By vgreene, 23 April, 2021 Nasal saline may reduce pt reported dz severity 2 4 amount of pharmaco tx needed 4 is well tolerated2 4
By vgreene, 23 April, 2021 Intranasal corticosteroid is a 1st line option per AAAAI ARIA AAO HNS combo w INAH more effective than INCS alone is also 1st line per ARIA reserved for mod severe dz or tx failure by other societies
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 4 combo PSE 2nd gen OAH preferred over INCS by AAAAI don t use 5 days exercise caution in certain pts2
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 individualize med mgmt in light of pt preference 1 avoid triggers step down stop tx if sx controlled trigger gone
By vgreene, 23 April, 2021 Consider use of a validated instrument scoring system scale or questionnaire such as VAS below to help determine the severity of rhinitis to monitor the degree of sx control
By vgreene, 23 April, 2021 Assess severity of sx mild sx NL daily activities sports leisure work school sleep and no troublesome sx if any of these are not true then classify as moderate severe
