Emergency Treatment – Other
There is no role for anti-histamine use in the immediate treatment of anaphylaxis. After the patient has been stabilised, a non-sedating anti-histamine can be given to help alleviate cutaneous symptoms.
The routine use of corticosteroids to treat anaphylaxis is not advised. If the patient is suffering from ongoing asthma/shock after initial resuscitation steroids may be considered, however must not be given preferentially to adrenaline. There is little evidence that steroids shorten symptoms or prevent biphasic reactions.1
Consider inhaled bronchodilator therapy with salbutamol and/or ipratropium for the persisting respiratory symptoms.