August 3, 2016 | Drew Anderson What are Latex Allergies? Latex is a natural product made from the milky sap of the rubber tree (Heavea Brasillienus). Its durability, flexibility and low manufacturing costs has made latex a popular material. A latex allergy is a reaction to products made from natural rubber latex. the reactive is proteins originating from the rubber tree and present in products made of natural rubber latex. What causes the Allergies? Allergies develop when the immune system reacts to the proteins as if they were harmful. Extended exposure builds antibodies which build up in the immune system. The antibodies “attack” the proteins with powerful chemicals causing an allergic reaction. Latex exposure occurs through: Contact with skin or mucous membranes (eyes, mouth, genitals, bladder or rectum) Breathing dust particles containing latex proteins Who is at Risk? Anyone who comes into contact with latex has some risk of developing latex allergies. people with extended exposure who may pose higher risk include: Patients whose regular care involves latex Healthcare workers People who work with other latex products Persons with spina bifida and hydrocephalus, congenital urological abnormalities, cerebral palsy and Dandy-Walker syndrome are all at particular risk due to repeated exposure during surgical procedures and at home care associated with these disabilities (catheterization may also put people at risk). What are the symptoms? There are varying severities of allergic reaction: Mild reaction symptoms may include: • skin rash Photo source: Ansell • hives • itchy, watery eyes • runny nose • redness in area where contact occurred More serious reaction symptoms may include: • drop in blood pressure • rapid heart rate • swelling of the throat • wheezing and difficulty breathing • flushed face • change of color • stomach cramps or diarrhea • vomiting • fainting or loss of consciousness Products containing Latex Latex is found in several products around the home and health care setting: latex/rubber gloves catheters blood pressure rubber top vials Photo source: Sort and Toss tourniquets IV injection ports IV tubing enema tips anesthesia masks feeding tubes balloons carpet backing condoms and diaphragms elastic on socks and other clothing bandages water toys hand grips on rackets and tools erasers glue pens and crayons plants (rubber tree and poinsettia) Latex free products Decorative Supplies: Balloons: Mister Balloon (www.misterballoon.com) Mylar, vinyl, or plastic balloons School/Office Supplies: Adhesives: 3M – Scotch Magic Tape, Post-its, 3650 Storage Tape, Transparent Duct Tape (regular duct tape is not latex free), Command Poster Strips, Command Interlocking Fasteners, Scotch Adhesive Putty, Scotch Glue Sticks Calculator Buttons: Texas Instruments calculators are latex free Drawing Pencils: Crayola – Crayola Colored Pencils, Crayola Watercolor Pencils RoseArt – Colored Pencils Erasers: Baumgarten’s – Neon erasers Faber-Castell – All eraser products are latex free and PVC free EXCEPT Perfection Eraser Pencil Jakks Pacific – Latex Free Erasers, Pental- Click erasers RoseArt – All erasers are latex free Sanford – All eraser products are latex free EXCEPT Arrowhead Cap Erasers, Design Kneaded Rubber Eraser, Union Eraser, Pink Pearl Eraser, Pink Pet, Paper Eraser Max Soap erasers Glue/Paste: 3M – Scotch glue sticks Avery – All glue sticks, labels, T-shirts transfers Crayola – All glue Elmer’s – All glue EXCEPT rubber cement and Sno-Drift paste Modeling Clay: Crayola – Crayola Dough, Crayola Modeling Clay, Crayola Model Magic and Silly Putty Hasbro – Play-Doh (Hasbro will state whether latex is used in the product on the package) Polyform Products Co. – Granitex. Sculpey, Sculpey III, Super Elasticlay, Super Sculpey Mouse Pads: 3M – Percise Mousing Surface with or without the Gel Wrist Rest Quill Vinyl sheeting can be cut into pad-sized squares *It is important to get rid of all natural rubber latex mouse pads from the home, as the proteins can be picked up throughout the house.* Paint: Crayola – All crayola Paints including Artista II, Watercolors, Washable Paint, Finger Paint, Powder Paint, and Liquid Tempera Paint Pen/Pencil Grips: Hoyle products Inc – All Hoyle grips are made of vinyl and are latex-free including adjustable rulers, curves for drafting use Pens: Paper Mate – ZeZe Ball Point Pens, Silhouette Ball Point Pens, Comfort Grip Pens, Dynagrip Pens, Flexgrip Pens RoseArt – All pens Sanford – All pens Rubber Bands: Alliance Rubber Company – Latex free, anti-microbial line of rubber bands available Baumgarten’s – Plasti Bands Latex-free bands can be ordered through Home Depot Infants and Children Diapers/Rubber Pants: Kimberly Clark – Huggies, Drypers Diapers, Pull-Ups, Pampers, Luvs Feeding Nipples: Evenflo – Silicone (read-label, some are latex) Gerber – Silicone (read label, some are latex) MAM – Silicone (read label, some are latex) Pacifiers: Evenflo – Silicone (read-label, some are latex) Gerber – Silicone (read label, some are latex) Playtex – Binky Soothies (Children’s Med Ventures) Infa Kip MAM Use plastic, silicone, or vinyl Tooth Massager: Butler – GUM toothbrushes Crest – Reach soft bristle Gerber/NUK Oral B – All Oral B products are latex free Most are synthetic – please check with the manufacturer Toys: Especially Rubber Ducky, Teething Toys, Stretch Armstrong and old Barbies Use plastic, cloth, or vinyl Many toys are latex free (check with manufacturer) Mattel Fisher Price Technics: Discovery Toys Evenflo/Gerry Gerber Graco/Century Hasbro Kenner Lego Little Tykes Milton Bradley Norfin Ohio Art Parker Bros. Peg Perego Power Wheels Safety First/Cosco Silly Putty The First Years Household Products Adhesives: 3M – Scotch Magic Tape, Post-Its, 3650 Storage Tape, Transparent Duct Tape (regular duct tape is not latex free), Command Poster Strips, Command Interlocking Fasteners, Scotch Adhesive Putty, Scotch Glue Sticks Auto Mats/Steering Wheel: Use vinyl, clear, fabric, or leather floor mats Cover steering wheel with latex-free cover Bath Mats/Rugs: Cotton rugs without rubber backing Foam Products – Synthetic non-skid pads Safety.com – Vinyl bath mat Slip-X – Vinyl bath mats Buttons on Phones, Remotes and Calculators: Texas instruments calculator buttons are latex free Most are silicone rubber (check with manufacturer) Chair Pads: Acoustic Resources – Quiet Feet pads are latex free. These are adhered to chair legs to reduce noise, and scratching or floors Drain Stoppers: Slip-X W2 Products – Silicone Magic Plug Earphones: Avid Products Plantronics – H series (H31, H41, H51,H61,H81) and Polaris models (P31, P41, P51, P61, P81) are latex free Foam Rubber: Synthetic foam Food Storage: Tupperware Ziploc – Glad Press N Seal Kerr – Canning jar lid seal is latex free Yoplait yogurt – Glue sealing lid onto container is latex free Use wax paper, HandiWrap, or Saran wrap Garden Hoses: Vinyl Gaskets: Neoprene, silicone Gloves (Kitchen/Household): Use vinyl, neoprene, nitrile or polymer golves Allerderm – Nitrile, vinyl or cotton liners Kimberly Clark – Safeskin Maxxim – Sensicare, Tru-Touch, Aloetouch, Accutouch, MediGaurd Regent – Neotech, Skinsense, Magla PVC MYPLEX Glue (Evelopes/ Stamps): Moisten with a wet cloth instead of licking Mattress for beds: NaturePedic – mattress sized for newborns to adults Phone Receiver/Shoulder Rest : Avoid direct contact with skin See above list for latex-free earphones Plants (Fichus/Poinsettia): Don’t let sap touch skin Silk Flowers: Avoid contact with skin Spatulas: Use wooden, plastic, or synthetic Pampered Chef Tools with Rubber Handles: Use vinyl or leather handles Cover with latex-free tape Clothing Undergarments/Elastic: Blue Canoe – latex-free clothing Decent Exposures – Latex-free elastic for bras, underwear, and swim suits Dr. Leonard’s Healthcare Catalog – Non-binding, latex-free cotton socks Her Room – Latex-free bras Cottinque – Latex-free underwear TechSpun – Latex-free socks Vermont Country Store – Latex-free socks Cotton socks without elastic Pantyhose: L’eggs Lyrca – Spandex Tuck clothing under elastic waistband Raincoats: Neoprene – Coated nylon Socks, Shoes/Rubber: Cottonique Crocs – Latex-free clogs, boots, and flip-flops P.W. Minor – Rubber-free sport shoe Boots: Gempler’s PVC waterproof boots Minnetonka – Moccasins Nine West – All shoes EXCEPT running shoes Superfeet Stretch Fabrics (Some): DuPont – Lycra/Spandex Swimsuits: Suits Me Swimwear Decent Exposures T-Shirt with Appliques: Avoid contact of applique with skin Watches: Addidas – All watches are latex free made from polyurethane Personal Products Contraception: Durex – Avanti FemCap – FDA-approved, latex-free contraceptive device Milex – Silicone diaphragm Trojan – Supra The Female Health Company – FC Female Condom Cosmetics/Applicators: All Natural Cosmetics Clinique Luminescence Revlon – All products are latex-free, including applicator foam wands and puffs, as well as the pads on the eyelash curlers. Qosmedix – Latex-free applicator sponges Use cotton balls or brushes *Some cosmetics may contain papain, a papaya derivative that can cross react with latex* Hair care Supplies: Back to Basics – All hair care products are latex free Incontinence Supplies: Kimberly Clark – Depend, Poise First Quality Tranquility Health Pursuit Adult protective disposable underwear Sanitary Pads: Kimberly Clark – Kotex NatraCare Gladrags Diva Cup – Reusable silicone cup Mooncup – Reusable silicone cup Toothbrush Handles: Most are synthetic (check with manufacturer) Butler – GUM toothbrushes Crest – Reach soft bristle Oral B Home Medical Supplies Bandages: 3M – NexCare Active Foam bandages are latex-free Johnson & Johnson – Advanced Healing and Active Flex Band-Aids are latex free Kendall – Curity bandages are latex-free Sterile dressing with paper, silk, or cloth tape: NHP Coverlet Advanced Healing (some contain latex, check label) Latex in packaging only: ReadiBandages, Active Strip (3M), CURAD Neon, Nu Derm by Johnson & Johnson Band-Aid Brand Braces/Splints: Use cloth or felt to cover foam lining Compression Stockings: Ames Walker – Variety of Compression and standard socks (most are latex-free) Jobst – Compriform Custom, Latex-free TEDS Crutches: Cover pads/grips with cloth type or tape Crutchtips.com – Latex-free crutch pads and grips EKG Leads: Life Sync – Life Sync Leadwear Disposable Medical Tape: Cloth, paper, or silk tape Johnson & Johnson – Hurt Free, Dermicel 3M – Transpore, Durapore, Micropore, Micro-foam Cath Strip Molepad Hytape Pink Wheelchair Seat/Tire/Brake: Cover seat with fabric or neoprene cushion Wear leather gloves to turn wheels ROHO – cushions Gaymar – Soft care bed/ chair cushions Water Bottles (Hot & Cold): Wrap cloth around water bottle, or use cloth-covered heating pad Restaurants and Grocery Stores Latex Gloves: Synthetic, vinyl (inquire before eating) Sports Equipment Bike/Ski Helmets: Boeri Sport Bungee Cords: Avoid direct contact with skin Handles: For Ping Pong Paddles, Golf Clubs, Baseball Bats, Rackets, Ski Poles and Bikes use vinyl or leather handles, or cover with tape or cloth Mouth Guards: Shock Doctor – Silicone Rubber Balls: Gopher Sport has latex-free balls, including volleyballs, physio balls, and foam balls Do not use the following: ALL Koosh products contain natural rubber latex! Balzac Balloon Balls or Omnikin- both contain natural rubber latex balloon bladders Gator Skin Balls – the outer coating contains natural rubber latex *Some allergic individuals can use tennis balls that are new and completely covered. Bladders of tennis balls are natural rubber latex* Other Balls: Such as: Basketballs, Footballs, Soccer balls and baseballs Check with manufacturer: BSN MacGregor Spalding Rawlings Wilson Playground Markers/Cones/Baseball Bases: Gropher Sport Protective Eye wear: Liberty Optical – Rec Specs are latex-free Scott – Ski goggles: Foam around eyes is latex-free, but head strap contains natural rubber latex Swim Cap: Use silicone swim caps: Nike – Swift cap silicone swim caps Dual Durometer – Dome molded Swim Cap Snap-Cap Speedo – Silicone Flag Swim Cap TYR – Warmwear Swim Cap, Lycra Swim Cap Do not use: USA Flag Latex – Swim Cap or Canada Swim Cap as these contain latex Googles: Use silicone or vinyl goggles Speedo – Hydrospex, Vanquisher goggles are latex-free. Latex-free replacement strap can be bought separately for other Speedo goggles TYR – Racetech Reveal Goggles * Some latex-allergic individuals may react to chlorine and/or latex proteins released from swimsuits and pool items due to chlorine * Water Toys: Use PVC or plastic toys Wet Suits, Scuba/Snorkel Masks: Neoprene or silicone The above list was taken from the American Latex Allergy Association’s guide book: School Safety Guidelines For Latex-Allergic Students Cross-reference Allergies Seven proteins have been identified in latex and some are structurally similar and “cross-reactive” with proteins in certain fruits. It is recommended that patients allergic to these fruits caution for potential latex allergy. •Bananas •Papaya •Avocados •Peaches •Chestnuts •Kiwi •Apples •Potatoes •Carrots •Melons •Celery •Walnuts •Tomatoes •Peanuts Identifying Latex Allergies Identifying sensitivity comes from a review of medical history, physical examination and blood evaluation. Three FDA approved tests for latex specific IgE antibodies (immunoassays) are: Pharmacia & Upjohn CAP system Diagnostic Products’ Alastat Hycor Assay Latex reagent diagnostic skin testing Living with Latex Allergies If you live with a latex allergy you are encouraged to take the following precautions: ul Carry an adrenaline kit (Ana-kit or Epi-Pen) to treat possible severe reactions. Use a Medic-Alert bracelet. Carry a pair of latex-free gloves in case of emergency. Always inform your doctor of latex concerns prior to surgical procedures so special precautions can be taken. It is possible that a mild reaction and repeated exposure may develop into a more severe reaction. A severe allergic reaction may occur without previous reactions. The best treatment for latex allergies is avoidance. For further information For more information on Latex Allergies and latex-free products contact the following organizations: Latexallergyresources.org Latexallergylinks.tripod.com Decentexposures.com Click on any of the following links for more information on their topics: Alzheimer’s, Parkinson’s… or is it NPH? Posted: August 9, 2016 Never heard of NPH? Well, you’re not alone. NPH, or Normal Pressure Hydrocephalus, is not a widely known medical condition and is sometimes identified as “old age problems,” or as Alzheimer’s or Parkinson’s. Yet over 375,000 Americans may be living with the disorder. It’s a condition where cerebrospinal fluid (CSF) – a clear fluid that… Read More Latex Allergies Posted: August 3, 2016 Latex is a natural product made from the milky sap of the rubber tree (Heavea Brasillienus). Its durability, flexibility and low manufacturing costs has made latex a popular material. 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