Nitric oxide has recently been found to be an effective therapy for people with “atypical TB” known as Mycobacterium abscessus. The inhaled nitric oxide gas is an alternative to having to take an oral therapy of three different antibiotics.
The FDA has approved the return of Primatine Mist to OTC (over the counter) availability after its removal in 2011. Many medical organizations, including the American Thoracic Society, have concerns about its misuse which can lead to asthmatic deaths. It contains aerosolized epinephrine which can serve as a rescue medication but does not act as a controlling medicine for the asthmatic condition. Also, pure epinephrine has potential to be a cardiac irritant.
Last year my gynecologist started me on Flomax because I feel the need to urinate frequently. She first gave me Detrol, but that caused severe dry mouth. The Flomax has worked great and I don’t have to “locate the bathroom first” whenever I go out. However, since starting it I’ve had sinus congestion that won’t go away. Are they related? The short answer is “yes”. Flomax is one of a number of drugs called an alpha blocker. Other drugs in…
By: Sasha Klemawesch, MD If you haven’t heard of Bacterial Baptisms, you are not alone. However, in some communities, the trend of vaginal seeding or “baptism by bacteria” has started to really catch on. The idea behind the movement started due to the theory that when babies are born via C-section, it is a very sterile procedure, and they end up lacking the immediate exposure to the normal bacterial flora that infants for centuries experienced as they made their…
Xofluza (baloxavir marboxil) is the first new antiflu medication to be developed in 20 years. It works by inhibiting Cap-dependent endonuclease, an enzyme essential for influenza virus to multiply itself. It is very effective and only requires a single oral dose to work. It is effective against both influenza A and B viruses. It does need to be taken within the first 48 hours of the flu to be effective. The only other drugs that are currently available to treat…
By: Sasha Klemawesch, MD Maybe not. For a long time, people have taken a baby aspirin regularly (with and/or without their physician’s input), because it seemed like conventional wisdom was that it would help with heart health, and after all, it was “just a baby dose”. However, a recent landmark study has turned the notion of ASA for primary prevention on its head. Primary prevention means that you are trying to prevent something from every happening in the first…
A recent study found that fewer than 50% of asthmatics were compliant with their inhaler use if they didn’t like the device. Since asthma inhalers come in a variety of formats, be sure to discuss your preference with the prescribing doctor.
The University of California is doing research on a histamine-4 blocker to treat asthma. Most traditional antihistamines such as Benadryl, Allegra, and Zyrtec block histamine-1. Early research shows that blocking histamine receptor number 4 can alleviate asthma.
For many years now, asthma has been referred to as “The Nocturnal Predator” because of its tendency to exacerbate at night. The traditional explanation given was due to our normal circadian variation in adrenal gland output. Our adrenal glands produce two hormones that are an innate treatment for asthma: adrenalin and cortisone. In fact, many of the pharmaceutical therapies for asthma mimic the body in that they contain forms of adrenalin and cortisone. Our adrenal glands “wake up” about an…
Researchers at Utrecht University in the Netherlands recently published a study on food allergy reactions due to undeclared ingredients. They studied 73 patients with food allergy who had a reaction even though they thought they were avoiding their known food allergies. In 22 patients the scientists could find no explanation for the allergic attack. But in 51 cases analysis of the offending food revealed one to four culprit allergens not listed under “ingredients”. The most common “undeclared food” was milk…