By vgreene, 26 April, 2021 Add decongestants if edema impairs delivery of intranasal tx oral2 4 not rec d by BSACI or intranasal 1 2 don t use 5 days exercise caution in certain pts5
By vgreene, 26 April, 2021 Antihistamines 1 2 4 INAH may be more effective than oral antihistamine OAH rapid onset advantageous for seasonal episodic intermittent sx use OAH daily not prn esp for itch sneeze rash sx AAAAI recommends against 1st gen OAH2
By vgreene, 26 April, 2021 Intranasal corticosteroid mono tx is an option but combo INCS INAH more effective than INCS alone2 4 is preferred 1st line per AAAAI
By vgreene, 26 April, 2021 Check medication use concordance dose 1 select other mono tx option alternatively use combo intranasal steroid INCS intranasal antihistamine INAH if not used initially 2 3 can also consider adding sx specific agents or referral for turbinate reduction in
