Treatment of Allergic Rhinitis and Allergic Conjunctivitis

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Author:
BNTP
ID:
242858
Filename:
Treatment of Allergic Rhinitis and Allergic Conjunctivitis
Updated:
2013-10-25 17:01:21
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Treatment Allergic Rhinitis Conjunctivitis
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Treatment of Allergic Rhinitis and Allergic Conjunctivitis
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  1. IgE mediated respiratory dz involving inflammation of the nasal mucosa membranes
    Allergic Rhinitis
  2. What are the symptoms of Allergic Rhinitis (AR)?
    • Congestion
    • Rhinorrhea
    • Itching
    • Sneezing
  3. Newer classifications of AR are introduced based on what two symptom types
    • Symptom frequency (intermittent or persistent)
    • Symptom severity (mild/moderate/severe)
  4. Explain the stepwise management for intermittent symptoms.
    • 1.  Allergen avoidance
    • 2.  Mild: oral antihistamine, Intranasal antihistamine +/- decongestant or LTRA
    • 3.  Moderate/Severe: same as mild or intranasal steroid (or mast cell stabilizer) or allergen-specific immunotherapy
  5. Explain the stepwise management for Persistent symptoms.
    • 1. Allergen avoidance
    • 2. Mild:oral antihistamine, Intranasal antihistamine +/- decongestant or LTRA or intranasal steroid (or mast cell stabilizer) or allergen-specific immunotherapy
    • 3.  Moderate/Severe (in order): intranasal steroid, oral antihistamine, LTRA
    • ADD for Rhinorrhea: ipratropium
    • BLOCKAGE: oral decongestant or oral corticosteroid burst or allergen-specific immunotherapy
  6. MOA: competitive H1 antagonist, or an inverse agonist, of the early response

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