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SIGHI Medication Manual - Table of Contents

SIGHI Medication Manual: Medical treatment in histaminosis

Information about mast cell activation diseases (mastocytosis, MCAS), for persons concerned and healthcare professionals

03.01.2019

www.mastzellaktivierung.info

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