Antiallergic drugs for children
Medicine / / August 12, 2017
- Antihistamines I generation
- antihistamines II generation
- antileukotriene funds Funds with anti-inflammatory effect
- specific immunomodulators
Antiallergic drugs - medications,blocking the allergic reaction and eliminating inflammation.In every house there is certainly at least one remedy for allergies, but not all of them are safe for the child's body.By the choice of drugs against allergies for your baby should be treated with caution, some substances can cause systemic damage, sometimes manifested in the distant future.The fight against child allergies using several groups of drugs:
- antihistamines - block the effect of histamine, provoking the development of allergic reactions (swelling, itching, redness), apply 3 generation of this group of substances;
- corticosteroids - hormones with a pronounced anti-inflammatory effect, negate the rapidly developing and severe sensitization;
- substances with anti-inflammatory effect - slow allergic reaction, greatly reducing its symptoms;
- antileukotriene - leukotriene blockers, provoking bronchial spasm;
- specific immunomodulators - the action based on the anti-inflammatory effect.
Antihistamines I generation
- diphenhydramine (Allergin, Alfadril, glaznyye drops Oftalmol, Okumetil);
- Suprastin (Chloropyramine, Supramin);
- Tavegil (Clemastine, Rivtagil);
- pipolfen (Promethazine, Pipolzin);
- Fenistil, Vibrocil;
- Diazolin (Omer);
- Fenkarol (Kvifenadin);
- Peritol (Cyproheptadine).
Features of action of drugs I generation:
- rapidly absorbed, have a fairly powerful anti-allergic effect;
- validity of 4-8 hours (multiple dose during the day);
- prolonged use reduces the effectiveness of (the change of the drug every 2-3 weeks);
- relax the muscles (such as the side effects of lethargy);
- effect on the central nervous system (drowsiness, dizziness, loss of coordination, some anesthetic effect);
- holinoliticheskoe impact (tachycardia, constipation, abdominal pain, dryness of mucous membranes);
- increase alcohol effects, psychotropic substances (combination with children's syrups containing alcohol and tranquilizers can cause hallucinations!);
- possible allergy to the drug.
Important!Even average doses can cause a child's agitation.
From tablet form is most effective Tavegil (longer effect, a minimum of side effects), but is contraindicated in neonates.Universal local media - Fenistil gel.In order to avoid reactions to vaccination is usually given 2-3 days suprastin course.
antihistamines II generation
- loratadine (Claritin, Klaridol, Lomilan);
- cetirizine (Zyrtec, Tsetrin, Zodak);
- Allergodil (forms for topical use);
- Astemizole (Gistalong, Gismanal);
- Terfenadine (Trex);
- Kestin (ebastine).
Group has a number of advantages:
- fast, long-term exposure (daily intake of 1 times);
- absence of sedation (treatment of allergies in school children);
- do not affect the gastrointestinal tract (the reception is not linked to food consumption);
- possible long-term use.
nuances of application:
- age limits (most funds are only allowed with 2 years old, all are contraindicated to 6 months.)
- long-term use can cause changes in the liver and heart.
most popular tools in pediatric practice - Zyrtec and Claritin (in liquid form).
Antihistamines III generation
- Levocetirizine (Zodak Express, Ksizal, Suprastineks);
- Aerius (Deza, Telfast, Lordestin);
- Feksadin (Allerfeks).
means virtually no adverse effects.The ability to accumulate in the body (single dose per day) causes their efficacy in chronic forms of allergy.However, generation III drugs are shown only from 3 years (insufficient knowledge about the influence), some of them (Telfast, Lordestin, Aerius tablets) - 12 years.For kids more acceptable Aerius syrup.
means comprise hydrocortisone, dexamethasone and methylprednisolone.Product form:
- ointment (gioksizon, Lokoid, Elokim);
- liquid form for the eyes (Dexamethasone, Maksideks, maksitrol, deksapos);
- nasal sprays (Tafen Nazal, Nasonex);
- solutions for nebulizer (Pulmicort);
- inhalers (fluticasone, Pulmicort Turbuhaler).
Amid pronounced antiallergic effect of hormonal agents are limited in use because of the serious effect on the child's body.Corticosteroids are suitable in cases of:
- a severe allergic reaction (asthma);
- rapidly developing allergy (anaphylaxis, angioedema, and so on. D.).
Nuances use hormonal methods:
- apply only to the ineffectiveness of antihistamines.
- serious side-effects (diabetes, immune deficiency, obesity and so on. D.).
- Even topical application in children is fraught with the development of undesirable consequences.
- Negative influence often manifests itself remotely.
- are used only under medical supervision.
- Montelukast (Singulair);
- Zafirlukast (Akolat).
commonly used to prevent seasonal exacerbations.It does not affect the already developed allergic reactions.Preventive action develops gradually (reception 2-3 weeks. To the alleged aggravation).
tools with anti-inflammatory effect
- Intal (Nalkrom, kromogeksal);
- Ditek, Intal plus (combined).
main goal - prevention of allergy recurrence.Combined means cropped asthmatic attacks.Appointment of drugs is accompanied by local irritation (tearing, increased cough, dry mucous membranes).The reaction gradually dismissive, cancel treatment is needed.The most effective anti-allergic agent for toddlers - Ketotifen (. Syrup is allowed from 6 months), is not able to stop asthma attacks.
Group presented Injectables Rezam.The means created from Staphylococcus aureus (does not contain live cultures).Nuances of use:
- Appointed during prolonged allergic ailments.
- Allowed 4 years.
- used as a prophylactic agent, has no effect on allergic symptoms.
- The initial fever, increased cough / runny nose does not require cancellation unpleasant phenomena gradually disappear on their own.
- more effective when combined anti-allergic treatment.
to remember when a huge assortment of allergy medications: each agent has side effects and age restrictions.Self-selection method for the treatment of allergy is fraught with unforeseen deterioration and complications in children.Only a specialist after determining the type and flow analysis allergies can pick up really effective and the safest for the baby means precisely calibrated dose and duration of administration.