What measures should be taken by patients at risk of recurrent anaphylaxis?

Updated: May 16, 2018
  • Author: S Shahzad Mustafa, MD; Chief Editor: Michael A Kaliner, MD  more...
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Patients at risk for recurrent anaphylaxis should consider wearing a MedicAlert bracelet. [78] They should also avoid the use of beta-blockers if at all possible since this class of medication may not only increase the risk of anaphylaxis, but also block the effects of epinephrine. ACE inhibitors have also been theorized to potentially increase the risk of anaphylaxis. Tricyclic antidepressants and monoamine oxidase inhibitors should also be avoided because of potential drug interactions with necessary therapies.

Patients at risk for recurrent anaphylaxis might benefit from a written action plan. [78] The use and benefit of such plans has yet to be formally evaluated. [79, 80]

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