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grace 留話於:2011/10/24 |
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我得蕁麻疹2星期,一開始只吃一顆抗過敏藥,但沒效果,發作第3天起才開始吃另一位醫生開六天的類固醇並搭配一天一次(趨特異)和一天二次的抗組織胺藥(ALLEGRA),因有好轉,第二星期便取消吃類固醇,其他用照常,但上星期六有發作嚴重些(背部都是一條一條紅紅的),因當天有吃自助式及冰品,請問二者有關連嗎?因身邊有小孩氣喘用藥(普利爽)便及時吃,後來有變好,普利爽可用在蕁麻疹急性發作時嗎?蕁麻疹是否會有好轉感覺時,卻突然又惡化起來嗎?這是屬於正常現象還時因病情嚴重所致?是否有一天二次的第二代抗組織胺效果比ALLEGRA好且不易想睡的?若持續想把蕁麻疹治好,是否有耐心地只吃常、短型抗組織胺即可?長期這樣吃抗組織胺藥多久不會對身體有副作用?另有何較好的藥物建議嗎?(因所看的醫生每次看很快不到3分鐘就結束看診)。謝謝耐心看完及麻煩請幫忙解答。
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陳醫師 回應於:2011/10/25 |
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您好:急性蕁麻疹的原因有可能由1.食物 2.藥物 3.昆蟲咬傷4.感染5.接觸感染源6.輸血反應 7.不明*(很多都是這項) 若超過6周 則稱為慢性蕁麻疹。所以您的再次發作有可能是吃的食物,但也可能是不明原因的。起起伏伏的皮疹是常見的(消掉了又再出現)。類固醇的使用可以20mg隔天使用1-3周 但是劑量隨著症狀變好每天減2.5-5mg(若快速的停藥 復發是可能的)您的抗組織胺用藥兩周並不算長期用藥 (慢性蕁麻疹6周以上都還是可以使用)
2代抗組織胺可以一天吃兩次 不過仿單上都還是建議一天一次 祝您早日康復 |
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