Pediatric Physicians, PC is a friendly and welcoming medical practice for your children. Our two offices in Alpharetta and Roswell are staffed by devoted, board-certified pediatricians, practicing the best state-of-the-art pediatric care from newborns to teens, including a 100% commitment to keep your children up to date on vaccines.

We’re easy to reach by telephone–no annoying phone tree!–and there’s plenty of free parking right at the doors of both offices. Same-day sick appointments are always available.

We’re here when you need us, and we’re here to help.

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A quick tour of allergy medicines

Here’s a post copied from my blog, just in time for allergy season. Hopefully all of this pollen will be gone soon!

The Pediatric Insider

© 2014 Roy Benaroch, MD

Ah, spring is here. Time to plant my little seedings. Time to wash the yellow pollen off my car. And time to sniffle, sneeze, and snork. Confused by all of the choices of allergy meds? Look no further than this short, no-nonsense Pediatric Insider guide to allergy medications.

Antihistamines are very effective for sneezing, drippy noses, and itchy noses and eyes. The old standard is Benadryl (diphenhydramine), which still works well—but it’s sedating and only lasts six hours. Most people use a more-modern, less-sedating antihistamine like Zyrtec (cetirizine), Claritin (loratidine), or Allergra (fexofenidine.) All of these are OTC and have cheapo generics. They work taken as-needed or daily. There are a few prescription antihistamines, but they have no advantage over these OTC products.

Decongestants work, too, but only for a few days—they will lose their punch quickly if taken regularly. Still, for use here and there on the worst days, they can help. The best of the bunch is old-fashioned pseudoephedrine (often sold as genertics or brand-name Sudafed), available OTC but hidden behind the counter. Don’t buy the OTC stuff on the shelf (phenylephrine), which isn’t absorbed well. Ask the pharmacist to give you the good stuff he’s got in back.

Nasal cromolyn sodium (OTC Nasalcrom) works some, though not as strongly as rx nasal sprays. Still, it’s safe and worth a try if you’d rather avoid a prescription.

Nasal oxymetazolone (brands like Afrin) are best avoided. Sure, they work—they actually work great—but after just a few days your nose will become addicted, and you’ll need more frequent squirts to get through the day. Just say no. The prescription nasal sprays, ironically, are much safer than OTC Afrin.

Nasal Steroid Sprays include OTC Nasacort, and Rx Flonase (or generic fluticasone), Rhinocort, Nasonex, Nasarel, Veramyst, and others. All of these are essentially the same (though some are scented, some are not; some use larger volumes of spray.) All of them work really well, especially for congestion or stuffiness (which antihistamines do not treat.) They can be used as needed, but work even better if used regularly every single day for allergy season.

Antihistamine nose sprays are topical versions of long-acting antihisamines, best for sniffling and sneezing and itching. They’re all prescription-only (though they’re super-safe). They’re marketed as either the Astelin/Astepro twins (Astepro came out later, when Astelin became available as a generic; it lasts longer) or Patanase.

Bonus! Eye allergy medications include the oral antihistamines, above; and the topical steroids can help with eye symptoms, too. But if you really want to help allergic eyes, go with an eye drop. The best of the OTCs is Zaditor, which works about as well as rx Patanol, which they’re trying to replace with rx Pataday.

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Help Dr Roy fight childhood cancer

I could use a haircut… but, more importantly, we all need to pitch in help fight kids cancer. I’m happy to be participating this year in the St. Baldrick’s fundraiser– even if my barber disagrees! Going bald is one way to show support and solidarity with cancer patients and their families.

St. Baldricks is a wonderful non-profit that raised almost $33 Million dollars last year– and 82% of that went directly to childhood cancer research. Help out and donate if you can! If you’d like to see the action, come by The Harp pub on Holcomb Bridge near 400, Sunday 3/9, at about 2:00 pm. Say bye-bye, hair!

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It’s a girl!

We’re thrilled to welcome Sarah Claire Bien! She, Dr. Libby, and their family are doing great!

sarah bien

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We’re open Friday

Both of our offices will be open Friday February 14. Please be careful driving and parking, and look out for the last bits of ice and slush.

Happy Valentine’s! Let’s hope that’s the last of our winter weather!

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Closed for weather Wednesday and Thursday

Because of the weather and unsafe driving conditions, we’re closing both offices on Wednesday and Thursday Feb 12 & 13. Please call when we re-open to reschedule appointments or for other non-urgent matters. We will have a doctor on call for emergency phone calls. We should be able to open Friday. Stay safe and warm!

edited 2/12

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