Rhinitis medical therapy: Difference between revisions
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* Conjunctivitis | * Conjunctivitis | ||
* Otitis media | * Otitis media | ||
* Obstructive sleep apnea | |||
* Laryngopharyngeal reflux | |||
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'''Other Medications''' | '''Other Medications''' | ||
* Leukotriene receptor antagonists- These can be prescribed for lower airway symptoms. They are not recommended for use in adults with persistent allergic rhinitis, and they should not be offered as primary therapy for treatment of allergic rhinitis.<ref name="pmid25644617">{{cite journal| author=Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR et al.| title=Clinical practice guideline: Allergic rhinitis. | journal=Otolaryngol Head Neck Surg | year= 2015 | volume= 152 | issue= 1 Suppl | pages= S1-43 | pmid=25644617 | doi=10.1177/0194599814561600 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25644617 }} </ref><ref name="pmid25182359" /> | * Leukotriene receptor antagonists- These can be prescribed for lower airway symptoms. They are not recommended for use in adults with persistent allergic rhinitis, and they should not be offered as primary therapy for the treatment of allergic rhinitis.<ref name="pmid25644617">{{cite journal| author=Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR et al.| title=Clinical practice guideline: Allergic rhinitis. | journal=Otolaryngol Head Neck Surg | year= 2015 | volume= 152 | issue= 1 Suppl | pages= S1-43 | pmid=25644617 | doi=10.1177/0194599814561600 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25644617 }} </ref><ref name="pmid25182359" /> | ||
==References== | ==References== | ||
Revision as of 20:31, 24 January 2017
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Rhinitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Rhinitis medical therapy On the Web |
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American Roentgen Ray Society Images of Rhinitis medical therapy |
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Risk calculators and risk factors for Rhinitis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]
Overview
Rhinitis is a heterogegeous disorder that is often undertreated or overlooked( PMID 11449200)
Treatment
The treatment of allergic rhinitis includes the following key components:[1][2][3]
- Patient education on allergen avoidance and non-pharmacologic treatments such as saline douching of the nose
- Pharmacotherapy
- Allergen-specific immunotherapy in patients uncontrolled with pharmacotherapy
- Surgery in selected cases
Pharmacotherapy
| Medical Treatment of Allergic Rhinitis | |||
|---|---|---|---|
| Severity of Rhinitis | Medication
(Use in conjunction with allergen avoidance and saline douching) |
Treatment Failure
(Ensure patient adherence to treatment before making changes to the treatment plan) |
Evaluation and treatment of associated conditions |
| Mild | Nonsedating oral/intranasal antihistamine | Consider intranasal steroids |
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| Moderate | Intranasal corticosteroid (+/- nonsedating oral or intranasal antihistamine) |
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| Severe | Intranasal corticosteroid (+/- nonsedating oral or intranasal antihistamine) | ||
Other Medications
- Leukotriene receptor antagonists- These can be prescribed for lower airway symptoms. They are not recommended for use in adults with persistent allergic rhinitis, and they should not be offered as primary therapy for the treatment of allergic rhinitis.[4][1]
References
- ↑ 1.0 1.1 Lee S (2014). "Practical clinical approaches to the allergic rhinitis patient". Int Forum Allergy Rhinol. 4 Suppl 2: S66–9. doi:10.1002/alr.21389. PMID 25182359.
- ↑ Rotiroti, Giuseppina; Scadding, Glenis (July 2016). "Allergic Rhinitis-an overview of a common disease". Paediatrics and Child Health. Volume 26 (Issue 7): 298–303. Retrieved January 20, 2017.
- ↑ Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A; et al. (2008). "Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)". Allergy. 63 Suppl 86: 8–160. doi:10.1111/j.1398-9995.2007.01620.x. PMID 18331513.
- ↑ Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR; et al. (2015). "Clinical practice guideline: Allergic rhinitis". Otolaryngol Head Neck Surg. 152 (1 Suppl): S1–43. doi:10.1177/0194599814561600. PMID 25644617.