Atrovent and Combivent INHALERS

Posted on: Sun, 01/08/2006 - 12:21am
Lebovitz's picture
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These come with cautionary statements not to use if allegic to peanuts!! The SVN solution ipratropium is ok. Write if you have other rx questions related to allergies.

Posted on: Sun, 01/08/2006 - 12:24am
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

Can you explain why we are not supposed to use them if allergic to peanuts? I have never understood that. Is there peanut protein in them or what? Also, is there some reason that they were designed so that pa people cannot use them? Since lots of pa people also have asthma, it is really a problem.

Posted on: Sun, 01/08/2006 - 2:58am
barb1123's picture
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Joined: 04/08/2000 - 09:00

Thank you for info, I responded to you in my original post but am posting again here.
If peanut is not a problem in nebules, is soy? DS is also allergic to soy though not as severely.
Also, can you tell me if there are any know allergy contraindications to beclometasone dipropionate (Becotide 50 in UK and Ireland). I'm assuming not as he's been using off and on for some years. He has too many allergies to list.
Thank you for your help.

Posted on: Sun, 01/08/2006 - 3:11am
Lebovitz's picture
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Joined: 08/28/2005 - 09:00

Give me a few minutes to research your answers on a web based pharmacy site to obtain the most accurate response. My son is very allergic to soy as well as peanut, and he has asthma. I feel a lot of asthma problems in the population are probably induced by food allergies that have been undiagnosed.

Posted on: Sun, 01/08/2006 - 3:16am
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I agree about that. There was a girl in my dd`s school who was diagnosed pa in 5th grade. She also had "asthma". Turns out when she stopped eating peanut products, the "asthma" went away.
About the Combivent and Atrovent metered dose inhalers, I would really like to know why they are contraindicated in pa. Is it only because they have soy lecthitin and soy is a legume and peanuts are a legume????? Or is there more of a reason than that? Also, did they always have this contraindication, or is there some change within the last few years in terms of how these inhalers are made? My dd was prescribed Serevent about six years ago---is this contraindicated as well? She only used it a couple of times---it had her so wired that she was up from 1 A.M. until 4 A.M.

Posted on: Sun, 01/08/2006 - 3:22am
Lebovitz's picture
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Joined: 08/28/2005 - 09:00

Atrovent and Combivent contain SOYA LECITHIN. So those people with a history of peanut hypersensitivity or "hypersensitivity to related foods and legumes" should not use these products! Anaphylaxis has been documented with Atrovent.

Posted on: Sun, 01/08/2006 - 3:40am
Lebovitz's picture
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Carefulmom....Serevent inhaler was withdrawn from the market because of a few deaths due to cardiac irregularities. As i recall those deaths were primarily in African Americans. Salmeterol (active ingred) was combined with a steroid (advair) and the marketing continued in full swing. I don't like salmeterol and believe it should not be on the market. Notwithstanding, our FDA permits a few deaths each year for unexplained causes with each marketed drug. If those number of deaths say reach 20 or some figure "x", then they begin their investigations that could lead to product recalls or pressure on manufacturers to remove their product as in Vioxx and Serevent inhalers. Most of what we take is probably unnecessary but look at all the ads on TV convincing us to consume more!

Posted on: Sun, 01/08/2006 - 4:15am
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Hello,
I know you said you'd get back to me but I was also wondering if your son uses a preventer. I promise I won't take anything you say as medical advice, just another parent's opinion.
My son (7) hasn't been taking his preventer in some years just the Ventolin as needed which isn't very often. He usually only has viral induced asthma. He has had maybe 2 severe asthma attacks in his whole life (severe meaning, bad wheezing, ribs contracted, severe shortness of breath). Hospitalized only once at 12 months (prior to me getting nebulizer). The last time I used the nebulizer was on my 3 year old who had his first case of croup in which his airway became completely obstructed when I lay him down (thankfully I had the nebulizer at hand).
His pediatrician did not see any problems with me not using a preventer on my son at his last visit but after reading posts in the archive about asthma I am concerned that I should start preventer again due to his anaphylaxis to nuts, dairy and egg.
The reason being from what I read kids who have anaphylactic reaction can weather it better if their asthma has been regularly treated.
My dilemma is that he is hyper to begin with due to his large number of allergies, plus asthma, plus eczema. The inhalers make him even more hyper though pediatrician scoffed at this as the Becotide is only 50 micrograms. Still, there it is. I don't like medicating him unless necessary so I will revisit this with pediatrician at next visit. However, I would like to hear your thoughts on the matter regarding your own son.
Thank you very much.

Posted on: Sun, 01/08/2006 - 4:18am
barb1123's picture
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me again,
My son also has an innocent heart murmur an added concern after reading more detailed info on various inhalers.

Posted on: Sun, 01/08/2006 - 4:41am
Carefulmom's picture
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Lebovitz, so if my dd is allergic peanuts and definitely not allergic to soy, then are Combivent and Atrovent okay? That is the part I don`t understand. She is not on either one, but since she has asthma the day could come that one of those might be prescribed, so I would really like to know. As long is someone is sure they are not allergic to soy, are these inhalers okay? Meaning, we don`t avoid soy foods, just because soy is a legume and peanuts are a legume.

Posted on: Sun, 01/08/2006 - 4:50am
Lebovitz's picture
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Assuming you are in the UK, the preventer you are referring to is probably a steroid spray that I would recommend. Your child should also be on a nasal steroid such as Flonase (fluticasone) and perhaps montelukast chewable tablets as a preventative that binds with certain receptors to cut down on the inflammatory reactions due to asthma. Boy, you have food allergies like mine! My son is highly allergic to peanuts and soy with great difficulty in selecting appropriate foods! Over the years he has had numerous reactions with one helicopter trip between hospitals! We are now beginning Xolair (a subcutaneous drug delivery) with hopes it may diminish unexpected exposures in the future. The key to treatment is a good allergist and I wish you and your family well! Email anytime. bquote]Originally posted by barb1123:
[b]me again,
My son also has an innocent heart murmur an added concern after reading more detailed info on various inhalers. [/b][/quote]

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