Flashcards in 50 - Allergic Rhinitis Deck (28):
avoid exposure to triggers, wash bedding, carpets, shower, don't have pets in the bedroom
Describe topical pharmacological options
-use saline nasal spray to wash out mucus and allergen
-lubricant eye drops or cold compresses can reduce conjunctival symptoms
What symptoms do antihistamines relieve?
relieve most symptoms such as sneezing, rhinorrhea, nasal itch and conjunctivitus
Which antihistamine may relieve congestion?
desloratidine - may relieve congestion and is indicated for congestion
fexofenadine - may help but it is not indicated for this symptom
Antihistamines are most effective if used ______
*but onset of action is fast enough so they are still effective when used PRN
Of the less-sedating AH's, which one is more likely to cause some sedation, esp at higher doses?
Decongestants are _____ _____
_______ (decongestant) effectiveness has not been well established
Which decongestant is available as a single entity product or in combo with less-sedating AH's?
Decongestants have _____ side effects
Avoid decongestants if taking ____
Who should you caution decongestants in?
in those with HTN, hyperthyroidism or ischemic heart disease, though evidence of risk is weak when used at recommended doses
What are topical decongestants?
Use of topical decongestants for more than ____ days may result in rebound congestion
Concomitant use of an intranasal _____ may mitigate rebound congestion
corticosteroid (ex. fluticasone)
What is the mainstay of treatment for moderate-severe rhinitis symptoms?
May need _____ week trial for corticosteroids to benefit
_____ is an intranasal corticotseroid that comes as DPI for those who don't like aqueous sprays
Advantage of intranasal corticosteroids over oral corticosteroids?
does not cause adrenal suppression @ therapeutic doses
What is Levocabastine?
An antihistamine nasal spray
-less potent than INCS and is not effective for treatment of congestion
Intranasal ipratropium is only good for ______
What is a LTRA that has a modest effect on allergic rhinitis?
points about ophthalmic mast cell stabilizers?
-require several days for onset of effect
why is regular use of topical vasoconstrictors for the eyes not recommended?
bc of the development of rebound vasodilation
Immunotherapy is useful when symptoms caused by what?
pollen or dust mites
Immunotherapy is indicated when there is evidence of ____ sensitivity to a specific antigen
What is drug of choice in kids?
can also use intranasal corticosteroids