Table 4

Pharmacological agents and physical stimuli that may exacerbate mast cell mediator release in patients with mastocytosis

*Appears to be a problem in less than 10% of patients.
Immunological stimuli
Venoms (IgE mediated bee venom)
Complement derived anaphylatoxins
Biological peptides (substance P, somatostatin)
Polymers (dextran)
Non-immunological stimuli
Physical stimuli (extreme temperature, friction, sunlight)
Drugs
    Acetylsalicylic acid and related non-steroidal analgesics*
    Thiamine
    Ketorolac tromethamine
    Alcohol
    Narcotics (codeine, morphine)*
    Radiographic dyes (iodine containing)