What is the best first-line treatment for allergic rhinitis?
A better option would be to use single-ingredient products for each symptom; an intranasal glucocorticoid and an oral antihistamine are considered first-line treatments. This patient is demonstrating adverse effects but not acute toxicity.
Is guaifenesin a first-line drug for allergic rhinitis?
Topical decongestants are not first-line drugs for allergic rhinitis and, if used for more than a few days, can cause rebound congestion on attempts to discontinue them. A patient with a cough has been advised to use guaifenesin. When the patient asks why this particular drug, what response will the provider provide?
Is loratadine effective in the treatment of allergic rhinitis?
It has no effect on other symptoms. Loratadine, an oral antihistamine, reduces sneezing, rhinorrhea, and nasal itching only and is less effective than intranasal glucocorticoids. Intranasal cromolyn sodium is moderately effective in the treatment of allergic rhinitis, but the benefits are much less than those of intranasal glucocorticoids.
How often can you use phenylephrine nasal spray for a cold?
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4 hours, for a week. Since then it has become impossible to discontinue the medication because the nasal congestion has increased.
What medication is best for allergic rhinitis?
Glucocorticoid nasal sprays — Nasal glucocorticoids (steroids) delivered by a nasal spray are the first-line treatment for the symptoms of allergic rhinitis. These drugs have few side effects and dramatically relieve symptoms in most people.
What are the 2 basic treatments for rhinitis?
Treatment of allergic rhinitis includes allergen avoidance, antihistamines (oral and intranasal), intranasal corticosteroids, intranasal cromones, leukotriene receptor antagonists, and immunotherapy. Occasional systemic corticosteroids and decongestants (oral and topical) are also used.
Which class of drugs is most effective in preventing and treating seasonal and allergic rhinitis?
Intranasal corticosteroids are the most effective treatment and should be first-line therapy for mild to moderate disease.