Unscientific Poll: Ipratropium contraindications in your protocol

[Christopher]

Unscientific poll:

Is an allergy to soy/peanuts still listed as a contraindication for ipratropium administration in your protocols?

If so, what formulation of ipratropium are you carrying?

(Apparently this is a common contraindication still found in many protocols.)

 

[Handsome Robb]

Yep, we've got that contra.

I have no idea as to the actual formulation of the med.

 

[Christopher]

Yep, we've got that contra.

I have no idea as to the actual formulation of the med.

Is it in Solution or Metered-dose inhaler form?

 

[Medic Tim]

It is a relative contraindication for us for MDI.

 

[Christopher]

It is a relative contraindication for us for MDI.

Is Canada still on the CFC inhalers or have they moved to the HFA inhalers?

 

[Medic Tim]

HFA.... I don't think you can get cfc ones here.

 

[Medic Tim]

Just checked my treatment guidelines again. The only contraindications we have is hypersensitivity . The nut /soy allergy was removed in our last update.

 

[TransportJockey]

None of my services I have worked for carry any MDIs at all. No note of a peanut allergy being a contra in any of their protocols.

 

[DesertMedic66]

None of our protocols adress contraindications for medications (at least that have found).

Our CES manager provided me with a link that listed soy/peanut allergy as a contraindication for Atrovent. Only problem is that the link that was provided was for MDIs which we do not carry.

 

[Handsome Robb]

Is it in Solution or Metered-dose inhaler form?

Solution.

Sorry.

 

[Christopher]

Solution.

Sorry.

Bold was for clarity not scolding, no need for apologies

 

[MrJones]

FYI for those who may be unaware, the contraindication to soy/peanut allergies is/was due to a previous formulation of the propellant in MDIs - not the drug itself. The propellent for atrovent inhalers was changed around 2008 so that is no longer an issue. The current micromedex does still list a peanut allergy contra-indication for combivent inhalers, but the propellent in those inhalers has just recently been changed as well, so I would expect that contra-indication to go away once the old stock is depleted.

 

[Christopher]

FYI for those who may be unaware, the contraindication to soy/peanut allergies is/was due to a previous formulation of the propellant in MDIs - not the drug itself. The propellent for atrovent inhalers was changed around 2008 so that is no longer an issue. The current micromedex does still list a peanut allergy contra-indication for combivent inhalers, but the propellent in those inhalers has just recently been changed as well, so I would expect that contra-indication to go away once the old stock is depleted.

Yep. Combivent Respimat should be Ok (or anything "HFA" really). Although some very very recent case reports suggest the international community is still on CFC based Combivent inhalers.

We had another round of questions about this among new folks at our service. Determining via this unscientific poll whether or not it is worth it to write a review article for a trade mag (since nobody reads packaging inserts or the literature it seems).

 

[Handsome Robb]

Bold was for clarity not scolding, no need for apologies

10-4. I'm pretty sure I responded from my phone last night so the poll wasn't visible.

Oh random but I'm shooting you a PM, have a question for ya.

 

[MrJones]

Yep. Combivent Respimat should be Ok (or anything "HFA" really). Although some very very recent case reports suggest the international community is still on CFC based Combivent inhalers.

We had another round of questions about this among new folks at our service. Determining via this unscientific poll whether or not it is worth it to write a review article for a trade mag (since nobody reads packaging inserts or the literature it seems).

Yeah - I've had to do some 'remedial training' with folks on that topic as well - your article idea may well have some merit

 

[nwhitney]

If MDI then no if neb then ok

 

[Wheel]

I'm on my phone so I can't vote, but we have no contraindications listed for it. We carry the solution form for nebs.