Drug Uses

Allegra-D is indicated for the relief of symptoms associated with seasonal allergic rhinitis in adults and children 12 years of age and older. Symptoms treated effectively include sneezing, rhinorrhea, itchy nose/palate/ and/or throat, itchy/watery/red eyes, and nasal congestion.

How Taken

The recommended dose of Allegra-D is one tablet twice daily for adults and children 12 years of age and older. It is recommended that the administration of Allegra-D with food should be avoided. A dose of one tablet once daily is recommended as the starting dose in patients with decreased renal function.

Warnings/Precautions

Do not take Allegra-D if you have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days; asthma or another lung disease; diabetes; thyroid problems; glaucoma or increased pressure in the eye; urinary retention or an enlarged prostate; kidney or liver disease; or heart disease, high blood pressure, or an irregular heartbeat. You may not be able to take Allegra-D, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Allegra-D is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take Allegra-D without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known if Allegra-D passes into breast milk. Do not take Allegra-D without first talking to your doctor if you are breast-feeding a baby. Allegra-D is not approved for use by children younger than 12 years of age.

Missed Dose

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Possible Side Effects

Nausea, stomach upset, trouble sleeping, headache, or cold symptoms may occur. If these persist or worsen, notify your doctor promptly. Unlikely but report promptly: dizziness, mental/mood changes, fast heartbeat, fever. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: fainting, irregular heartbeat. Although drowsiness is very uncommon at usual doses under normal circumstances, be aware that drowsiness may occur and may affect the ability to perform tasks requiring alertness (e.g., driving). If you notice other effects not listed above, contact your doctor or pharmacist.

Storage

Store at room temperature between 68 and 77 degrees F (20-25 degrees C) away from sunlight and moisture.

Overdose

In large doses, Allegra-D may give rise to giddiness, headache, nausea, vomiting, sweating, thirst, tachycardia, precordial pain, palpitations, difficulty in micturition, muscular weakness and tenseness, anxiety, restlessness, and insomnia. You can present a toxic psychosis with delusions and hallucinations or you may develop cardiac arrhythmias, circulatory collapse, convulsions, coma, and respiratory failure.

More Information

Use caution when driving, operating machinery, or performing other hazardous activities. Allegra-D may cause dizziness. If you experience dizziness, avoid these activities. Do not take Allegra-D close to a dose of an antacid that contains aluminum or magnesium. These antacids may decrease the effects of Allegra-D.

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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This disorder is defined as reversible airflow obstruction caused by inhaling allergens, chemicals, fumes, gases, dusts or other potentially harmful substances while "on the job," according to the American Academy of Allergy, Asthma & Immunology (AAAAI).
"We estimate that about 15%, or 1 in 7, of adult cases of asthma are caused by the workplace. Occupational asthma accounts for 24.5 million missed workdays for adults each year in the United States," said Karin A. Pacheco, MD, MSPH, FAAAAI, and Chair of the AAAAI's Occupational Diseases Committee. "One of the difficulties in diagnosing occupational asthma is that the symptoms are the same as non-occupational asthma - wheezing, shortness of breath, chest tightness, difficulty exercising and cough. Similar to non-occupational asthma, runny nose, nasal congestion and eye irritation may accompany chest symptoms. The trained physician must first consider an occupational cause, and then look for clues in the patient's history, or the diagnosis will be missed," Pacheco added.
For example, physicians should consider the following questions: Do asthma symptoms worsen during the workweek and improve on the weekends? Did asthma symptoms begin after starting a new job or work practice? Is the patient exposed to products or chemicals known to cause asthma? "Making the connection to the workplace is vital," said Pacheco, "because it offers the best chance of cure by removal from exposure, and may also help prevent disease in other exposed workers."
Are You at Risk?
With occupational asthma, symptoms of asthma may develop for the first time in a previously healthy worker, or childhood asthma that had previously cleared may recur due to new exposure. In some cases, a previous personal or family history of allergies will make a person more likely to develop occupational asthma. However, many individuals who have no such history may develop asthma if exposed to conditions that trigger it. Workers who smoke are at greater risk for developing asthma to some occupational exposures, but not to others.
The incidence of occupational asthma varies by industry, but some workers are at a greater risk than others. Workers who may be at a higher risk include:
* Health care professionals
* Employees who wear powdered natural rubber latex gloves
* Workers manufacturing plastics, rubbers or foam products
* Bakers and pastry makers
* Cosmetologists and hairdressers
* Housekeepers and janitors
* Workers handling two part adhesives or paints
* Textile and carpet workers
* Animal handlers, veterinarians and scientists working with laboratory animals
Preventing Occupational Asthma
Occupational asthma is one disease that potentially can be cured, once the cause is identified and worker exposure is reduced or eliminated. Some, though not all, occupational allergens have exposure limits set by the Occupational Safety and Health Administration (OSHA), and exposed workers should be monitored by health and safety officers in the workplace.
However, the introduction of new materials and processes, as well as new uses for old materials, mean that workers remain exposed to asthma causing agents in the workplace. Workers who have allergic or asthmatic symptoms on the job, or who anticipate being exposed to agents that increase their risk of developing asthma, should see an allergist/immunologist for an evaluation and proper diagnosis.
In some cases, pre-treatment with asthma and/or allergy medications may counteract the effects of such workplace substances. In other situations, however, complete avoidance of exposure is necessary.
Reducing exposure to occupational asthma triggers, receiving appropriate diagnosis and treatment, and help with establishing avoidance measures will relieve symptoms and improve your quality of life. If you have questions about treatments available for occupational asthma, be sure to ask your allergist/immunologist.

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