Asthma Related Other Drugs - Antihistamines,Antibiotics,Antivirals

4th Pediatric Infectious Diseases Conference

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ASTHMA IN CHILDREN

Dr C.T.Deshmukh
Professor of Pediatrics, K.E.M Hospital

Other Drugs Related to Asthma

Antihistamines

Antihistamines can be safely used in most patients with asthma.

Based on their ability to block late-phase responses to allergen exposure, newer antihistamines may play a greater role in the future treatment of asthma.

There is a strong clinical impression that improvement of upper respiratory tract symptoms by antihistamines in patients who have concomitant allergic rhinitis and asthma may facilitate the treatment of lower respiratory tract symptoms.

Hydration and pharmacomucolytic agents

Adequate hydration is recommended for patients with asthma, but careful monitoring of fluid and electrolyte balance should prevent overhydration. Dehydration may occur with severe asthma and should be corrected. However, fluid overload may have adverse pulmonary and circulatory effects and must be prevented by careful monitoring of fluid and electrolyte balance.

Guaifenesin and potassium iodide may be worth a trial in some asthmatic patients, although the mechanisms of action are unclear.

Antibiotics/antivirals

Infections associated with asthma exacerbations are almost always viral in origin and do not require antibiotic therapy.

Bacterial infections, such as acute and chronic sinusitis, should be treated appropriately, including the prompt and adequate use of antibiotics.

Influenza can be associated with increased asthma. Therefore appropriate immunization is essential in patients with moderately severe or severe asthma.

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ASTHMA IN CHILDREN : EXPERTISE VIEWS

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