SIGHI Medication Manual: Medical treatment in histaminosis
Information about mast cell activation diseases (mastocytosis, MCAS), for persons concerned and healthcare professionals
03.01.2019
Table of Contents:
- 1 Preliminary remarks
- 1.1 Disclaimer, disclosure duty
- 1.2 Abbreviations. Definitions
- 1.3 Fundamentals of MCAD medical treatment
- 1.4 Tolerability of medicines
- 1.4.1 Incompatible active ingredients
- 1.4.2 Incompatible excipients
- 2 Overview: Who needs which medication when?
- 2.1 Medical treatment for systemic mast cell activation disorders (MCAD)
- 2.1.1 Therapeutic strategy for MCAD
- 2.1.2 Basic therapy
- 2.1.3 Symptomatic supplemental treatment
- 2.1.3.1 Pain
- 2.1.3.2 Disorders of the digestive tract
- 2.1.3.3 Miscellaneous symptoms and disorders
- 2.2 Medication for histamine intolerance (DAO associated histamine degradation disorder)22
- 2.2.1 Basic therapy
- 2.2.2 Symptomatic supplemental treatment
- 2.2.3 Additional measures in severe cases
- 2.3 Medication for intestinal dysbiosis, small intestinal bacterial overgrowth
- 3 Medicinal products (Medications)
- 3.1 Antihistamines (histamine receptor antagonists)
- 3.1.1 H1 antihistamines (H1 receptor antagonists)
- 3.1.1.1 Bilastine
- 3.1.1.2 Cetirizine
- 3.1.1.3 Clemastine (Tavegyl®)
- 3.1.1.4 Desloratadine (= descarboethoxyloratadine, DCL)
- 3.1.1.5 Dimenhydrinate
- 3.1.1.6 Dimetindene (dimethindene) (CH: Feniallerg®, D: Fenistil®)
- 3.1.1.7 Diphenhydramine
- 3.1.1.8 Fexofenadine
- 3.1.1.9 Hydroxizine
- 3.1.1.10 Ketotifen (Zaditen®)
- 3.1.1.11 Levocetirizine, levocetirizine dihydrochloride (Xyzal®)
- 3.1.1.12 Loratadine
- 3.1.1.13 Rupatadine
- 3.1.2 H2-antihistamines (H2-receptor antagonists), ranitidine
- 3.1.3 Other antihistaminergic agents
- 3.2 Mast cell stabilizers
- 3.2.1 Cromoglicinic acid, sodium cromoglicate
- 3.2.1.1 Nalcrom®
- 3.2.2 Ketotifen (Zaditen®)
- 3.3 Prostaglandin synthesis inhibitors, non-steroidal antiinflammatory drugs (NSAIDs) △
- 3.3.1 Ibuprofen △
- 3.3.2 Dexibuprofen △
- 3.3.3 Acetylsalicylic acid (ASS) △
- 3.3.4 Etoricoxib (Arcoxia®)
- 3.3.5 Celecoxib (Celebrex®)
- 3.4 Leukotriene inhibitors
- 3.5 Analgesics
- 3.5.1 Paracetamol (Acetaminophen)
- 3.6 Proton pump inhibitors
- 3.7 Cannabinoids, cannabinoid receptor agonists
- 3.7.1 Hemp, cannabis
- 3.7.2 Tetrahydrocannabinol (THC)
- 3.7.3 Cannabidiol (CBD)
- 3.7.4 Palmitoylethanolamide (PEA)
- 3.8 Opiates, opioids △
- 3.9 Psychiatric medications
- 3.9.1 Antidepressants
- 3.9.2 Neuroleptics, antipsychotics
- 3.9.3 Benzodiazepines
- 3.10 Immunosuppressants, immunomodulators
- 3.10.1 Glucocorticoids
- 3.10.1.1 Natural Glucocorticoids
- 3.10.1.2 Synthetic glucocorticoids
- 3.10.2 Azathioprine
- 3.10.3 Methotrexate
- 3.11 Anti-IgE monoclonal antibodies
- 3.11.1 Omalizumab
- 3.12 Tyrosine kinase inhibitors, inhibitors of other kinases
- 3.12.1 Imatinib
- 3.12.2 Masitinib
- 3.12.3 Midostaurin
- 3.12.4 Crenolanib
- 3.12.5 Sunitinib
- 3.12.6 Nilotinib
- 3.12.7 Dasatinib
- 3.13 Cytoreductive therapy, chemotherapy, cytostatics
- 3.13.1 Interferon-α
- 3.13.2 Cladribine
- 3.13.3 Hydroxyurea
- 3.13.4 Thalidomide
- 3.14 Stem cell transplantation
- 4 Medical devices
- 4.1 Clinoptilolite, zeolite
- 5 Foods for special medical purposes
- 5.1 Diamine oxidase (DAO)
- 5.1.1 DAOSIN®
- 5.2 Probiotics
- 5.2.1 Lactopia Probio Histamed®
- 6 Nutritional supplements
- 6.1 Vitamin C
- 6.2 Vitamin D3 (cholecalciferol)
- 6.3 Zinc
- 6.4 Natural mast cell stabilizers
- 6.4.1 Chondroitin sulfate, chondroitin
- 6.4.2 Flavonoids △
- 6.4.2.1 Quercetin △
- 6.4.3 Curcumin
- 6.4.4 Stilbene derivatives (stilbenoids)
- 6.4.5 Ellagic acid
- 6.5 Selenium
- 7 Preparations for an emergency
- 7.1 Anaphylaxis, anaphylactic shock
- 7.1.1 Definitions
- 7.1.2 Gradation of severity
- 7.2 Interventions in anaphylactic / anaphylactoid shock
- 7.3 Emergency kit
- 7.3.1 Content of the emergency kit
- 7.3.2 Use of the emergency kit
- 7.3.2.1 At ONSET of reaction
- 7.3.2.2 In case of a SEVERE reaction
- 7.4 Medical alert card
- 7.5 Living will
- 8 Premedication before medical interventions
- 8.1 Rationale for the need for premedication
- 8.2 Anesthesia / surgery / invasive examinations
- 8.2.1 General considerations
- 8.2.2 Prior to an operation (= preoperative)
- 8.2.3 During an operation (= intraoperative)
- 8.2.4 After an operation (= postoperative)
- 8.2.5 Compatibility of frequently used active ingredients in medical interventions
- 8.3 local anaesthesia, regional anaesthesia
- 8.4 Examinations containing contrast medium (X-ray, CT, MRI)
- 8.5 Dental medicine and MCAD / Histaminosis
- 8.5.1 Premedication in dentistry
- 8.5.2 General information for the dentist
- 8.5.3 Tolerable products for local anesthesia in dentistry
- 8.5.3.1 Switzerland
- 8.5.3.2 Germany
- 8.5.3.3 Austria
- 8.6 Vaccinations
- 8.6.1 Compatibility of vaccinations in MCAD
- 8.6.2 To vaccinate: yes or no?
- 8.6.3 Self-centered versus societal considerations
- 8.6.4 Compulsory vaccination
- 8.6.5 Precautions for vaccinations
- 9 Medicinal treatment in the event of disease
- 9.1 Flu-like infection, common cold, sore throat, bacterial infection
- 9.1.1 Antipyretics, cold medication
- 9.1.2 Sore throat
- 9.1.3 Nutritional supplementation
- 9.1.4 Bacterial secondary infections (frontal and maxillary sinusitis)
- 9.1.5 Inappropriate for infections
- 9.2 Antibiotics
- 9.3 Allergies
- 9.3.1 Respiratory allergies
- 9.4 Swallowing disorders, dysphagia
- 10 Medicinal treatment in special situations
- 10.1 Pregnancy and lactation
- 10.1.1 Medicinal treatment for pregnant and lactating women
- 10.1.1.1 Recommended substances
- 10.1.1.2 Less well suited
- 10.1.1.3 Imperatively to be avoided
- 10.1.2 Psychiatric medications during pregnancy
- 11 References
- 12 Annex
- Annex: incompatible active substances