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What is anaphylactic shock?

Anaphylaxis is a severe allergic reaction that is potentially life-threatening and occurs immediately after exposure to an allergen which includes peanuts or bee stings. In this condition, when a person is exposed to an allergen the immune system is activated, which in response releases chemicals in large quantities It can cause a sudden drop in the blood pressure (hypotension), leading to constriction of airways and blocked breathing. If not treated in time, this can progress to a state of shock termed as anaphylactic shock.

What are its main signs and symptoms?

The signs and symptoms of anaphylactic shock include:

  • Low blood pressure
  • Feeling dizzy or fainting  
  • Weak and rapid pulse
  • Diarrhoeanausea and/or vomiting
  • Restriction of airways along with swelling of tongue and throat leading to wheezing (whistling or rattling sound while breathing) and breathing difficulty
  • Hives (reaction of skin in response to certain allergens or unknown reasons) like skin reactions which can cause itchy, bumps or flushed skin

What are the main causes of anaphylactic shock?

Antibodies produced against foreign particles by the immune system are important as they defend the body from harm. However, in some individuals, allergic reactions are seen to usually harmless substances due to the overreaction of their immune system to those substances. Generally, allergic reactions are non-life-threatening, however, in severe cases, they can cause anaphylaxis.

The common causes of anaphylaxis include:

  • Various medications which include over-the-counter pain relievers, antibiotics, aspirin, and others
  • Use of intravenous (IV) contrast dyes during imaging tests
  • Stings from bees, fire ants, yellow jackets, wasps, and hornets
  • Latex

In children the common causes of anaphylaxis include:

Food allergies, including allergy to

  • milk
  • fish and shellfish 
  • peanuts
  • tree nuts

Some of the uncommon causes of anaphylaxis include

  • Aerobic exercise, such as jogging
  • Exercising after consumption of certain foods
  • Exercising in hot, humid or cold weather
  • Sometimes the cause of anaphylaxis is unknown; this is termed as idiopathic anaphylaxis.

How is it diagnosed and treated?

A general history will be taken by the physician and you will be asked in detail about previous experiences of allergic reactions. To understand the source of allergy, you will be asked about each allergy source individually which includes the above-mentioned causes. Further, to confirm the diagnosis, a blood test is ordered which will help in the measurement of an enzyme (tryptase); the level is expected to be elevated up to three hours after anaphylaxis. Allergy trigger tests include various skin or blood tests.

During an anaphylactic attack, immediate and quick action is required to prevent worsening of symptoms. Look out for pulse (whether weak or rapid), skin (whether pale, cool or clammy), breathing difficulty if any, confusion or loss of consciousness, which require immediate attention.  In individuals with cessation of breathing or heartbeats, cardiopulmonary resuscitation (CPR) is provided along with medications, which include:

  • Epinephrine (adrenaline) which reduces body's response to the allergen
  • Oxygen to facilitate breathing
  • Inflammation of air passages is reduced with the use of intravenous (IV) antihistamines and cortisone; thereby promoting breathing
  • Breathing symptoms are relieved by the use of albuterol or other beta-agonists
  • In case of emergency, the patient should be made to lie down with his or her legs elevated and given an epinephrine injection using an autoinjector (syringe with a concealed needle combination that injects a single dose of medication). This helps prevent the worsening of symptoms of anaphylactic shock.
  • Long-term treatment includes immunotherapy which includes a series of allergy shots and is used in cases where insect stings are the trigger for anaphylaxis which helps to reduce body's allergic response. This helps in the prevention of a severe reaction in the future.
  1. Medicines for Anaphylactic Shock

Medicines for Anaphylactic Shock

Medicines listed below are available for Anaphylactic Shock. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Depo MedrolDepo Medrol 40 Mg/Ml Injection93.0
DepotexDepotex 125 Mg Injection320.0
IvepredIvepred 1000 Mg Injection975.0
MacpredMacpred 4 Mg Tablet36.0
Medrol TabletMedrol 100 Mg Tablet87.0
Mepresso IMepresso I 1000 Mg Injection1034.0
Nucort MNucort M 16 Mg Tablet86.0
Solu MedrolSolu Medrol 1000 Mg Injection1271.0
SterioSterio 16 Mg Tablet126.0
ZempredZempred 16 Mg Tablet86.0
AcepredAcepred 40 Mg Injection60.0
Acto PredActo Pred 16 Mg Tablet120.0
AldicordAldicord 16 Mg Tablet95.0
ApdermApderm 0.10% Cream55.0
CoeloneCoelone 16 Mg Tablet87.0
Delsone MDelsone M 16 Mg Tablet79.0
DepopredDepopred 40 Mg Injection44.0
DeposetDeposet 40 Mg Injection49.0
DuraloneDuralone 16 Mg Tablet150.0
GrafmetGrafmet 500 Mg Injection666.0
LomicortLomicort 4 Mg Tablet37.0
LyopredLyopred 1000 Mg Injection995.0
Mega PredMega Pred 16 Mg Tablet110.0
MelpredMelpred 16 Mg Tablet100.0
MelsoneMelsone 16 Mg Tablet80.0
MepressoMepresso 1000 Mg Injection1034.0
Mepresso DMepresso D 40 Mg Injection31.0
Mepresso TMepresso T 16 Mg Tablet86.0
MepsonateMepsonate 125 Mg Injection238.0
MethoneMethone 16 Mg Tablet135.0
Monocortil MMonocortil M 16 Mg Tablet120.0
MpMp 1 Gm Injection952.0
MpredniMpredni 16 Mg Tablet117.0
MypredMypred 125 Mg Injection228.0
NupredNupred 16 Mg Tablet100.0
Orapred MOrapred M 4 Mg Tablet44.0
Ph MpaPh Mpa 0.1% Ointment80.0
Prascha MpPrascha Mp 16 Mg Tablet90.0
PredacePredace 1% Drop10.0
PredmetPredmet 10 Mg Drop18.0
PredsolePredsole 16 Mg Tablet98.0
PrelidPrelid 16 Mg Tablet99.0
PremisolPremisol 125 Mg Injection245.0
RednisolRednisol 16 Mg Tablet64.0
SanipredSanipred 1000 Mg Injection1200.0
SoftcorSoftcor 0.10% Cream85.0
Softcor MpSoftcor Mp 0.1% Cream95.0
SteronexSteronex 1000 Mg Injection1046.0
SuccimedSuccimed 125 Mg Injection238.0
CortipilCortipil 4 Mg Tablet39.0
GemdrolGemdrol 4 Mg Tablet13.0
MdcortMdcort Tablet133.0
MecortMecort Tablet25.0
MepredMepred 1000 Iu Injection1050.0
MeprestarMeprestar 4 Mg Tablet49.0
Mpa(Phc)Mpa Cream80.0
NicortNicort 16 Mg Tablet44.0
PilsonePilsone 16 Mg Tablet51.0
PrashchampPrashchamp 4 Mg Tablet28.0
Precort MPrecort M 8 Mg Tablet59.0
StirioStirio 4 Mg Tablet37.0
WinloneWinlone 16 Mg Tablet145.0
AdrelinAdrelin Injection80.0
Adrenaline Tartrate InjectionAdrenaline Tartrate Injection2.0
DianoraDianora 1 Mg Injection40.0
EnatrateEnatrate Injection14.0
EpitrateEpitrate 1 Mg Injection15.0
InfunorInfunor 2 Mg Injection140.0
NoradriaNoradria 2 Mg Injection142.0
VasoconVasocon 1 Mg Injection19.0
CortimaxCortimax 12 Mg Tablet101.0
DefcortDefcort 1 Mg Tablet11.0
DeflazenDeflazen 30 Mg Tablet244.0
DefnaloneDefnalone 1 Mg Tablet19.0
DefstarDefstar 6 Mg Tablet80.0
DefzaDefza 1 Mg Tablet10.0
DezacorDezacor 30 Mg Tablet240.0
EnzocortEnzocort 1 Mg Tablet16.0
Mahacort DzMahacort Dz Suspension53.0
OrthocortOrthocort 12 Mg Tablet111.0
AsterideAsteride 120 Mg Tablet50.0
CoecorttCoecortt 30 Mg Tablet255.0
CortijesikCortijesik 30 Mg Tablet298.0
CortisureCortisure 1 Mg Tablet14.0
CortizaCortiza 6 Mg Tablet95.0
CozadefCozadef 30 Mg Tablet300.0
Decdan NextDecdan Next 30 Mg Tablet220.0
DecotasDecotas 30 Mg Tablet248.0
DecotazDecotaz 12 Mg Tablet99.0
DefbidDefbid Tablet60.0
DefconDefcon 30 Mg Tablet225.0
DefjoyDefjoy 6 Mg Tablet80.0
DeflachekDeflachek 30 Mg Tablet211.0
DeflafitDeflafit 30 Mg Tablet232.0
DeflamaxDeflamax 30 Mg Tablet235.0
DeflawinDeflawin 6 Mg Tablet70.0
DeflorDeflor 30 Mg Tablet217.0
DeflosisDeflosis 30 Mg Tablet390.0
DefsteadDefstead 30 Mg Tablet330.0
DefsureDefsure 1 Mg Tablet17.0
DeftabDeftab 6 Suspension49.0
DeftecDeftec 6 Mg Tablet80.0
DefzenicDefzenic 30 Mg Tablet388.0
DefzonaDefzona 6 Mg Tablet64.0
DelacortDelacort 1 Mg Tablet24.0
DenzocortDenzocort 30 Mg Tablet200.0
DezacortinDezacortin 6 Mg Tablet83.0
DezertDezert 6 Mg Tablet87.0
DezocortDezocort 30 Mg Tablet422.0
DfzDfz 6 Mg Tablet96.0
DlcDlc 30 Mg Tablet238.0
EticortEticort 6 Mg Tablet49.0
FastcortFastcort 12 Mg Tablet150.0
FlacortFlacort 30 Mg Tablet380.0
FlazacorFlazacor 6 Mg Tablet75.0
FlozastarFlozastar 6 Mg Tablet53.0
KivicortKivicort 1 Mg Tablet15.0
LazaLaza 1 Mg Tablet25.0
MicrocortMicrocort Tablet82.0
NestacortNestacort 6 Mg Tablet81.0
New PremisolNew Premisol 30 Mg Tablet285.0
Pcort DzPcort Dz 6 Tablet65.0
Predicort DPredicort D Tablet41.0
RhumapredRhumapred 12 Mg Tablet160.0
StercortStercort 6 Mg Tablet71.0
TruecortTruecort 30 Mg Tablet172.0
ZefcortZefcort 30 Mg Tablet60.0
AdvacortAdvacort 6 Mg Tablet29.0
AlzcortAlzcort 360 Mg Syrup55.0
AnicortAnicort 6 Mg Tablet34.0
CortidefCortidef 6 Mg Tablet75.0
CortiflazCortiflaz 6 Mg Tablet48.0
D CorD Cor 6 Mg Tablet59.0
DecortDecort 25 Mg Tablet70.0
DefagemDefagem 6 Mg Tablet82.0
DefbigDefbig 6 Mg Tablet99.0
Defla CortilDefla Cortil 6 Mg Tablet23.0
DeflafordDeflaford 6 Mg Tablet120.0
Deflahit TabletDeflahit Tablet108.0
DeflarisDeflaris Tablet91.0
DeflawokDeflawok 6 Mg Tablet29.0
Deflazacort 6 Mg TabletDeflazacort 6 Mg Tablet10.0
DeflocareDeflocare 30 Mg Tablet375.0
DefocadDefocad 30 Mg Tablet192.0
DeforzDeforz 30 Mg Tablet216.0
DefpilDefpil 6 Mg Tablet26.0
DefwaveDefwave 6 Mg Tablet91.0
DelzyDelzy 6 Mg Tablet75.0
Dephen TabletDephen Tablet0.0
D FlazD Flaz 6 Mg Tablet80.0
DzspinDzspin Tablet79.0
Emsolone DEmsolone D 6 Mg Tablet50.0
FlazaFlaza 30 Mg Tablet390.0
Flazo(Regalia)Flazo Syrup60.0
GladcortGladcort 6 Tablet99.0
Monocortil D30Monocortil D30 30 Mg Tablet80.0
NudeflaNudefla Tablet78.0
OnlicortOnlicort Tablet45.0
RexcortRexcort 6 Mg Tablet90.0
RzcortRzcort 6 Mg Tablet48.0
TenflayTenflay 6 Mg Tablet48.0
ZicortZicort 6 Mg Tablet89.0
Defcort TmDefcort Tm 0.4 Mg/30 Mg Tablet531.0
Tamfil STamfil S Capsule551.0
Lignocad AdrLignocad Adr Injection12.5
Lignox+AdrenlineLignox+Adrenline 0.005 Mg/2% Injection25.86
XicaineXicaine 0.022 Mg/2% Injection21.5

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