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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication to cure allergic asthma

Hi I have developed allergic asthma at the age of 25. I never had a history of asthma in the past 24 years & no one from my family ever had this disease. My chest XRay is normal & the Ige count is 380 IU, I have been prescribed a combination of Fluticasone 200mcg & Formoterol 6mcg as I had some problem with Budesonide 200mcg & Formoterol 6mcg(Had Nose blockage & eye irritation after taking budesonide). This steriod + LABA combination is prescribed in powder format ie (Rotocaps). I developed this disease while I was posted at Mysore & than Bangalore for on an assignment & since than this disease dosen't seem to go away. I feel taking Montek LC 1/4 tablet gives me the best relief as compared to the above steriods but do feel quite drowsy after this medication though it is just 1/4 of the tablet. One of the doctors suggested me to go for an allergy test as I was a victim of Late Onset Asthma. I wanted to know if an allergy test will help me get rid of this disease. I have been doing breathing exercise & have recently started taking Lemon with hotwater as lemon acts as natural antihistamine.
Fri, 22 Aug 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your history and would like to make suggestions for you:

1. I would mostly agree with your current treatment and also the diagnosis of asthma, especially allergic asthma as IgE is 380 (normal up to 100).

2. First of all, I would suggest you to make sure your technique of using rotahaler as it is very important for ensuring drug delivery into lung.

3. Were I treating you, I would also prescribe you daily montelukast. The sedation that you experience with Montek LC may be due to Levocetirizine component.

4. I would suggest you allergy testing as it will help you identifying the substances causing troubles to you as well as to know the measures to avoid them.

Also, based on the reports, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on your immune system and improve allergy symptoms on long term basis.

5. In general, please avoid exposure to dusts, smokes and air pollution. They do not cause "allergy", they directly irritate airways. I know air pollution is a problem in Bangalore.

6. Regular breathing exercises including Yoga & Pranayama and a healthy diet rich in vitamins, minerals & anti-oxidants (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help you on a long run by improving your lung capacity and immunity respectively.

Hope above suggestions will be helpful to you.

Should you have any other concern, please feel free to ask at HCM.

Wish you the best of the health.

Thank you & Regards.
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