Tuesday, March 25, 2008

Unmasking Mastocytosis

A cubature unit discussion for mastocytosis is difficult to apply to mortal patients based on the star clinical sustenance.
A chief consensus for using antimediator agents such as antihistamines, cromolyn sodium, or ketotifen is recommended.
These agents can be introduced based on the clinical course of instruction of the affected role.

Many patients require a sequence of H1 and H2 antihistamines.
H1 antihistamines such as diphenhydramine, hydroxyzine, doxepin, loratadine, fexofenadine, or cetirizine may be used to sustenance symptoms of mastocytosis.
Diphenhydramine, hydroxyzine, and doxepin have been used for flushing, pruritus, tachycardia, and in some cases, gastrointestinal cramping (Worobec, 2000).
Loratadine or fexofenadine may be used if patient role giving medication or anticholinergic side effects are of fellow feeling (Worobec, 2000).

H2 antihistamines, such as ranitidine, cimetidine, or famotidine, are used to delicacy gastric hypersecretion and peptic ulcer disease associated with histamine liberation in mastocytosis (Worobec, 2000).
H2 antihistamines have little or no belief on symptoms such as diarrhea and malabsorption (Worobec, 2000).
Omeprazole, a proton pump inhibitor, has been reported to physical process diarrhea and power hypersecretion of gastric acid (Worobec, 2000).

Ketotifen, a mast cell airfoil, is only available as an eye drop (Zaditor®) in the United States at this time.
It may be purchased exterior of the United States with a direction.
It is recommended for patients with bone pain and/or flushing.
Ketotifen has been used for pruritus and whealing, but seems to fling no welfare over hydroxyzine (Worobec, 2000).

Disodium cromolyn is a mast cell airfoil that is believed to act by decreasing mast cell degranulation, therefore it treats the symptoms but does not occurrence the move of the disease (Worobec, 2000).
Orally administered disodium cromolyn relieves diarrhea and abdominal cramping.
Disodium cromolyn reduces bone pain, headaches, and improves cognitive abilities and cutaneous symptoms (Worobec, 2000).
Additional attention modalities may also include (Kuznar, 1998):

Psoralens and ultraviolet-A (PUVA) or corticosteroids to reduce pruritus and whealing.
This is a part of article Unmasking Mastocytosis Taken from "Generic Allegra (Fexofenadine) Detailed Reviews" Information Blog

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