Allergic Rhinitis Meds Flashcards
Allergic Rhinitis is also called ________?
Hay fever
Signs and symptoms of Allergic Rhinitis?
- Runny nose
- Sneezing
- Itchy eyes
- Nasal Congestion
What are the three major medication options for Allergic Rhinitis?
- Antihistamines
- Nasal glucocorticoids
- Decongestants
Facts about Antihistamines?
🔶 First Generations (Old Antihistamines)
* Prescribed for :-
1) Allergic reactions
2) Nausea
3) Cough
4) Insomnia
5) Itching (Pruritis)
* Prescribed for Extrapyramidal effects (Benadryl)
* Can easily cross the Blood Brain Barrier
🔶 Second Generations (Newer Antihistamines)
* It has a long half-life
* Do not cross the Blood Brain Barrier
* Good choice for Allergic Rhinitis
Examples of Antihistamines?
- First Generations (Old Antihistamines)
* Diphenhydramine (Benadryl)
* Hydroxyzine
* Promethazine - Second Generations (Newer Antihistamines)
* Loratadine
* Cetirizine
* Fexofenadine
High yield concepts of Antihistamines?
- CNS Depressions (Pt should avoid alcohol)
- Anticholinergic Effects
(Both happened when taking 1st Generations Antihistamines)
Facts about Nasal Glucocorticoids?
- These are steroids that are sprayed into the nose.
- They treat Allergic Rhinitis.
Examples of Nasal Glucocorticoids?
(They end with “Sone”)
- Fluticasone
- Mometasone
High yield concepts of Nasal Glucocorticoids?
- Time frame (It takes a WEEK before its effective)
- Nose bleeds (They dry the nasal mucosa)
- Administrations (Shake & prime if its not been used for long)
Facts about Decongestants?
- They relieve Nasal congestions.
Examples of Decongestants?
(They end with “rine”)
- Phenylephrine
- Pseudoephedrine (ingredient of Crystal Meth)
High yield concepts of Nasal Glucocorticoids?
- Illegal Use (Pseudoephedrine).
- Increased Sympathetic Stimulation - (Pt with the history of Hypertension and Cardiac disease should avoid these meds).
