Allergic Rhinitis

Question 1

What are some patient factors that should be assessed?

Answer 1

If any of the following apply, then refer to MD:

Under 2
Pregnant
Uncontrolled asthma
Recurrent sinusitis or otitis media
Uncontrolled thyroid disorder
Drug-induced (ASA, NSAIDs, alpha and beta blockers)

Question 2

What are some red flags in allergic rhinitis?

Answer 2

Symptoms suggesting anaphylaxis
Shortness of breath or wheezing
Persistent headache, eye, or eye pain
Unilateral nasal symptoms
Child with moderate to severe symptoms

Question 3

What symptoms are typical of allergic rhinitis?

Answer 3

Sneezing
Nasal congestion, rhinorrhea
Itchy nose, eyes, or throat
Duration over 7 days

Question 4

What are some treatments for mild allergic rhinitis (less than 4 days/week)?

Answer 4

Saline

2nd gen antihistamines

If nasal congestion: decongestant

Question 5

What are some treatment options for mild to severe allergic rhinitis?

Answer 5

Intranasal corticosteroid

Question 6

When should a pharmacist follow up after prescribing an intranasal steroid?

Answer 6

In 2 weeks