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Dexamethasone for anaphylaxis
Patients on dexamethasone may experience fewer overall side effects due to its relative lack of mineralocorticosteroid effects and consequently lower sodium retention than seen with other steroids. However, dexamethasone, which is an allosteric modulator of sodium, will generally be necessary for patients who do not tolerate the use of other, more commonly prescribed, sodium-containing formulations. Doxepin (Dexamethasone Enemas, Doxepin S.A., France) has not yet been evaluated in treatment of this condition, nor is it available commercially. In the present setting, dexamethasone, in addition to other antihistamine agents, may be appropriate with the understanding that a number of patients may have residual hypersensitivity to the antimuscarinic and antihistamine compounds (DEXA), as well as some patients might have a less severe allergy to these agents, dexamethasone for giant cell arteritis. Clinicians should be cognizant of the fact that some patients still respond better to topical corticosteroids and that other patients may experience more tolerable reactions. Concurrent therapy, for dexamethasone anaphylaxis. Patients undergoing treatment for a persistent, acute hypersensitivity reaction, such as facial papilledema, should be fully evaluated and possibly prescribed a corticosteroid to achieve therapeutic goals. The use of the antihistamine corticosteroids will likely result in a greater incidence of a less severe, less persistent hypersensitivity reaction such a dermatitis herpetiformis, dexamethasone for anaphylaxis. Patients on corticosteroid therapy should be monitored closely for the development of recurrence of the condition.
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