Food Allergy Treatments
Non-drug therapy
Diet avoidance: avoiding the suspected food as much as possible.Dietary Counseling: educating about allergens and maintain a balanced diet as possible.
Dietary manipulations: if pseudoallergic the elimination diet is followed by a reintroduction every 3 days of a new food.
Emergency drug therapy
Allergy emergency kit: Patients who have an allergy type I and may develop an episode of anaphylactic: The kit should contain an "auto injector of epinephrine," antihistamine and steroid injections, a profit warning in your documents the type of allergy.Doses of adrenaline
Adult
0.3 mL IM in G. 1:1000 aqueous injection, the normal range is 0.2 to 0.5 mL in 10-15 min. It may be necessary to reduce the dose of 0.2 ml in the elderly or with known heart problems.device self-injection 0.33 mg (0.33 mg Fastieckt) in the prescription range H
Pediatric
IM dosing in children is based on weight: 0.01 ml / kg IM 1:1000 dilution, not to exceed 0.3 ml IM in 1:2000 dilution in 10-15min.self-injection device, 0,165 mg (0.165 mg Fastieckt) in the prescription range H.
Symptomatic drug therapy
Antihistamines: are currently used both in the maintenance phase in both the acute phases. Can cause sedation, individuals engaged in risky activities requiring alertness (eg driving), especially the older generation preparations.
Leukotriene modifiers
: they display in the allergic lung, their use in food allergies should be considered experimental.
Steroids
: in the acute phase of allergic reactions. Are by far the most effective drugs on the symptoms of food allergy in general and on 'inflammation, but are burdened by significant systemic side effects, especially with prolonged use. The doses of these drugs vary between different molecules as a function of equivalence ratio between the various steroid dosage, and above depending on the severity and type of pathological event.
Cromolyn sodium or DSCG or Cromolyn: in patients with gastrointestinal symptoms and signs should be used in the maintenance phase prophylactically to prevent or reduce the recurrence and severity, has the characteristic not to be absorbed orally, and have an excellent tolerability.
In eosinophilic esophagitis sodium cromoglycate shows some efficacy. Moreover, in children with atopic dermatitis for the use of the same os is able to reduce intestinal permeability to macromolecules pathological allergy, while it is controversial to this day, the use topically.Sodium cromoglycate or Cromolyn sodium for oral use (in the form of ampoules) in the U.S. is indicated in systemic mastocytosis, a rare serious illness, succeeding in this disease to relieve symptoms associated with gastrointestinal.
Food Allergy Treatments
Etiological therapy∙ Oral desensitization therapy is recommended only in cases of confirmed type I allergy to milk or eggs, not very effective for allergies to pollen, the doses of the allergen in this case must be increased regularly.
If there is a cross between a food allergy and pollen desensitization therapy is useful against pollen in 60% of patients.
Experimental therapies
∙ Immunization with plasmid DNA (PDNA)∙ The use of probiotics such as Lactobacillus rhamnosus
∙ Allergen immunotherapy with heat-killed Listeria monocytogenes as an adjuvant, which induces the production of IFN-c
∙ Traditional Chinese medicine
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