allergies Flashcards
what are the first generation steroid nasal sprays
beclomethasone, flunisolide, triamcinolone, budesonide.
what are the second generation steroid nasal sprays
fluticasone, mometasone, ciclesonide
what are the SE of the allergic steroid sprays
nose bleeds (epistaxis)
what are the oral antihistamines most effective at treating
they reduce the itching, sneezing and rhinorrhea but have less of an effect on nasal congestion.
how are steroid nasal sprays used
often begin with the highest dose for age and then once the patient is controlled, step down the dosage.
which oral histamines are preferred for use
second and third generation histamines are preferred over first generations because they have less central nervous effects.
what are the second generation antihistamines
fexofenadine, levocetirizine, desloratidine, cetirizine, loratadine
which drug is as equally effective as the second gen antihistamine
cromolyn
what is cromolyn
a mast cell stabilizer
how do we treat severe allergic rhinitis
with short courses of oral glucocorticoids
how do we treat mild or episodic allergic rhinitis
second genr oral antihistamines, an antihistamine nasal spray, glucorticoid nasal spray, cromolyn.
how do we treat moderate to severe or persistent allergic rhinitis
adding a second agent is first line. combination sprays containing glucocorticoids and antihistamines, oral leukotriene inhibitor or intranasal cromolun
how do we treat allergic rhinitis with concomitant allergic conjunctivitis
with Antihistamines eye drops and a nasal glucocorticoid spray
first line therapy for allergic rhinitis
intranasal corticosteroid alone is the initial therapy
what does every patient with allergic rhinitis get
education and allergen avoidance.
