Long-Acting Beta Agonists: Salmeterol and Formeterol

Salmeterol and Formeterol
Two long-acting ß 2 -adrenergic agonists (LABAs), salmeterol and formoterol, have been demonstrated to be safe and effective agents in children, both in terms of bronchodilation and prevention of exercise-induced bronchospasm. Their onsets of action differ, with formoterol having an onset similar to albuterol (3 minutes), while salmeterol has a slower onset of action (10–20 minutes). Following a single-dose administration, both agents demonstrate durations of action up to 12 hours. Following regular twice-daily administration, bronchodilation remains effective; however, a level of tolerance (or tachyphylaxis) (more…)

Inhaled Ciclesonide Nasal Spray Side Effects

ciclesonide nasal spray
Maintenance of asthma control by once-daily inhaled ciclesonide nasal spray in adults with persistent asthma. Ciclesonide is an inhaled corticosteroid that is converted to an active metabolite, desisobutyryl ciclesonide, in the lungs, thereby minimizing effects on endogenous cortisol inflammation. The goal of finding newer, safer corticosteroids for the management of asthma has led to the development of this inhaled corticosteroid.

This 12-week, double-blind, randomized, parallel-group, placebo-controlled study evaluated the efficacy and safety of ciclesonide in adults with persistent asthma. Efficacy was monitored with asthma symptom scores, rescue medication use, morning and evening peak expiratory flow rate (PEF) measurements, spirometry, and the probability of study completion without experiencing lack of efficacy. It was concluded that ciclesonide (160 or 640 µg) once daily in the morning maintains asthma control effectively, does not affect cortisol levels, and has an adverse event profile comparable with that of placebo in adults with primarily mild to moderate asthma.

It has been reported previously that, compared with fluticasone, ciclesonide possesses equivalent anti-inflammatory efficacy, through pulmonary activation, with a significantly improved safety profile. Since it has low bioavailability because it is metabolized by the lung, it is believed to cause minimal systemic adverse effects. It was found that the morning peak expiratory flow rate (PEF) and FEV 1 values from patient diaries decreased significantly in patients switched from their usual inhaled corticosteroids therapy to placebo but remained stable in patients switched to either dose of ciclesonide (160 or 640 µg). Furthermore, in patients switched to placebo there were significant increases in daily asthma symptoms and the use of rescue medication, with no significant changes from baseline in patients switched to either dose of ciclesonide. Mean changes from baseline in serum and urinary cortisol levels were not statistically significant in any of the treatment groups. Adverse effects were mild, with no reported cases of oral candidiasis.

In conclusion, once-daily inhaled ciclesonide nasal spray (160 or 640 µg) was superior to placebo in the maintenance of asthma control in adult patients previously treated with moderate doses of inhaled corticosteroids, without any significant adverse effects.

Dietary Fatty Acid Modification in The Childhood Asthma Prevention Study

Two factors thought to influence the risk factor asthma are the promoting effect of sensitization to house dust mites and the preventive effect of increased omega-3 fatty acids. Although the avoidance of house dust mites allergen has been used as a preventive strategy in several trials, the effect of omega-3 fatty acid supplementation in the primary prevention of asthma and allergic disease is not known. (more…)

A Chimeric Human–Cat Fusion Protein Blocks Cat-Induced Allergy

The specific treatment of allergy has previously relied upon allergen avoidance and sublingual immunotherapy. These approaches have been used predominantly in hymenoptera venom and aero-allergen-driven disease when previous food allergy immunotherapy has been unsuccessful. (more…)

Allergen Avoidance and Environment Control: Management of Allergy & Asthma

Allergen Avoidance
Asthma and allergic diseases are common in both children and adults. Their development depends on an interaction between asthma genetic and asthma environmental risk factors. Genetic manipulation in multi factorial diseases such as asthma is not feasible in the foreseeable future. However, theoretically, environmental exposures can be controlled in an attempt to stem the rising prevalence of these diseases (primary prevention). Environmental exposures may also influence the frequency of symptoms and the requirement for medication in those with established disease. (more…)

Asthma, Nutrition, and Diet – Can We Control Asthma with Food?

asthma nutrition
Asthma as disease affects approximately 15 million people in the United States alone. Asthma affected 70 percent more women than men. One way to help ease asthmatic symptoms is by eating healthy and variety of foods that give your body a few health benefits. If these foods are healthy, so your body is. The vitamins, minerals and nutrients strengthen your body, so that the body functions efficiently and effectively. (more…)

Natural Allergy Treatment With Foods, Nutrients and Dietary Changes

Natural Allergy Foods
Discovering natural treatment for allergies is still the main goal for a growing number of people suffering from allergies. At the moment, most of them are depend heavily on allergy pills and allergy drugs. More than often the side effect of this allergy medication are causing something that are worse than the allergy itself.

Allergies occur due to continuously exposure to allergens. (more…)

Better Detection and Dietary Option Improve Food Allergy Management

food allergy management
A better detection, the least restrictive health food allergies choices, specific measures of allergy prevention, and teaching guidelines on potential new therapies has known to improve the management of food allergies. This new approaches give hope to more than twelve million Americans who are affected by food allergy. (more…)

How to Identify Food Allergies & Intolerance

food intolerance
Food allergies are becoming popular topics in the news at the moment. Based on a recent report by the CDC, the number of people with food allergies has grown 20 percent in the last ten years. Only three percent of Americans could correctly distinguish four of the common list of food allergens (peanuts, dairy products, eggs and wheat). But still the main problem is on how to identify food allergies easily? (more…)

Oral Allergy Syndrome Foods

oral allergy syndrome foods
Oral allergy syndrome has been most often reported in people who have respiratory allergy (such as hay fever) to specific plant pollens. The pollens most often implicated are produced by :

• Birch and alder trees
• Ragweed (more…)

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