Dear Dr. Roach: All my life, I had allergies. I began to take allergic images and all my symptoms disappeared. I had years of springs and falls without symptoms. Then, a few years ago, weeping, guided eyes returned together with other symptoms.
I need to take Flonazo and the allergy tablet to my allergic shots to get help. I am told that this is due to much more floral dust in the atmosphere. Is this possible? Also, what is the best pill for allergies?
Allergic immunotherapy is one of the therapies available for seasonal or permanent allergies.
The effectiveness of the therapy is different, some people have complete relief, as you did, and most people have important, but not complete, relief symptoms.
When the recordings are interrupted, symptoms usually return, but can take years. Now that you start treatment again, I hope, you will have more relief when you continue.
The pollen count depends heavily on where you live, as well as the season. Local temperature and humidity conditions determine how much pollen will be produced by the tree, but the number and type of trees that release pollen, which are sensitive, are even more important.
There are many types of oral allergy medication. Antihistamines are moderately effective, and newer ones have low side-effects profiles, so they are the usual first suggestions. In each person, we can work better than another person, and although I usually recommend cetirizine (Zyrtec) as the first type, fexofenadine (Allegra) and loratadine (Claritin) are the first choice for my colleagues. I am also aware of a different class of leukotriene inhibitors such as montelukast (Singulair), which works very well for some people. The combination of immunotherapy with allergies and oral medicines can be the most effective treatment.
Dear Dr. Roach: I am an active 75-year-old woman with a small frame that has never smoked. After two pneumococcal pneumonia, Mycobacterium avium complex was diagnosed. I have no symptoms. Since the drug is very severe and should be taken for more than a year, they have decided not to start taking medicines at the moment and wait six months for CT to be repeated and breathing tests.
Is it a disease that is fast or slowly growing, and will it be difficult to heal? What is the easiest treatment on the stomach? I do not tolerate drugs well.
Mycobacteria are a type of bacteria that are associated with tuberculosis and are generally slowly growing.
Mycobacterium avium and Mycobacterium intracellulare are both the causes of pulmonary disease, which prevails in elderly people, especially in women and especially those who are thin. (A precise organism is often not identified, so the disease is called the Mycobacterium avium complex.) When symptoms are present, usually cough and spit is usually produced without weight loss or fever.
Anyone who has a MAC diagnosis does not need treatment, but if you really do not have symptoms, then six months to look for progression of the disease makes a lot of sense. I think that waiting will not make it difficult to treat the infection. If the disease has not progressed, doctors can continue to monitor and discontinue treatment.
If you need treatment, the treatment modes used for MAC are really severe on the stomach, and between 20 and 37% of people need to stop treatment.
In my experience, the combination of azithromycin and rifampin is the best combination of efficacy and tolerability, especially for people who want treatment that is easy on the stomach.
Roach regrets that he can not respond to individual letters, but will include them whenever possible in the column. Readers can send questions to emails [email protected].
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