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Treatments and drugs

By Mayo Clinic staff

The only way to avoid an allergic reaction is to avoid the foods that cause signs and symptoms. However, despite your best efforts, you may come into contact with a food that causes a reaction.

For a minor allergic reaction, over-the-counter or prescribed antihistamines may help reduce symptoms. These drugs can be taken after exposure to an allergy-causing food to help relieve itching or hives. However, antihistamines can't treat a severe allergic reaction.

For a severe allergic reaction, you may need an emergency injection of epinephrine and a trip to the emergency room. Many people with allergies carry an autoinjector (EpiPen, EpiPen Jr or Twinject). This device is a combined syringe and concealed needle that injects a single dose of medication when pressed against your thigh. If your doctor has prescribed an epinephrine autoinjector:

  • Carry it with you at all times. It may be a good idea to keep an extra autoinjector in your car or in your desk at work as well.
  • Always be sure to replace epinephrine before its expiration date, or it may not work properly.
  • Be sure you know how to use the autoinjector. Also, make sure the people closest to you know how to administer the drug — if they're with you in an anaphylactic emergency, they could save your life.

While there's ongoing research to find better treatments to reduce food allergy symptoms and prevent allergy attacks, there isn't any proven treatment that can prevent or completely relieve symptoms. Unfortunately allergy shots (immunotherapy), a series of injections used to reduce the effect of other allergies such as hay fever, aren't effective for treating food allergies.

The key treatment is to do your best to avoid the food in question, and work with your doctor to identify what steps you can take to relieve your symptoms and how to spot and respond to a severe reaction.

References
  1. Food allergy: An overview. National Institute of Allergy and Infectious Diseases. http://www3.niaid.nih.gov/topics/foodAllergy/PDF/foodallergy.pdf. Accessed Jan. 20, 2009.
  2. Nowak-Wegrzyn A, et al. Adverse reactions to foods. Medical Clinics of North America. 2006;90:97.
  3. Keet CA, et al. Food allergy and anaphylaxis. Immunology and Allergy Clinics of North America. 2007;27:193.
  4. Hoffman A, et al. Pollen food allergy syndrome: Update on the allergens. Current Allergy and Asthma Reports. 2008;8:413.
  5. Atkins D. Food allergy: Diagnosis and management. Primary Care: Clinics in Office Practice. 2008;35:119.
  6. Lack G. Food allergy. New England Journal of Medicine. 2008;359:1252.
  7.  Li JL (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 30, 2009.
  8. Ko J, et al. Use of complementary and alternative medicine by food-allergic patients. Annals of Allergy, Asthma and Immunology. 2006;97:365.
  9. Li X. Traditional Chinese herbal remedies for asthma and food allergy. Journal of Allergy and Clinical Immunology. 2007;120:25.
  10. Teuber SS, et al. Unproved diagnostic and therapeutic approaches to food allergy and intolerance. Current Opinion in Allergy and Clinical Immunology. 2003;3:217.

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Feb. 14, 2009

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