Allergic Rhinitis Flashcards
What are non pharmacoligcal controls for alleries
avoid pollen, wash clothers, lower humidity, use HEPA fitlers , eliminate cockroaches ,exercise
Which antihistamines are used for symptoms of allergic rhinitis
H1 antihistamines
What are characteristics of oral 1st generation antihistamines
Prevent and relieve sneezing, itching, and runny nose/ sedating
If patient is going to get a skin test for allergies how long should they stop taking first generation antihistamines
4 to 5 days prior
T/F: Antihistamines are effective in reducing nasal congestion
False: Antihistamines do not effect any type ofcongestion
What are the alkylamines antihistamines
Brompheniramine, Chlorpheniramine, Dexbrompheniramine
What are the Ethanolamine antihistamines
Clemastine and Diphenhydramine
T/F: The alkylamines are less sedating than the ethanolamines
True
What are counseling points for taking these medications
Patients should not also drink alcohol, do not use additional sedatives, do not use while driving
What are characteristics of 2nd generation antihistamines
have less sedation, usually in combonation with pseudoephedrine
What is the brand name for loratidine, dose for adults
Claritin, 10 mg
What is a common side effect of 2nd generation antihistamines
dry mouth
What is the brand name of cetrizine, dose for adults
Zyterc, 10 mg daily
What is the brand name of levocetirizine, dose for adults
xyzal, 5 mg daily
What is the brand name for fexofenadine, dose for adults
allergra, 60 mg twice daily
Which 2nd generation antihistamine is prescription
Desloratadine
Which 2nd generation antihistamines are for only seasonal rhinitis
Loratidine, fexofenadine
Which 2nd generation antihistamines are for both seasonal and perennial rhinitis
cetrizine, leveocetirizine, desoloratadine
T/F: Pregnant women should avoid antihistamines in the third trimester and during lactation
True
What are the intranasal antihistamines
Azelastine, olopatadine
What are the intranal adeverse effects on decongestants
nasal irritation, dryness, sneezing, rhinitis medcamentosa
What are the oral adverse effects on decongestants
increase blood pressure and heart rate, increase inner occular pressure,
What are the oral decongestants
phenylephrine and pseudophedrine
What are the intranasal decongestants
naphazoline, oxymetazoline, tetrahydrozolone, xylometazoline, phenylephrine