By vgreene, 23 April, 2021 Antihistamines INAH may be more effective than OAH rapid onset advantageous for seasonal episodic intermittent sx AAAAI recommends against 1st gen OAH2
By vgreene, 23 April, 2021 Start w intranasal antihistamine INAH 2nd gen oral antihistamine OAH or intranasal steroid INCS as mono tx combo tx w INAH INCS also 1st line option is more effective than INCS alone individualize med mgmt in light of pt preference 1 avoid triggers step d
By vgreene, 23 April, 2021 Avoidance of animals effective for animal allergy 4 highly pollen allergic pts should stay indoors during high pollen counts benefit of other environmental measures uncertain3 4
By vgreene, 23 April, 2021 Complementary BSACI advises against acupuncture 4 while AAO HNS says it may be offered 3 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 5
By vgreene, 23 April, 2021 If pregnant 2 4 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 as 1st line d t darr efficacy and serious neuropsych side effects suicidality 2 3
