Allergic Rhinitis

Question 1

Mast Cell Stabilizer

Answer 1

Cromolyn Sodium

Question 2

When is cromoly sodium most effective, before allergies or after they have begun?

Answer 2

Before

Question 3

Good for pediatric patients with mild RA whose parents want to avoid nasal steroids.

Answer 3

Cromolyn Sodium

Question 4

MOA Montelukast

Answer 4

Leukotriene receptor antagonist
Good for seasonal allergies
Best for nasal congestion, not sneezing and nasal itching

Question 5

Montelukast’s place in therapy

Answer 5

Great with 2nd Gen Antihistamines

Reserved for patients with epistaxis or intolerance to nasal steroids.

Question 6

Anticholinergic Nasal Spray

Answer 6

Ipratropium Bromide

Question 7

Ipratropium exhibits ____ properties, therefore is most effective for symptoms of what?

Answer 7

Rhinorrhea (runny nose)

Question 8

Ipratropium’s place in therapy

Answer 8

Not first-line, but good for patients with rhinorrhea that is not treated with nasal steroids.

Question 9

Immunotherapy is best in people with what?

Answer 9

History of severe symptoms unsuccessfully controlled

Patients with a good chance to develop asthma

Question 10

The most effective single therapy for allergic rhinitis in patients with significant or persistent symptoms

Answer 10

Intranasal steroids