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Friday, April 13, 2012
New drugs to treat allergies are safe: expert
With millions of people suffering from different allergies worldwide,
an expert has said that new generation anti-histamine drugs to treat
them are safe, effective and do not produce sedative effect.
In an interview with The Hindu in connection with a prestigious global
medical conference being hosted atHyderabad International Convention
Centre (HICC) here by the World Allergy Organisation (WAO), Dr. Ruby
Pawankar, the first woman to head the 35,000-member body has dismissed
as non-scientific the treatment of fish medicine to treat asthma.
'Severe allergies, Severe Asthma: New Strategies forOptimal Treatment
and Prevention' is the theme ofthe four-day event beginning on
December 6. Superior infrastructure facilities at HICC and the
presence of a number of good hospitals has enabledHyderabad to bag the
event over three other cities, according to Dr. Pawankar. Around 2,500
delegates, including 70 world-renowned experts, are expected to attend
the conference. A medical graduate of the Armed Forces Medical
College, Pune, she is living in Japan since 20 years. Excerpts:
Q: Which is the most common form of allergy
Around 400 million people across the globe suffer from nasal allergy,
followed by 300 million from asthma and 200 million are affected by
food allergies. We presumethe number of those affected by asthma is
under-estimated. All over the world around 2.5 lakh people die of
asthma annually. The other types of allergies are those relating to
skin, insects andoccupation among others.
What are the reasons for rise in asthma cases
Asthma cases are indeed increasing. An internationalstudy of asthma
and allergies in children found that there was a doubling of asthma in
developing countries. Allergies are becoming more complex and severe.
Causes could be many, including genetic,lifestyle-related, food
allergy and environmental and what is called "hygiene hypothesis".
Allergens are increasing due to global warming. Climate change and
global warming is having an impact on migration of allergens.
Your views on the treatment protocol for allergies
First generation anti-histamine drugs whichcause sedation are no
longer recommended. We recommend second generation drugs which don't
have sedative effect. They are safe and effective.Nasal and skin
allergies arecontrolled by these drugs. Also the newer inhalers
containing steroids are safe.
What is WAO's role in combating various types ofallergies?
WAO is leveraging internationally with various ministries of health,
the UN and WHO to bring allergies on the agenda of Non-Communicable
Diseases (NCDs) along with diabetes, cancer, cardiovascular and other
ailments. More resources could be garnered if it is declared as an
NCD. Deaths due to allergies and asthma are unwarranted. We have to
partner to make a reduction in burden of allergic diseases.
How well-developed is the discipline of allergies treatment in India?
It is not well-developed in India. WAO is working closely with Union
Ministry of Health to make this a full-fledged specialty. WAO has
prepared a position paper on the syllabus for post-graduate and
under-graduate courses.
What is your view on fish medicine treatment for asthma?
I have heard about it and feel it is absolutely non-scientific and has
no scientific basis. Let someone furnish scientific data on how it
cures asthma and I will then believe it.
Advice from a Cloud (Ifa Cloud Could Speak)
Everyone deserves water to drink, so shower your kindness on sinners
and saints alike.
People will see different things in you: relief, or comfort, or a
fearsome sign of a storm. Pay no attention to any of that; but do your
job peacefully.
It's a beautiful thing to provide shade on a hot day (to comfort those
in distress).
You sometimes drift aimlessly, butby the will of Allah, you get in the
right drift and current again.
Oppose evil with thunder and lightning, but with others be soft as cotton.
Not everything is what it seems: the darker the cloud, the more water
it carries within, to cleanse the earth and bring new life.
Never forget, you are mainly madefrom water. Make sure to always
replenish yourself with pure sustenance.
There's a rainbow right behind the storm.
Can you think of any other advice a cloud might give?
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Antidepressants Can Raise Blood Pressure During Pregnancy
Hypertension can cause problems for both mother and child.
By ANAHAD O'CONNOR
Published: April 09, 2012
Taking antidepressants during pregnancy raises the risk of high blood
pressure in expectant mothers, a new study shows.
Antidepressants are one ofthe most commonly used medications in
pregnancy, and hypertension can cause problems for both mother and
child. About one in five women suffer from depression during
pregnancy, and up to 14 percent of those women end up using an
antidepressant medicationto treat it.
Though the drugs are commonly prescribed to pregnant women, there has
not been much research on the effect theycan have on a mother's
health.
The new study, published in The British Journal of Clinical
Pharmacology, looked at more than 13,000 pregnant women, 1,200 of whom
had pregnancy-induced hypertension with no history of the condition
before they became pregnant. The researchers found that women taking
antidepressants of any kind had a 53 percent greater risk of high
blood pressure. Those who were taking Paxil, which belongs to the most
commonly prescribed classof antidepressants, known as selective
serotonin reuptake inhibitors, or SSRI's, saw their risk rise even
higher, by 81 percent/
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