.

In a placebo-controlled clinical study in the United States, 167 subjects over 12 years of age received 180 mg Allegra 180 HCl tablets.Table 4 also lists adverse reactions reported by> 2% of patients treated with Allegra 180 HCl 180 mg once daily.

The safety of Allegra 180 HCl in the treatment of chronic idiopathic urticaria in pediatric patients 6 months to 11 years of age is based on the safety profile of Allegra 180 HCl in adults and pediatric patients at doses equal to or greater than the recommended dose.

Post-Marketing Experience: In addition to the adverse reactions reported in clinical trials and listed in the previously mentioned tables, the following side effects were identified when using Allegra 180 after approval.Because these events are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship with drug exposure. Cases rarely reported in post-marketing experiences include: Insomnia, nervousness, sleep disturbances or paranoia, and hypersensitivity reactions (including anaphylaxis, urticaria, angioedema, chest tightness, shortness of breath, redness, itching and rash)

The narcologist told about the dangers of taking pills after a feast

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The narcologist spoke about the dangers of taking pills after the feast

The narcologist spoke about the dangers of taking pills after the feast – RIA Novosti, 03.03.2020

The narcologist spoke about the dangers of taking pills after the feast

Chief narcologist of Moscow Evgeny Brune told RIA Novosti how common medicines are combined with alcoholic beverages, while noting that … RIA Novosti, 03.03.2020

2019-12-27T03: 11

2019-12-27T03: 11

2020-03 -03T18: 36

society

evgeniy brun

blood pressure

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MOSCOW, December 27 – RIA Novosti. Moscow’s chief narcologist, Evgeny Brun, told RIA Novosti how common medicines are combined with alcoholic beverages, while noting that the vast majority of drugs cannot be categorically combined with alcohol, since it is a toxic substance, in fact, a poison. of the most popular drugs – acetylsalicylic acid (“Aspirin”).According to the narcologist, this substance and alcohol is a rather dangerous mixture. In addition, according to him, the gastric mucosa is irritated after drinking alcohol, so the effects are layered and potentiated. Psychopharmacological and antihistamines are strictly forbidden to “fertilize” with alcohol, Brune emphasized. touched upon the topic of compatibility of antidiabetic drugs with alcohol. According to him, such a “cocktail” can lead to a hypoglycemic coma. “Alcohol against the background of these drugs can lower blood sugar levels, if not to zero, then to very low numbers, and a person can simply fall into a hypoglycemic coma.And if this happens on the street, then this person may be mistaken for a drunken person, not providing proper assistance – in general, this is an extremely dangerous thing, “Brune warned. Also, according to the chief narcologist, you should not use alcohol in symbiosis with drugs. lowering blood pressure. “Alcohol along with these drugs can very dramatically lower blood pressure, which can lead to ischemic stroke or heart attack. Therefore, this is also a dangerous combination “- said the chief narcologist of Moscow. Nevertheless, there are still drugs that can conditionally be mixed with alcohol: these are agents that reduce the load on the stomach – digestive enzyme.But they, according to the narcologist, should be taken at intervals. “Such drugs are best taken after drinking alcohol. I would recommend a 2-3-hour interval,” said Brune. And there are a lot of such combinations, according to Brune, therefore on the eve of the holidays, it is imperative to consult a doctor (preferably with your doctor) about all kinds of combinations of alcohol and drugs. “Just ask the question -” alcohol and my drug. ” warn the person how much it is combined with alcohol.The person who is prescribed drugs should ask the doctor how this is combined with alcohol, especially on New Year’s Eve. You need to ask this, “Brune emphasized.

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society, evgeny brun, blood pressure, russia

MOSCOW, December 27 – RIA Novosti. Moscow’s chief narcologist Yevgeny Brun told RIA Novosti how common drugs are combined with alcoholic beverages, while noting that the vast majority of drugs cannot be categorically combined with alcohol, since it is a toxic substance, in fact, a poison.

First of all, Brune told about one of the most popular drugs – acetylsalicylic acid (“Aspirin”). According to the narcologist, this substance and alcohol are a rather dangerous mixture.

“Acetylsalicylic acid is a rather difficult drug: it has an irritating effect, it is acid in any case, and if there is any risk or latent tendency to bleeding, then it can provoke it.Plus, the blood clotting decreases, “Brune warned.

In addition, according to him, the stomach lining is irritated after drinking alcohol, so the effects are layered and potentiated.

Psychopharmacological and antihistamines are strictly forbidden to” fertilize “with alcohol, Brune emphasized.

December 24, 2018, 03:15 New Year – 2019 The Russians were given advice on how to avoid a hangover in the New Year

“The combination of alcohol with antihistamines can lead to loss of control and memory lapses.And what we call an alcoholic palimpsest – the intoxication continues, the person moves, they also say, “on autopilot.” The same goes for the combination of alcohol and tranquilizers: this can also lead to uncontrolled alcohol intoxication. Sometimes – to paradoxical intoxication, with aggression, with disturbances of consciousness, “- said the chief metropolitan narcologist.

Brune also touched on the topic of compatibility of antidiabetic drugs with alcohol. According to him, such a” cocktail “can lead to hypoglycemic coma.

“Alcohol against the background of these drugs can lower the blood sugar level, if not to zero, then to very low numbers, and a person may simply fall into a hypoglycemic coma. And if this happens on the street, then this person may be mistaken for a drunk, not to provide proper assistance – in general, this is an extremely dangerous thing, “- warned Brune.

Also, according to the chief narcologist, you should not use alcohol in symbiosis with drugs that reduce blood pressure.

“Alcohol, along with these drugs, can reduce blood pressure very dramatically, which can lead to ischemic stroke or heart attack.Therefore, this is also a dangerous combination “- said the chief narcologist of Moscow.

December 25, 2018, 15:57

The chief narcologist of the Ministry of Health does not recommend taking aspirin for a hangover. drugs that reduce the load on the stomach are digestive enzymes. But, according to the narcologist, they should be taken at intervals.

“Such drugs are best taken after drinking alcohol. I would recommend a 2-3 hour interval, “Brune said.

And there are a lot of such combinations, according to Brune, therefore, on the eve of the holidays, it is imperative to consult with a doctor (preferably with your treating person) about all kinds of combinations of alcohol and drugs.

“Just ask the question -“ alcohol and my drug. ”In general, the attending physician, when he prescribes any drug, must always warn the person how it is combined with alcohol. how it goes with alcohol, especially on New Year’s Eve.You have to ask, “Brune emphasized.

90,000 Cheap Allergy Drugs: Price Table

Scientists are still struggling with the causes of allergies. Researchers from Australia have identified a link between food allergies and a lack of vitamin D, and their colleagues from England argue that “sterility” is to blame – it is better to introduce the child to new food as soon as possible so that in the future the body will not mistake it for an allergen, for example, peanut butter.

Ekaterina Tabatchikova

does not sneeze

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Unfortunately, allergies cannot be cured, but you can fight the symptoms that appear due to the “turning on” of histamine.This substance is active and causes familiar allergic reactions: cough, runny nose and itching.

Mechanism of histamine

Pharmacists divide allergy tablets into two generations, taking into account the duration of action, effectiveness and effect on the central nervous system. Glucocorticosteroids are isolated separately – the funds of this group are usually produced in the form of gels, ointments and lotions.

“The third generation” of pills for allergy is still reserved for fundamentally new drugs, the action of which will differ from the pills of the second generation.The Russian Association of Allergists in its clinical guidelines also does not mention any generations, except for the first and second.

From each group, we took the most popular allergy pills and selected cheap counterparts. We consider the benefit as in a grocery store: we compare prices for the mass of the active substance.

Attention! If the doctor has prescribed a medicine, check the possibility of replacing it with another one, but with the same composition. Perhaps, in addition to the main active ingredient, auxiliary ones also play a role: in a substitute, they may be incompatible with other drugs used.

Analogs or Synonyms?

In colloquial speech, people call drugs from different manufacturers analogous, but with the same active substance. Pharmacists and pharmacologists object: analogues are drugs with different active ingredients, but used to treat the same diseases. And medicines from different manufacturers with the same active ingredient are synonyms.

In this article we use the word “analog” in a general sense – as a medicine with the same substance, but at a lower cost.Pharmacists and pharmacologists, forgive us.

First generation antihistamines

First generation allergy tablets cause drowsiness by affecting the central nervous system. But they act instantly – this is important when an allergic reaction develops quickly.

How to choose a drug for allergies

Suprastin

One of the most inexpensive and effective allergy remedies. Suprastin works for 4-6 hours, but long-term use causes tolerance to the drug – that is, over time, it may not be as effective at the same dosage.

The active ingredient in Suprastin tablets is chloropyramine.

Tablets with active ingredient chloropyramine

Cost

79 R for 20 25 mg tablets

Price for 1 g

160 R

Cost

252 R for 40 25 mg tablets

Price for 1 g

252 R

“Suprastin”

Diphenhydramine

If you try, the sedative effect of “Diphenhydramine” can be used as a narcotic – therefore pharmacists sell tablets only by prescription.

An analogue of “Diphenhydramine” in tablets is unlikely to be found: with the same active ingredient, only gels and eye drops are produced. Therefore, the table of analogs will be useful to you if you need to get rid of allergy symptoms and you know for sure that diphenhydramine will cope with this.

The active ingredient in Diphenhydramine tablets is diphenhydramine. 20 tablets of 50 mg cost 11 R – that’s 11 R for 1 g.

Analogs of “Diphenhydramine”

Cost

42 R for 10 ml

Cost

259 R for 20 g

Cost

334 R for 10 ml

Cost

412 R for 10 ml

“Diphenhydramine”

The second generation of antihistamines

Second-generation antihistamines take effect within two hours after ingestion and do not cause drowsiness.But there is a danger: some substances in this group can disrupt the heart rhythm if taken with antifungal medicines or grapefruit juice.

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Cetrin

Tablets “Cetrin” are prescribed for allergic rhinitis, dermatitis and even angioedema. One tablet works for 24 hours.But “Cetrin” has cheap analogs that contain the same active ingredient.

The active ingredient in Cetrin tablets is cetirizine. 20 tablets of 10 mg each cost 160 R – or 800 R for 1 g.

Analogs of “Tsetrina”

Cost

101 R for 20 10 mg tablets

Price for 1 g

505 R

Cost

280 R for 30 10 mg tablets

Price for 1 g

933 R

Cost

114 R for 10 10 mg tablets

Price for 1 g

1140 R

Cost

253 R for 20 ml at 10 mg / ml

Price for 1 g

1265 R

Cost

248 R for 20 ml at 10 mg / ml

Price for 1 g

1250 R

Cost

206 R for 20 10 mg tablets

Price for 1 g

1030 R

“Cetrin”

Levocetirizine

Medicines that contain levocetirizine begin to work within 12 minutes after administration – this is the best result among all second generation antihistamines.

“Levocetirizine” itself and its analogs are devoid of anticholinergic side effects that other drugs in this group suffer from: difficulty urinating, dry mouth, inhibition of the central nervous system.

“Levocetirizine” costs 299 R for 10 tablets of 5 mg each – or 5980 R for 1 g.

Analogues of “Levocetirizine”

Cost

481 R for 30 5 mg tablets

Price for 1 g

3206 R

Cost

436 R for 14 5 mg tablets

Price for 1 g

6226 R

Cost

467 R for 28 5 mg tablets

Price for 1 g

3334 R

Cost

584 R for 14 5 mg tablets

Price for 1 g

8339 R

Cost

660 R for 14 5 mg tablets

Price for 1 g

9424 R

“Levocetirizine”

Loratadine

One of the most popular allergy remedies.It is more effective than the first generation drugs, is devoid of sedation and practically does not interact with other drugs.

The active ingredient in Loratadin tablets is loratadine. 10 tablets of 10 mg each cost 53 rubles – or 530 R for 1 g.

Analogs of “Loratadin”

Cost

144 R for 30 10 mg tablets

Price for 1 g

479 R

Cost

53 R for 10 10 mg tablets

Price for 1 g

530 R

Cost

228 R for 10 10 mg tablets

Price for 1 g

2280 R

Cost

197 R for 10 10 mg tablets

Price for 1 g

1970 R

Cost

143 R for 10 10 mg tablets

Price for 1 g

1430 R

Loratadin

Kestin

This drug works for 48 hours, so it is often taken during flowering or “just in case” before dinner in an exotic country.The analogue of “Kestin” in terms of the active substance – ebastine – is the only one, but it is cheaper.

The active ingredient in Kestin tablets is ebastine.

Tablets with active ingredient ebastine

Cost

265 R for 10 10 mg tablets

Price for 1 g

2650 R

Cost

375 R for 10 10 mg tablets

Price for 1 g

3750 R

“Kestin”

Fenistil

The drug “Fenistil” is produced in the form of a gel, ointment, emulsion and drops.Drops are allowed to be given to children, but in a diluted state. “Fenistil” is prescribed for skin itching – urticaria, eczema or insect bites, as well as for the prevention of allergic reactions.

The active ingredient in Fenistil is dimetindene.

Dimetindene active ingredient drops

Cost

249 R for 20 ml at 1 mg / ml

Cost

456 R for 20 ml at 1 mg / ml

Fenistil

Erius

As a rule, “Erius” does not cause drowsiness, so these pills for allergies are prescribed to those who are not ready to nibble all day, even if they are not blocked.The drug is valid for 24 hours and is allowed for children over 12 years old.

The active ingredient in Erius tablets is desloratadine. 10 tablets of 5 mg each cost R 628 – or R 12 560 for 1 g.

Analogs of “Erius”

Cost

136 R for 10 5 mg tablets

Price for 1 g

2720 R

Cost

242 R for 10 5 mg tablets

Price for 1 g

4840 R

Cost

236 R for 10 5 mg tablets

Price for 1 g

4720 R

Cost

358 R for 10 5 mg tablets

Price for 1 g

7160 R

Cost

287 R for 10 5 mg tablets

Price for 1 g

5740 R

Cost

350 R for 10 5 mg tablets

Price for 1 g

7000 R

“Erius”

Feksadin

“Feksadin” copes well with allergic rhinitis and urticaria.It begins to act within an hour after ingestion and releases breath for at least 12 hours.

The active ingredient in Fexadin tablets is fexofenadine. 10 tablets of 180 mg cost 372 R – or 206 R for 1 g.

Analogs of “Feksadina”

Cost

311 R for 10 tablets of 180 mg

Price for 1 g

172 R

Cost

9004 702 R for 20 tablets of 180 mg

Price for 1 g

192 R

Cost

9004 595 R for 10 tablets of 180 mg

Price for 1 g

330 R

“Feksadin”

Glucocorticosteroids

Fliksonase

Spray “Fliksonase” can be used by children from 4 years of age, but no longer than 2 months.The effect will appear within 2-4 hours after the first “puff”: pain in the paranasal sinuses, nasal congestion, sneezing, itching in the nose and lacrimation will go away.

The active ingredient in the Fliksonase spray is fluticasone.

Analogs “Fliksonase”

Cost

376 R for 120 doses of 50 μg each

Cost

697 R for 120 doses of 50 μg each

Cost

773 R for 120 doses of 27.5 mcg

“Fliksonase”

Prednisolone

The World Health Organization has included “Prednisolone” in the list of essential drugs.There it is listed as an emergency drug for anaphylaxis, allergies, as well as a medicine for Hodgkin’s and Burkitt’s lymphomas, acute lymphoblastic leukemia.

True, it is not easy to find these inexpensive pills in pharmacies: the Ministry of Health could not agree on a price with manufacturers, so tenders for the purchase of Prednisolone failed. There are no closest analogues of “Prednisolone” with the same active ingredient in pharmacies – “Medopred” and “Decorin” also disappeared from the shelves.

All that remains for us is to choose pills that contain methylprednisolone: ​​this substance works in the same way as prednisolone.

The active ingredient in Prednisolone tablets is prednisolone.

Analogs of “Prednisolone”

Metypred, active ingredient – methylprednisolone

Cost

323 R for 30 4 mg tablets

Cost

373 R for 250 mg of lyophilisate for solution preparation

“Prednisolone”

Tablets for allergies without analogues

Some medicinal products have no analogues or have been discontinued altogether.For example, a substitute and analogue of Tavegil was Rivtagil, a drug with the same active ingredient, clemastine. But since 2006, the only tablets containing clemastine are Tavegil, so it will not be possible to find a full replacement for them.

Allergy tablets without analogues

Active ingredient

Clemastine

Why is there no analogue

The only preparation with this active ingredient

Active ingredient

Mebhydrolin

Why is there no analogue

The only preparation with this active ingredient

Active ingredient

Promethazine

Why is there no analogue

The only preparation with this active ingredient

Erespal, epistat

Active ingredient

Fenspiride

Why is there no analogue

We have other articles to help you save money on medications:

1. Cheap analogues of expensive drugs for the liver.
2. Analogues of expensive medicines for high blood pressure.
3. Cheap analogues of expensive medicines to meet the cold season fully armed.

BBC Russian – Country Russia

Unlike many Petersburgers, I had never been to Finland until December last year.

Before the trip I discussed Helsinki and Finland with my acquaintances. Of course, they have all been there many times – my colleagues go there to buy instant coffee, which we drink during a break at work.Everyone in St. Petersburg is sure that instant coffee from Finland is much better than Russian. It’s very uncool to drink Russian instant coffee.

Actually, I wanted to ask them what to do in Finland. However, they all answered my questions without much enthusiasm. When I said that I was going to spend two days in the city, many said that “this will be enough”, some said that “more than enough”, and one acquaintance went very far and said that in the capital of Finland it would be “boring” …

But all this did not affect my decision to go to a neighboring Scandinavian country, and I booked a place on the minibus. To be honest, I didn’t really want to travel with this particular type of transport. It is not so easy to fall asleep in the night minibus, and there is a huge slow line before passport control. But I had no choice. On Fridays, I finish work at the university at 19.45, and I simply would not have time to catch the ferry.

Several passengers for some reason did not buy insurance, and we had to stop at the border.There, for some reason, I drank the most terrible cup of coffee in the world, which made it even more difficult to fall asleep.

On the day of the trip, I was afraid that the minibus would be canceled. A lot of snow fell, there was a strong wind, and everything was covered with frost. I have a Scottish mentality – in such weather in Scotland, they would definitely be canceled. But in Russia, they probably didn’t even think about it. And why think? The driver drove us to Helsinki competently.

Contrary to predictions, I really liked Helsinki. I had a great walk around the beautiful old center, went to the Museum of Modern Art (as my friends recommended), watched the local ice hockey team play on the ice arena, and even tasted Finnish whiskey.Of course, he is not as good as his native Scottish, but this is not surprising. Whiskey is hardly a local pride – at Duty Free at the border, most passengers chose the Finnish ‘Minttu’ drink for five euros a bottle, which tastes like vigorous toothpaste in the best sense of the word. I have never seen this drink in Scotland.

Everything is very efficient in Helsinki: transport, snow removal from the streets … If the Petersburgers used to say “boring” about this, then I disagree. Effective doesn’t necessarily mean boring.At the same time, I am not complaining about St. Petersburg, the transport there is relatively good, but we have to admit that it is better in Finland. This, however, is not surprising – Finland is one of the richest countries in the world.

Everything works better in Finland compared to Scotland, as noted by a bartender from my hometown of Glasgow, whom I met by chance in a Helsinki bar. But that doesn’t mean that we Scots think Finland is boring. We can say that there is less chaos in Finland – fewer unpredictable things and events than in Russia.Perhaps Russian people, especially young people, prefer unpredictability to stability?

In turn, the Finns, as I understand it, are not very happy with the fact that St. Petersburg residents often go to their country just to open a Schengen visa. But maybe it is mutually beneficial? Yes, some people from St. Petersburg do travel to Finland to fly to Barcelona or Paris later – this is a fact. But Russian people also spend a lot in Finland, which is good for the Finnish economy. On the street outside the cafe, you even notice that they speak Russian.

I returned to St. Petersburg by ferry. It cost more than a minibus, and the journey took longer, but it turned out to be more convenient to travel. In addition, it became even more obvious on the ferry that Russians in Helsinki spend a lot of money on Finnish goods: on household appliances, on skis, on food. And the Finns, in turn, go to Vyborg – to buy gasoline, cigarettes with vodka, and just get drunk, which I noticed when I went there last year.

We have a similar situation with alcohol tourism in the UK.People from England drive to the north of France, coming back in a car full of bottles. Local residents may also be unhappy with this, but as a result, everyone agrees that it is somehow mutually beneficial. As for instant coffee, in France and Britain it is about the same in terms of coolness.

90,000 Antihistamines and alcohol. Can they be used together?

You are being treated for seasonal allergies and are invited to a party.Or you’re going to a party and don’t want to tell the hosts that you are allergic to certain foods. Therefore, take an antihistamine with you or use it when you leave home. And after a dozen minutes, wash down the pill for allergies with alcohol. But is this mixture safe for your health: antihistamines and alcohol?

In particular, mixing with alcoholic beverages can lead to side effects of the use of both first and second generation antihistamines.Therefore, the safest option is to completely avoid alcohol while taking antihistamines.

However, if you still need to go out on a holiday, and it is impossible to cancel taking medication for allergies, you should resort to looking for modern remedies for allergies that can be consumed along with alcohol. What are these drugs and where to find them, we will understand further.

How antihistamines work

Medicines belonging to the group of antihistamines help relieve allergic symptoms of the upper respiratory tract and skin:

These symptoms can be caused by plant pollen, house dust mites or food allergens.

When an allergen enters your body, the immune system may mistake it for a health hazard. As a result, chemical compounds are released in the body, for example, histamine . They are intended to attack substances, the synthesis of which provokes the allergen.

Thus, histamine triggers a reaction of the immune system aimed at ridding the body of the allergen. And, since histamine is a mediator (mediator) of inflammation, your nose clogs up in response to its release.You also start sneezing and itching.

Antihistamines prevent histamine from binding to its receptors in your body. And it stops the allergy symptoms.

There are two types of histamine blocking drugs: first and second generation. First-generation antihistamines are known to induce drowsiness when compared to second-generation antihistamines. This effect, in particular, affects the ability to drive a car.

Other side effects of both first and second generation antihistamines are fatigue, dry mouth, headache and agitation.

I – incompatibility of both those and others with ethanol. However, fortunately, not all.

Is it safe to drink alcohol while taking antihistamines?

The main problem is that both antihistamines and alcohol are central nervous system depressants.Both can make you feel:

• loss of coordination,
• weakness,
• drowsiness.

These effects can be dangerous when combined. But, of course, they are more pronounced when ethanol is mixed with first generation antihistamines such as diphenhydramine.

Second-generation histamine blockers such as loratadine are less likely to cause serious side effects. But this does not mean that it is safe to mix this type of medicine with alcohol.

How you react when you mix antihistamines and alcohol depends on various factors. Including age, gender, general health.

Women and the elderly are more likely to experience the severe effects of alcohol and allergy drug interactions.

It is more risky to mix antihistamines and alcoholic beverages if you have certain conditions, such as:

• alcohol intolerance,
• alcoholism,
• diabetes,
• epilepsy,
• prostate disease,
• heart disease,
• kidney disease,
• liver pathology,
• thyroid problems.

Ethanol also affects the efficiency of your body’s absorption of drugs. Therefore, alcohol can make allergy medications less effective in relieving symptoms.

If this happens, do not take antihistamines without consulting your doctor until the alcohol is completely out of your system.

What side effects are possible from mixing alcohol and allergy medication?

Let’s consider the side effects of the combined use of alcohol and antiallergic drugs in more detail.

So, both antihistamines and alcohol slow down the activity of the nervous system. This can lead to various side effects.

Dizziness

Both alcohol and antihistamines reduce heart rate. This makes it harder for your heart to pump blood throughout your body. You can feel:

You may find it more difficult to control your movements.

Drowsiness

Mixing alcohol and antihistamines may cause tiredness or drowsiness.This side effect is more likely when alcohol is used in conjunction with second generation drugs. Although these drugs are not considered to cause drowsiness.

Increased risk of overdose

When you mix ethanol-containing drinks with allergy medications, it takes longer for your liver to metabolize both substances. Therefore, you may feel more drunk than usual. And this feeling will last longer.

And if too much ethanol builds up in your body, it can increase your risk of overdose.

Can antihistamines interact with other substances?

In general, antihistamines, including second generation antihistamines, have a low risk of serious effects when interacting with other drugs.

However, it is still better to choose medicines for allergies after consulting an allergist. He should be told what other medications you are taking, including vitamins and herbal preparations.

Accordingly, the doctor will select a drug for allergies with a minimum risk of side effects in your case.And do not forget to tell your doctor that you may have a situation where antihistamines will need to be taken in conjunction with alcohol. Especially if you already know about it for sure.

Some drugs that can interact with antihistamines, in particular the second generation:

• amiodarone,
• carbamazepine,
• cimetidine,
• Darunavir,
• dasatinib,
• erythromycin,
• ketoconazole,
• midodrin,
• ranolazine,
• rifampicin,
• ritonavir,
• St. John’s wort.

You should talk with your doctor about taking antihistamines at the same time as other drugs that can make you sleepy.

Among the newest drugs that, according to the instructions for use, do not cause side effects when used with ethyl alcohol, is bilastine. But the manufacturers emphasize that we are talking only about cases when there is no overdose of antihistamines.

So:

Antihistamines are used to relieve allergy symptoms.But these medicines are not always effective when taken with alcoholic beverages.

Second-generation antihistamines have a lower risk of both side effects and drowsiness.

However, they can also contribute to the development of alcohol overdose, and in combination with alcoholic drinks – dizziness and drowsiness.

Given all these risks, it is best not to consume antihistamines and alcohol at the same time.

And if such a combination cannot be avoided, carefully select an antihistamine together with an allergist.

90,000 What can you get on the train for free?

At the train station

While waiting for the train and at any station along the train, the passenger has the right to use the toilet free of charge – just show the ticket.

Baggage

Any train ticket provides an opportunity to carry free baggage weighing up to 35 kg (in the NE up to 50 kg) and up to 180 cm in length. Excess items will have to be handed over to a special baggage carriage for a fee.

Children under five years old can travel with their parents free of charge, if they do not occupy a separate seat. True, for each child (even for a baby), you must issue a ticket in advance.

Coupe and reserved seat

Bed linen and a towel in compartment and soft carriages are always included in the fare, and in the reserved seat you can refuse linen when buying a ticket. But in this case, you will not be able to use the mattress, pillow and blanket. By the way, the conductor is also obliged to give out seat belts for the upper shelves free of charge.All trains, regardless of their level, have soap and paper in the toilet.

At the passenger’s request, the conductor must provide free of charge: glasses and spoons, a sewing kit (needles and thread and scissors), a first-aid kit and board games (chess, checkers, dominoes). But do not rely too much on these services, in a particular carriage, something from this set may be missing. You should also ask the conductor to charge your cell phone for free, but most likely you will be refused.

Signature train

Branded trains have a higher level of comfort (air conditioning and soft shelves), and their schedule is more convenient for passengers.In addition to the standard set, the following services are provided free of charge on the branded train: a traveler’s set (toothbrush and paste, soap, wet wipes), newspapers and magazines, board games. Sometimes on the branded train they serve food – a cold breakfast is served (a ration packed in a bag is given out in a compartment). Similar services may also be available in business class seated coaches.
More recently, microwaves and refrigerators for passengers have appeared in soft and compartment carriages of branded trains.

Sometimes you can call a taxi directly from the train to the station (usually in Moscow and St. Petersburg).But the passenger still pays for the taxi ride from his own pocket. Some trains provide unusual services: for example, the Allegro (St. Petersburg – Helsinki route) has a free children’s playroom.

SV and Lux

The SV carriage is distinguished by its comfort – there are only two lower berths, the compartment can also have air conditioning, a washbasin and a TV set. The suite is equipped at the level of a room in a three-star hotel: the compartment has a dry closet, a washbasin, a shower, an air conditioner, a TV, a soft sofa and an armchair.Here you will definitely be served a hot breakfast, given a shower kit and a terry towel, fresh newspapers. For a passenger with a child under five years old, several toys are given. But the specific set of services may differ slightly depending on the carrier and the subtype of the car.

“Sapsan”

The modern high-speed train “Sapsan”, running between Moscow and St. Petersburg, stands out for its high level of service.