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Ketotifen

Question:
Does anyone have any information on the value of this medicine for asthma or respiratory problems in a child??


Answer:
This medication (Zaditen [Ketotifen]), has antihistamine and relaxative properties. Also has weak calcium antagonistic properties. Claims have been made that it decreases intrabronchial inflammation in the airways, inhibits activity of phosphodiesterase and increases reduced sensitivity of beta-2 receptors to catecholamines. Although NO studies have been carried out to make solid grounds about those claims. Those effects are not scientifically proven. Treatment with Zaditen is supposed to last for several weeks because the medication doesn't start acting its full potential until the third week of administration. The main side effect is fatigue. There are two conflicting opinions about treatment with Zaditen. European, especially French pulmonologists and asthma specialists consider that this medication to be a favorable addition to the regimen because of its multi-properties. It is also considered that children respond much better than adults and then link has been attached to the beta-2 receptors. US colleagues and FDA doubt the efficacy of Zaditen because no major trials have been carried out comparing Zaditen when its included into regimen of asthmatics versus not included. Same thing with bronchitis, asthmatic bronchitis and emphysema. So the question still stands open for Zaditen. There have been debates going on in literature about Zaditen but they have calmed down. It has also be taken into consideration that Europe and US have different guidelines on managing asthmatics, different opinions about steroids, theophylline.



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