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Mast cell activation syndrome
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=== Antihistamines === Over-the-counter [[:Category:H1 antihistamines|H1]] and [[:Category:H2 antihistamines|H2 antihistamine]] blockers such as [[Fexofenadine|Allegra]] (Fexofenadine), [[Cetirizine|Zyrtec]] (Cetirizine), [[Loratadine|Claritin]] (Loratadine), and compounded [[Ketotifen|Zaditor/Zaditen]] (Ketotifen) are common treatments for MCAS.<ref name="TMS-meds">{{Cite web|url=https://tmsforacure.org/treatments-2/medications-treat-mast-cell-diseases/ | title = Medications to Treat Mast Cell Diseases | last = | first = | authorlink = | date = | website = The Mast Cell Disease Society|language=en-US|archive-url=|archive-date=|url-status=|access-date=2021-02-16}}</ref><ref name="Klimas2014">{{Cite web|url=https://www.mastattack.org/2014/10/mcas-treatment/ | title = MCAS: Treatment | last = Klimas | first = Lisa | date = 2014-10-27 | website = Mast Attack|language=en-US|access-date=2018-12-08}}</ref> It is recommended that the patient should consult a physician for secondary symptom treatment or targeted mast cell therapies.<ref name="Molderings2016">{{Cite journal | last = Molderings | first = G | date = Jul 2016 | title = Pharmacological treatment options for mast cell activation disease|url=https://pubmed.ncbi.nlm.nih.gov/27132234/|volume =389|issue=7 | pages = 671-94|doi=10.1007/s00210-016-1247-1|journal=Naunyn Schmiedebergs Arch Pharmacol|via=|pmid=27132234|pmc = 4903110}}</ref> Some patients also use herbal antihistamine supplements such as [[quercetin]] or take [[diamine oxidase]] (DAO), an enzyme normally produced by the body that breaks down histamine, as a supplement. Prescription drug treatments include [[Omalizumba|Xolair]] (Omalizumab), which has been proposed as a possible mast cell stabilizer and is used in allergic asthma and chronic urticaria.
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