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alt.support.asthma FAQ: Allergy Medications


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Archive-name: medicine/allergy/medications
Posting-Frequency: monthly
Last-modified: 17 November 2000
Original-Author: Patricia Wrean <prwrean@sfu.ca>
Version: 1.3

See reader questions & answers on this topic! - Help others by sharing your knowledge
          alt.support.asthma FAQ:  Allergy Medications
          =============================================

This FAQ attempts to list the most common allergy medications available
both in the U.S. and overseas.  It was compiled by Patricia Wrean
<prwrean@sfu.ca> and is currently maintained by Marie Goldenberg
<mwg@radix.net>. 

Because of the plethora of over-the-counter (OTC) antihistamines
available, no efort has been made to make this an exhaustive list
of all brand names.  Also, other ingredients in antihistamine
formulations, such as the decongestant pseudoephedrine hydrochloride,
have not been included.  Sections on decongestants and topical
remedies for rashes and hives will be added in later versions.

The information about inhaled corticosteroids and ketotifen fumarate
(Zaditen) has been taken from the alt.support.asthma FAQ:  Asthma
Medications.  The remaining entries come from either the 1995
Physicians' Desk Reference and the 1995 PDR for Non-prescription
Drugs (full citations in References section at end of post), or
from the contributors listed at the end of the post.  Chemical
class information came mostly from the pamphlet "Advice from your
Allergist", published by the American College of Allergy &
Immunology.

** Although the maintainer does her best to keep this FAQ updated,
   it is by no means an authoritative work.  Asthma is a serious
   illness requiring supervision by a physician.  Please do not
   attempt to change your medication regime without consulting your
   doctor.

Corrections, additions, and comments are requested; please include
the name of the country in which the medication is available, as
it isn't always obvious from the user-id.  If the drug is available
as an inhaler, please specify it as a MDI or one of the other types
mentioned in the glossary, or add a description of the inhaler if
it is not present already.  If you do not wish your name to be
included in the contributors list, please state that explicitly when
contributing.

Abbreviations are explained in the glossary at the end of the table.
If the medication is followed by a country name in brackets, then
to the best of my knowledge it is only available in that country,
and not in the U.S.

+ = added since last version
& = updated/corrected since last version

----------------------------------------------------------------------

Antihistamines
--------------

  class             chemical name       brand name      comments
  -----             -------------       ----------      --------

  alkylamines
                   brompheniramine      Bromfed,        Rx & OTC
                     maleate              Dimetane,
                                          Dimetapp, etc.

                   chlorpheniramine     Atrohist,       Rx & OTC
                     maleate              Chlor-Trimeton,
                                          Kronofed, etc.

                   pheniramine          Triaminic       Rx
                     maleate

                   triprolidine         Actifed         Rx
                     hydrochloride

  ethanolamines
                   carbinoxamine        Rondec          Rx
                     maleate

                   clemastine           Tavist          Rx & OTC
                     fumarate

                   dimenhydrinate       Dramamine       OTC, usually
                                                          for nausea

                   diphenhydramine      Benadryl        Rx & OTC
                     hydrochloride

  ethylenediamines
                   pyrilamine           Triaminic       Rx
                     maleate

                   tripelennamine       PBZ             Rx
                     hydrochloride

  phenothiazines
                   promethazine         Phenergan       Rx
                     hydrochloride

                   trimeprazine         Temeril         Rx
                     tartrate

  piperazines
                   cetirizine           Zyrtec          Rx
                                        Reactine (Can) 

                   chlorcyclizine       Mantadil Cream  Rx, for eczema
                                                          & dermatitis

                   hydroxyzine          Atarax          Rx
                     hydrochloride

                   hydroxyzine          Vistaril        Rx
                     pamoate

                   meclizine            Antivert,       Rx & OTC,
                     hydrochloride        Bonine          Bonine
                                                          usually for
                                                          nausea

  miscellaneous
                   astemizole           Hismanal        Rx, non-sedating

                   azatadine            Trinalin        Rx
                     maleate

                   cyproheptadine       Periactin       Rx
                     hydrochloride

                   ketotifen            Zaditen         Rx (Can), for
                     fumarate                             treatment of
                                                          pediatric
                                                          allergic
                                                          asthma,
                                                          non-sedating

                   loratidine           Claritin        Rx, non-sedating

                   phenindamine         Nolahist        OTC
                     tartrate

                   terfenadine          Seldane         Rx, non-sedating
&                                                       (discontinued in 1997)

Anti-inflammatory, steroidal (inhaled)

    chemical name           brand name       comments
    -------------           ----------       --------

    beclomethasone          Beconase         Rx, nasal MDI
      dipropionate          Beconase AQ      Rx, nasal spray
                            Vancenase        Rx, Pockethaler
                                               (nasal MDI)
                            Vancenase AQ     Rx, nasal spray

    budesonide              Rhinocort        Rx, nasal MDI
                                               (US, elsewhere),
                                               nasal turbuhaler,
                                               (Can, Sw),
                                               nasal spray (Can)

    flunisolide             Nasalide         Rx, nasal spray
                            Nasarel          Rx, nasal spray
                            Rhinalar         Rx, nasal spray (Can)

    fluticasone             Flonase          Rx, nasal spray
      propionate

+   mometasone              Nasonex          Rx, nasal spray

    triamcinolone           Nasacort         Rx, nasal MDI
      acetonide


Mast cell stabilizers*
---------------------

    cromolyn sodium         Nasalcrom        Rx, nasal spray
      (sodium cromoglycate
       is WHO recommended   Rynacrom         Rx, nasal spray,
       name generally in                       cartridges for nasal
       use outside the US)                     insufflator (Can)
                                             (Nasalcrom now OTC in US)

    * a mast cell stabilizer blocks the production of histamine.  For
      a more complete description of what a mast cell stabilizer does,
      please see the alt.support.asthma FAQ:  Asthma -- General
      Information, section 2.0.


----------------------------------------------------------------------

Glossary
--------

aerosol inhalers:

  MDI         - metered-dose inhaler, consisting of an aerosol unit and
                plastic mouthpiece.  This is currently the most common
                type of inhaler, and is widely available.

  syncroner   - MDI with elongated mouthpiece, used as training device
                to see if medication is being inhaled properly.
                Available in Canada for Intal.

dry powder inhalers:

  insufflator - dry powder nasal inhaler used with Rynacrom cartridges.
                Each cartridge contains one dose; the inhaler opens the
                cartridge, allowing the powder to be blown into the
                nose by squeezing the bulb.  Available in Canada.

  spinhaler   - dry powder inhaler used with Intal capsules for
                spinhaler.  Each capsule contains one dose; the
                inhaler opens the capsule such that the powder
                may be inhaled through the mouthpiece.  Available
                in Canada, UK, and the U.S.

  turbuhaler  - dry powder inhaler.  The drug is in form of a pellet;
                when body of inhaler is rotated, prescribed amount of
                drug is ground off this pellet.  The powder is then
                inhaled through a fluted aperture on top.  Available
                in Australia, Canada, Denmark, and Switzerland.


country abbreviations:

  Can         - Canada
  Sw          - Switzerland
  US          - United States


misc:

  OTC         - over-the-counter, no prescription required for purchase
  Rx          - prescription by physician required for purchase


----------------------------------------------------------------------

References:
----------

The Physicians' Desk Reference is published annually by:
     Medical Economics Data Production Company
     Montvale, NJ 07645-1742

     ISBN 1-56363-087-7 for the 1995 edition

     It is a compendium of official, FDA-approved prescription
     drug labeling.  The FDA is the U.S. Food and Drug Administration.


The Physician's Desk Reference for Nonprescription Drugs is also
     published annually by the Medical Economics Data Production
     Company.

     ISBN 1-56363-089-3 for the 1995 edition

     It is a compendium of manufacturers' information on over-the-
     counter medications available in the U.S.

The American College of Allergy & Immunology, (ACAI), publishes a
     pamphlet titled "Advice from your Allergist."  It may be 
     ordered from:

     ACAI
     85 West Algonquin Road, Suite 550
     Arlington Heights, IL  60005
     (708) 427-1200


----------------------------------------------------------------------

Contributors:

  Steve Dyer                                            dyer@spdcc.com
  Patrick White                                     patrickw@iglou.com

 
----------------------------------------------------------------------

Disclaimer:  I am not a physician; I am only a reasonably
             well-informed asthmatic.  This information is for
             educational purposes only, and should be used only as
             a supplement to, not a substitute for, professional
             medical advice.

Copyright 1996 by Patricia Wrean, 1997 by Marie Goldenberg.  Permission is
given to freely copy or distribute this FAQ provided that it is
distributed in full without modification, and that such distribution is
not intended for profit. 


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