Notes in allergic rhinitis

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Status	Last Update	Fields
Published	09/08/2024	{{c1::intermittent}} rhinitis is considered less than 4 days a week
Published	09/08/2024	{{c1::intermittent}} rhinitis is considered less than 4 weeks ata time
Published	09/08/2024	{{c1::persistent}} rhinitis is considered more than or  equal to 4 days a a time AND 4 weeks at a time
Published	09/08/2024	{{c2::Saline irrigations}} or {{c2::Decongestants}} can be used {{c1::PRN}} for any type of allergic rhinitis
Published	09/08/2024	episodic and/or mild allergic rhinitis first line is {{c1::intranasal corticosteroids}}, {{c1::PO antihistamines}}, and {{c1::IN antihistamines}}
Published	09/08/2024	{{c1::persistent and/or moderate-severe}} allergic rhinitis'  first line is {{c2::IN corticosteroids}} and {{c3::IN antihistamines }}
Published	09/08/2024	route of corticosteroids is {{c1::intranasal}}
Published	09/08/2024	IN corticosteroids are used for {{c1::sneezing}}, {{c1::rhinorrhea}}, {{c2::itching}}, {{c2::nasal congestion}}
Published	09/08/2024	IN corticosteroids should be started {{c1::before exposure}}
Published	09/08/2024	{{c1::continuous}} use is preferred for IN corticosteroids
Published	09/08/2024	IN corticosteroids MOA is that it reduces {{c3::inflammation}}, suppresses {{c4::neutro}}phil {{c4::chemotaxis}}, reduces {{c5::intra}}cellular {{c5::…
Published	09/08/2024	{{c2::first}} generation of IN corticosteroids are:–{{c1::Beclomethasone}} (Beconaze AQ) –{{c1::Budesonide}} ( Rhinocort Aqua) –{{c1::Flunisolide…
Published	09/08/2024	{{c1::second}} generation of IN corticosteroids are:–{{c2::Ciclesonide}} (Omnaris) –{{c2::Fluticasone}} (Veramyst) –{{c2::Mometasone}} (Nasonex)
Published	09/08/2024	side effects of IN corticosteroids are: {{c1::Minor}}, {{c1::sting}}ing, {{c1::headache}}, {{c1::burn}}ing, {{c1::epistaxis}}
Published	09/08/2024	avoid IN corticosteroids with {{c1::nasal ulcers}} or {{c2::trauma }}
Published	09/08/2024	IN corticosteroids can suppress {{c1::growth}} in children and benefits/risks should be weighed
Published	09/08/2024	benefits of IN corticosteroids are not {{c1::immediate}}, it may take {{c3::hours}} to {{c3::days}} but peak response in {{c2::2-3 weeks }}
Published	09/08/2024	IN corticosteroids should be used with caution in children less than {{c1::2}} years old
Published	09/08/2024	Nose spray directions:  {{c1::Clear}} blocked nasal passages (blow nose, normal saline or decongestant) {{c2::Shake}} bottle before each use and …
Published	09/08/2024	{{c2::oral}} antihistamines are used for {{c1::sneezing}}, {{c1::rhinorrhea}}, {{c1::itching}}, {{c1::conjunctivitis}}, {{c1::watery eyes}}
Published	09/08/2024	{{c1::second}} generation is preferred for oral antihistamines
Published	09/08/2024	oral antihistamines should be used {{c1::before exposure}} when possible
Published	09/08/2024	ophthalamic antihistamines are used for {{c1::conjunctivitis}}
Published	09/08/2024	ophthalmic antihistamines are more effective for {{c1::ophthalmic}} symptoms
Published	09/08/2024	{{c5::IN}} antihistamines are used for {{c1::sneezing}}, {{c1::rhinorrhea}}, {{c1::itching}}, (+/-){{c1::nasal congestion}}
Published	09/08/2024	IN antihistamines work {{c1::faster}} than PO
Published	09/08/2024	the main mechanism of antihistamines is that it {{c2::dries you out}} which is an {{c1::anticholinergic}} effect
Published	09/08/2024	{{c3::first}} generation of antihistamines are {{c2::non-selective}} so they are lipo{{c1::phillic }}
Published	09/08/2024	{{c1::first}} generation of antihistamines are:–{{c2::Diphenhydramine (}}Benadryl)-PO –{{c2::Chlorpheniramine}} (Lodrane) -PO –{{c2::Clemastine}} (Tav…
Published	09/08/2024	{{c2::second}} generation of antihistamines are {{c1::peripherally}} selective
Published	09/08/2024	{{c2::second}} generation of antihistamines are:–{{c1::Loratadine}} (Claritin) -PO –{{c1::Fexofenadine}} (Allegra) -PO –{{c1::Cetirizine}} (Zyrtec) -P…
Published	09/08/2024	antihistamines have {{c1::anticholinergic}} effects especially in {{c2::1st}} generation
Published	09/08/2024	precautions of antihistamines are (4) {{c1::glaucoma, GU/GI obstruction, CV disease (arrhythmias), seizure disorders}}
Published	09/08/2024	IN corticosteroids work best when {{c1::scheduled}}
Published	09/08/2024	IN corticosteroids should be taken when an allergen exposure is predictable because it takes {{c1::awhile}} to work
Published	09/08/2024	IN antihistamines work really {{c1::quickly}} so they do not need to be scheduled before exposure
Published	09/08/2024	for persistent and/or mod-severe allergies, {{c1::IN}} corticosteroids need to be started a few weeks before
Published	09/08/2024	PO antihistamines do not {{c1::work}} as well as IN for persistent and/or mod-severe asthma
Published	09/08/2024	{{c1::IN}} antihistamines are not typically used as monotherapy for persistent and/or moderate-severe asthma and are usually a bridge to IN steroids&n…
Published	09/08/2024	{{c1::perennial}} means year round
Published	09/08/2024	{{c1::Seasonal}} means an allergy to a specific pollen
Published	09/08/2024	{{c1::Episodic}} means not present in your life daily but will cause symptoms upon exposure, ie: dogs
Published	09/08/2024	{{c1::Mild}} severity means that a patient has normal sleep and daily activities, no impairment of school or work, no troublesome symptoms
Published	09/08/2024	{{c1::Moderate-severe}} severity means that a patient has impairment of daily functions, abnormal sleep, difficulties at work or school, troublesome…
Published	09/08/2024	{{c2::antihistamines}} are contraindicated in {{c3::neonates}} because highly sensitive to {{c1::depressive}} effects
Published	09/08/2024	{{c1::antihistamines}} cause {{c2::paradoxical excitation}} in young children
Published	09/08/2024	antihistamine toxicity can cause {{c1::hallucinations}}, {{c1::convulsions}}, and {{c1::death}}
Published	09/08/2024	{{c2::antihistamines}} are used for {{c1::ALL}} patterns, frequencies, and severities of symptoms
Published	09/08/2024	Only use {{c1::2nd}} generation antihistamines!! {{c1::1st}} generation antihistamines have too many side effects. Some people use…
Published	09/08/2024	{{c1::H1}} receptor blocker of antihistamines work on {{c2::nasal mucosa}} and {{c2::eye}} to prevent {{c3::itching}}
Published	09/08/2024	{{c1::oral}} antihistamines should be used before exposure when possible. they do not work for {{c2::congestion}} so you need to add another drug for …
Published	09/08/2024	{{c1::ophthalmic}} antihistamines require multiple applications per day
Published	09/08/2024	{{c1::intranasal}} antihistamines work faster than PO but have no effect on conjunctival symptoms and must be applied multiple times a day
Published	09/08/2024	{{c1::IN anticholinergics}} are not a great first line treatment but can be added on to dry out rhinnorrhea PRN
Published	09/08/2024	{{c1::IN Anticholinergic}}are used for {{c2::Rhinorrhea}} and can bridge to {{c3::IN corticosteroids}}
Published	09/08/2024	IN Anticholinergics requires {{c1::multiple}} applications / day
Published	09/08/2024	side effects of IN Anticholinergics are: {{c1::Nose bleeds}}, {{c1::Headache}}, {{c1::Nasal drying}}
Published	09/08/2024	{{c1::Leukotriene Receptor Antagonist}} are only used in pts with coexisting {{c2::asthma}}
Published	09/08/2024	{{c1::Leukotriene Receptor Antagonist }} are last line for allergic rhinitis because of side effects
Published	09/08/2024	{{c1::Leukotriene Receptor Antagonist}} MOA is interferes with the synthesis and action of leukotrienes that are released following allergen expo…
Published	09/08/2024	{{c1::Leukotriene Receptor Antagonist}} really have no additional benefit for allergic rhinitis
Published	09/08/2024	{{c2::Leukotriene Receptor Antagonist}} side effects are {{c1::neuropsychiatric}} changes and possibly {{c1::Hepatic}} dysfunction&nbsp…
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