Respiratory: Allergies & Sinus Problems/hives

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Question
QUESTION: hi gene,im a 79 year old man with enlargement of prostate.this however does not give me urination problems as i have no problem uurinating i tale flomax.my kidney function for a 79  year old is moderate kidney impairmenr.my gfr was 49 which is closeto normal for a 79 year old mani take blood thinners, lisintrol and amplodine.also insulin novolog and lantus.i have diabetes.my problem is hives.i take fexofenadine.allegra.i usually take benadryl it gets rid of hives but old farts not to take benadryl.i understand allegra wont effect hives .with kidney impairment the manufactur said i shoukd try 60 mg for kidney problems.i take 90 mg so what do i do when hives come out take benadryl for 5 days or take allegra daily when hives appear for 10 days ?appreciate your advice.benadryl helps the hives better,but they put articles staying if people 9ver 75 take benadryj it will lead to cognitivr problems

ANSWER: howard...

Take the allegra during the day and take a benedryl at night. It will also help you sleep.

For the hives it sounds like a food or drug allergy. Tell me about your typical diet.

Cheers, Gene

---------- FOLLOW-UP ----------

QUESTION: my diet for a 79 year old is good.my dinners ae fish and vegetables twice a week,chicken and meat twice a week,you said take benadryl for sleep.all the articles i have read said elderly people over 70 should not take benadryl as it can cause urine retension and dementia.i dont believe anything i read,now they are saying ambien causes permanent memory loss and dementia,they publish these reports because 60%of our population are definiely low grade morons.maybe i would br safer if i took benadryl 2 or 3 ytimes a week?the hives came from a sulphur drug a half-ass doctor prescribed for meii now do research on every drug the doctor prescribes for me an example bactrim that drug gave me a rash for 6 months interested in benadryl causing dementia and urine blockage.im 79 the only doctors i see are indian and asiasn doctors

Answer
Howard...

I still think that the Allegra in the morning, and the Benadryl (25mg) at night are best till the rash disappears.

Also, it is very important to re-moistureize your skin after each shower. Try a good hand cream along with a product that you can buy at Costco called Amlactin. The Amlactin draws water into the skin.

Check it out.

Cheers, Gene

Respiratory: Allergies & Sinus Problems

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Gene Sperling

Expertise

I can answer questions about indoor air quality, respiratory medications, home toxins, allergies and VOC's (volatile organic compounds). Home and office environmental issues and general medication questions regarding side effects and interactions.

Experience

I have been a pharmacist for 30 years. I have been director of pharmacy services for a large teaching hospital, and have served as a consultant pharmacist to various out-patient programs. I have organized and managed various infusion programs treating infectious disease, immunologic diseases, and metabolic disorders. For the past 15 years I have operated a national respiratory pharmacy and devoted my time to assessing asthma, COPD, and emphysema patients and their problems. I know how to set-up and maintain a 'clean room' environment and I know how to resourcefully remediate environmental issues that cause health problems.

Organizations
I am a current or past member of IAQA, IESO, CA Pharmacists Assoc., NCPA, Consultant Pharmacists Assoc., Calcerts, and many others. I have licensing from the GSA (Government Services Organization). I have served on the California Task Force for Disaster Preparedness under the Department of Health Services.

Publications
I am in the process of researching the application of Building Science as it relates to the Healthcare Industry. The purpose is to show the relationship(s) between 'sealed environments', poor construction, and improper equipment installations in modern homes and offices. The building boom of the 90's and 00's accelerated at a pace that did not allow proper oversight or adequate research of new techniques in construction design and the trades that applied them.

Education/Credentials
I have a degree in Pharmacy from the University of Oklahoma. I have upper division courses in bio-pharmaceutics, medicinal chemistry, organic chemistry, pharmacokinetics, toxicology, immunology, microbiology,etc. I have taken numerous post-graduate courses on respiratory disorders, mold, environmental issues, indoor air quality, building science, HVAC, clean room set-ups, womens health, and medication therapy management.

Awards and Honors
I have received a distinguished achievement award from the County of Los Angeles for work with the Asthma Reading & Education Program sponsered by the UCLA clinics and Martin Luther King Medical Center. I have sponsored winter ski retreats for children with asthma. I have served on the Boards of several home health agencies. My highest honor comes when I can help someone understand how their personal environment influences their health, and how their own awareness positively impacts their quality of living. There is no greater award than helping others.

Past/Present Clients
My past and current clients have been the thousands of patients and physicians that I have consulted for and with to assess alternative approaches to disease management through common sense treatment, and how our personal environment influences our overall health.

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