By vgreene, 23 April, 2021 Complementary BSACI advises against acupuncture 5 while AAO HNS says it may be offered 8 No evidence for against homeopathy herbs phototherapy or other complementary tx per AAAAI AAO HNS BSACI
By vgreene, 23 April, 2021 If ocular sx allergic conjunctivitis sx improve w OAH INCS INAH but may require ophthalmic med mast cell stabilizer antihistamine or dual action drug4 7
By vgreene, 23 April, 2021 If pregnant 2 5 nasal saline INCS except triamcinolone OAH nedocromil cromolyn considered safe avoid decongestants esp in 1st trimester per AAAAI
By vgreene, 23 April, 2021 Don t use montelukast d t darr efficacy serious neuropsych side effects suicidality don t use LTRAs alone or in combo w OAH2
By vgreene, 23 April, 2021 Nasal saline may reduce pt reported dz severity 2 5 amount of pharmaco tx needed 5 is well tolerated2 5
By vgreene, 23 April, 2021 Consider oral steroids not depot injection 2 5 x5 7 days for very severe sx2
By vgreene, 23 April, 2021 Add decongestants initially if edema impairs delivery of intranasal tx oral2 3 not rec d by BSACI or intranasal 2 5 don t use 5 days exercise caution in certain pts6
By vgreene, 23 April, 2021 Antihistamines INAH is a 1st line option per AAAAI AAO HNS may be more effective than oral antihistamine OAH AAAAI recommends against 1st gen OAH2
By vgreene, 23 April, 2021 Intranasal corticosteroid mono tx is a 1st line option but combo INCS INAH more effective than INCS alone2 4 is preferred 1st line per AAAAI
