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Allergy Shots and Inhalers
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LisaB3232 posted:
What are the interactions and/or problems with using pro air inhaler and having immunotherapy within 24 hours of each other?
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sgbl88 responded:
Lisa,

There shouldn't be any interactions between the proair and the immunotherapy serum. Doctors don't want their asthma patients in the yellow zone when they get a shot because it increases the risk of a systemic reaction requiring extra care on their office's part or even a trip to the ER. Most reactions can be handled in the office, but it is still a problem.

I have done that several times, not realizing I was really in the yellow zone. It isn't fun.

Have a blessed day.

Sonya
Sonya http://exchanges.webmd.com/fragrance-and-odor-issues http://exchanges.webmd.com/pediatric-asthma-parent-support http://exchanges.webmd.com/politics-and-health-debate-exchange
 
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DUKE MEDICINE
Gregory M Metz, MD responded:
Hi LisaB3232. There are no interactions between albuterol and the allergy shots, but use of albuterol within 24 hours of the shot may indicate that you are having active asthma which is a risk factor for reactions to the vaccine. I typically ask my patients if they have required albuterol in the last 24 hours and if so, we then determine whether they should receive their vaccine that day. Getting an allergy shots during a flare of asthma symptoms could precipitate an asthma flare or make it worse. Let your shot nurse know of you have experienced any increase in asthma symptoms or whether you used your rescue inhaler in the prior 24 hours before your vaccine so they can decide if you should receive the vaccine that day.
 
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LisaB3232 replied to Gregory M Metz, MD's response:
Thank you both for your responses....it is actually my 7 year old daughter who gets the shots. I had given her a dose of ProAir before bed to control coughing and completely forgot to tell the nurse the next morning. She doesn't "technically" have asthma. When her sinus problems flare up (which is all winter long) it can quickly turn into bronchitis. I try to ward that off with pulmicort and/or albuterol when I hear the chest congestion start. I am happy to hear it doesn't decrease effectiveness and/or cause any complications. Thanks again!


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