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Allergic Reaction to Inhalers and Steroids

Posted Mar 21 2010 12:00am
I had pneumonia the month of February. Unfortunately, another complication arose. I started having an allergic reaction to the inhalers (Albuterol) and later Xopenex. I decided to post some of the side effects. Keep these in mind for our patients who cannot always tell us how they feel.

My reaction to Albuterol resulted in tachycardia, dizziness, tightness in the chest, shortness of breath, insomnia, hoarseness, sore throat and headache. My reaction to Xopenex (thought to be better option and less chance of reaction) was much more severe. Tightness in the chest, tachycardia 138 resting pulse for days and days, pain, inflammation and angioedema of the pharynx and larynx, wheezing, tight chest and chest pain with very irregular heart rate. It took about a week and a half for symptoms to ease after stopping the medication. I did not eat well, couldn't breathe well enough and could not lie flat in bed. The steroids made me feel extremely weak, like I had been shocked. I had this feeling all the time, even when waking in the morning. I also had chills, shaking, increased appetite.

I. Albuterol: Reported side effects include: Dizziness; headache; nausea; nervousness; sinus inflammation; sore or dry throat; tremor; trouble sleeping; vomiting.

SEVERE side effects occur when using AlbuterolSevere allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; ear pain; fast or irregular heartbeat; new or worsened trouble breathing; pounding in the chest; red, swollen, blistered, or peeling skin; severe headache or dizziness; unusual hoarseness; wheezing.

II. Xopenex: COMMON side effects persist or become bothersome when using Xopenex HFA Aerosol:Dizziness; dry mouth; nervousness; runny or stuffy nose; sore or dry throat; tremor.

Seek medical attention right away if any of these SEVERE side effects occur when using Xopenex HFA Aerosol: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fast or irregular heartbeat; new or worsening wheezing, coughing, or trouble breathing; severe headache or dizziness; severe or persistent trouble sleeping; sudden shortness of breath; unusual hoarseness.

III. Flovent: (This is used in many kids to treat EE) Dry mouth; flu; headache; hoarseness; mouth or throat irritation; nasal discharge; runny nose; sinus swelling; sore throat; stuffy nose; upper respiratory tract infection.

Seek medical attention right away if any of these SEVERE side effects occur when using Flovent HFA Aerosol InhalerSevere allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fainting; lack of energy; nausea; severe dizziness; slowed growth in children; sudden weight loss; tingling of the arms and legs; tiredness; vision changes; vomiting; weakness; wheezing; white patches or sores in the mouth.

IV. Prednisone:Difficulty sleeping; feeling of a whirling motion; increased appetite; increased sweating; indigestion; mood changes; nervousness.

Seek medical attention right away if any of these SEVERE side effects occur when using PrednisoneSevere allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); appetite loss; black, tarry stools; changes in menstrual periods; convulsions; depression; diarrhea; dizziness; exaggerated sense of well-being; fever; general body discomfort; headache; increased pressure in the eye; joint or muscle pain; mood swings; muscle weakness; personality changes; prolonged sore throat, cold, or fever; puffing of the face; severe nausea or vomiting; swelling of feet or legs; unusual weight gain; vomiting material that looks like coffee grounds; weakness; weight loss.
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