Atrovent and peanut allergy?

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Zanegray

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Along the line of Tylenol and asthma....

Has anyone heard that you can't give atrovent to someone with peanut allergy? I had never heard this but at my new shop suddenly the RTs and nurses are all telling me about this. Strange....

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News to me as well. Did some research. Apparently in the case of atrovent inhalers, some of them contain soya lecithin in the propellant which can cause anaphylaxis in those with nut allergies.
 
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The only current drug I worry about food allergies is egg or soy sensitivity and remote cases of reaction to diprivan
 
Along the line of Tylenol and asthma....

Has anyone heard that you can't give atrovent to someone with peanut allergy? I had never heard this but at my new shop suddenly the RTs and nurses are all telling me about this. Strange....

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.
 
This was with the old inhalers. This is not an issue with the HFA and never was an issue with the nebulized solution.

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.

Who's right - the med student, who is closer to his medicine than we are, or the board certified toxicologist?
 
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.
 
Does this also include the atrovent nasal sprays or just the metered dose inhalers?
 
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.
 
Thank you all! I have never prescribed an atrovent inhaler so if the nebulized solution is okay I can rest easy. It was just weird I had never heard of this then suddenly it was like - "Doc can I give a duoneb to this COPDer, no peanut allergy or anything." :luck:
 
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'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 this is correct. However, the HFA inhaler, not.

Tricky!
 
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.
 
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