Pilot study of the use of Yin Qiao San in children with conventional antipyretic hypersensitivity
Asia Pacific Allergy
;
(4): 222-229, 2015.
Article
in English
| WPRIM
| ID: wpr-750038
ABSTRACT
BACKGROUND:
Children with a diagnosis of cross-reactive hypersensitivity to both paracetamol and nonsteroidal anti-inflammatory drugs are limited in their choice of antipyretics.OBJECTIVE:
The aim of this pilot study is to evaluate the feasibility of using a Chinese proprietary medicine, Yin Qiao San (YQS), for fever relief.METHODS:
A single centre, open label, prospective clinical trial exploring the tolerability and feasibility of using YQS for fever relief in children who are unable to use conventional antipyretic medications. Children between 1-18 years of age with hypersensitivity to multiple antipyretics were recruited. Eligible participants underwent an oral provocation test with YQS. Children who passed the oral provocation test were instructed to take a prescribed dose of YQS when the temperature was >38.0℃ and continued till the fever settled. Time taken for fever resolution and any adverse events were collected.RESULTS:
A total of 21 children, mean age 10.7 years, had a diagnosis of paracetamol and ibuprofen hypersensitivity. All except one patient successfully tolerated an oral challenge of YQS. Of the 88 doses of YQS taken for fever over 38.0℃, 16 (18%) had documented temperature reduction 2 hours after ingestion and 30 (34%) had documented temperature reduction 4 hours after ingestion. There were 2 reports of urticaria after YQS use which were attributed to flare of recurrent spontaneous urticaria during the illness. None of the patients developed symptoms of circulatory compromise or respiratory distress.CONCLUSION:
YQS is generally well tolerated in patients with paracetamol and ibuprofen hypersensitivity.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Urticaria
/
Pilot Projects
/
Anti-Inflammatory Agents, Non-Steroidal
/
Ibuprofen
/
Prospective Studies
/
Herbal Medicine
/
Asian People
/
Diagnosis
/
Eating
/
Cyclooxygenase 1
Type of study:
Diagnostic study
/
Observational study
Limits:
Child
/
Humans
Language:
English
Journal:
Asia Pacific Allergy
Year:
2015
Type:
Article
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