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Clarinex

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Drug Uses

Clarinex is an antihistamine used to relieve the symptoms of hay fever (seasonal allergic rhinitis). Clarinex contains a long-acting tricyclic histamine antagonist with selective H1-receptor histamine antagonist activity.

How Taken

Clarinex comes in tablets to take by mouth. It can be taken with or without food and is usually taken once daily. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Clarinex exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Warnings/Precautions

Before taking Clarinex, tell your doctor if you have ever had an allergic reaction to an antihistamine; kidney disease; or liver disease. You may not be able to take Clarinex, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Clarinex is in the FDA pregnancy category C. This means that it is not known whether Clarinex will be harmful to an unborn baby. Do not take Clarinex without first talking to your doctor if you are pregnant or could become pregnant during treatment. Clarinex passes into breast milk and may affect a nursing infant. Do not take Clarinex without first talking to your doctor if you are breast-feeding a baby.

Missed Dose

If you miss a dose take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.

Possible Side Effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Clarinex. More common side effects may include: dry mouth, fatigue, sleepiness, sore throat. Less common side effects may include: dizziness, dry throat, flu-like symptoms, muscle pain, nausea. Rare side effects may include: acute allergic reaction, hives, itching, rapid heartbeat, rash, shortness of breath, swelling.

Storage

Store at room temperature. Protect from heat. Keep this medication in the container it came in, tightly closed, and out of reach of children.

Overdose

Little is known about the effects of a Clarinex overdose. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately. Symptoms of Clarinex overdose may include: rapid heartbeat, sleepiness.

More Information

Use caution when driving, operating machinery, or performing other hazardous activities. Although unlikely, Clarinex may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.




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Can Allergies and Asthma Be Prevented?
Can allergies and asthma be prevented from developing in children? There are many studies that have looked at a variety of ways to reduce the development of allergies and asthma in children, some successful and some not. Various strategies, implemented during pregnancy, infancy and early childhood, may act to reduce the chance that your child will develop allergies or asthma.
Prevention of Allergies and Asthma in Children
Over the past 50 years or so, there has been a large increase in the occurrence of allergic diseases (asthma, hayfever, atopic dermatitis and food allergy) in the population. This may be due to the increased use of antibiotics, childhood vaccinations, and a cleaner environment around us. As a result of the increase in allergic diseases, there has been an interest in preventing the onset of allergies and asthma, particularly in children.
There are many factors at play that can influence the development of allergies and asthma in children. These include family background, early introduction of certain foods, breastfeeding, infections, exposure to allergens and pollution, and exposure to tobacco smoke.
Early introduction of solid or allergenic foods has been associated with the development of allergic disease, particularly atopic dermatitis.
Certain infections in babies, such as with RSV, has been associated with the development of asthma. Mothers who smoke during and after pregnancy put their babies at risk for the development of allergies and asthma.
What Strategies Have Been Shown to Reduce, Prevent or Delay the Onset of Allergic Diseases?
Exclusive breastfeeding. Although somewhat controversial, there is some evidence that exclusive breastfeeding during early infancy may be associated with reduction of allergy development. This may be due, at least in part, to the avoidance of cow’s milk and soy proteins in addition to the benefits of breast milk.
Hydrolyzed milk formulas. Hydrolyzed formulas use milk proteins that are broken down into small parts, and therefore are less allergenic. When used exclusively or when combined with breast milk, there seems to be some protective effect of these formulas on the development of allergic diseases.
Maternal avoidance of allergenic foods during pregnancy. There does not appear to be a long-term benefit for mothers to avoid highly allergenic foods during pregnancy, and may be harmful if the diet affects weight-gain of the mother and baby.
Maternal avoidance of allergenic foods during breast-feeding. There may be some benefit for nursing mothers to avoid highly allergenic foods during breast-feeding. Various studies have shown that avoidance of cow’s milk, egg, fish, peanut and soy proteins can reduce the occurrence of atopic dermatitis in young children. However, this strategy is likely to only work for highly motivated mothers of children at high risk for allergic disease (such as a strong family history of allergies), and should be done only under medical supervision to ensure the baby is receiving adequate nutrition.
Late introduction of solid and highly allergenic foods. There is some evidence that delaying introduction of solid foods until 4 months of age, and longer for highly allergenic foods, may reduce or delay the occurrence of atopic dermatitis.
Avoidance of house dust mite. Various studies have looked at implementing dust mite avoidance precautions during pregnancy, at birth, and in childhood in an attempt to prevent development of dust mite allergy and other allergic disease. This had little to no effect on long-term development of allergies, although results are somewhat mixed.
Avoidance of allergenic foods and house dust mite. One study looked at the effects of avoidance of dust mites as well as exclusive breastfeeding, use of a hydrolyzed milk formula, and delayed introduction of solid foods in infants from birth to one year of age. The results showed a decrease in asthma and atopic dermatitis at 4 years of age, and a decrease in asthma at 8 years of age.
Diet. Various studies have looked at the supplementation of various antioxidants, such as vitamins A, C and E, and selenium, in the prevention of allergic diseases. None of these show convincing evidence of prevention. Studies do consistently show benefit of omega-3 polyunsaturated fatty acids (as found in fish) in the protection against allergic disease.
Exposure to endotoxin. Various studies show a benefit with the presence of endotoxin, a protein that influences the immune system to not make allergies, during the early years of life. Household dogs are a common source of endotoxin, and the presence of 2 or more indoor dogs during childhood has been shown to reduce the occurrence of asthma.
Probiotics. Lactobacillus, a live bacteria found in yogurt, given during pregnancy and to infants for 6 months seemed to protect against atopic dermatitis for the first 2 years of life.
Allergy shots. Immunotherapy given to children with allergic rhinitis has been shown to decrease the development of new allergies and has decreased the chance of developing asthma for years, even after the allergy shots were stopped.
Medications. Zyrtec has been shown to reduce the development of asthma in children with atopic dermatitis who were allergic to grass pollen and house dust mite.

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