Atrovent and peanut allergy?
Started by Zanegray
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This was with the old inhalers. This is not an issue with the HFA and never was an issue with the nebulized solution.
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I'll preface this with I'm only an M2... but...
We talked about this in Pharm... its not the active ingredients in Atrovent (ipratropium) that makes it contraindicated... soy/peanut derivative is used in the metered dosing mechanism of the inhaled medicine.
So nebulized Atrovent is OK?
That's nice, as I've never written for an Atrovent MDI and don't intend to start.
That's nice, as I've never written for an Atrovent MDI and don't intend to start.
Who's right - the med student, who is closer to his medicine than we are, or the board certified toxicologist?
It sounds to me like they're both right, but the BC Toxicologist is more up to date.
Yeah definitely not trying to challenge a toxicologist haha... I guess it's time for our respiratory pharm professor to update his slides... There was even a question on it on the exam.
In the words of LeVar Burton: "Don't take my word for it." (supporting reference)
http://www.empr.com/asthmacopd/atrovent-hfa/drug/6694/
http://www.empr.com/asthmacopd/atrovent-hfa/drug/6694/
ProAir FTW.
I remember a shop where pedi nurses got bent out of shape over ipratropium nebs and peanut allergies. I tried bringing this very thing up to them. They wouldn't hear any of it because "they had been pedi nurses for so many years, and they... whatever."
Just goes to show. A little knowledge in the wrong hands is a dangerous thing.
I remember a shop where pedi nurses got bent out of shape over ipratropium nebs and peanut allergies. I tried bringing this very thing up to them. They wouldn't hear any of it because "they had been pedi nurses for so many years, and they... whatever."
Just goes to show. A little knowledge in the wrong hands is a dangerous thing.
Even more fun when some insurances used to not pay for the HFA... now the other propellants are banned, so no longer an issue.
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It's a motherhood/CYA statement from the manufacturer because SOME peanut-allergic pts have a cross reaction with soy, as they are both legumes.
In the jail where I work, the obsessive-compulsive personality disorder senior nursing consultant happened to read the ingredients listing on the bread packages and discovered to her horror that it contains soy. So all the peanut-allergic inmates who happily ate the bread now get rice cakes.
In the jail where I work, the obsessive-compulsive personality disorder senior nursing consultant happened to read the ingredients listing on the bread packages and discovered to her horror that it contains soy. So all the peanut-allergic inmates who happily ate the bread now get rice cakes.
You know it's an esoteric topic when Reading Rainbow gets a shout out... Love it, BadMD
