Allergies Flashcards
Allergy symptoms
Sneezing
Runny nose
Clear mucus
Wheezing
red, watery eyes
lasting for months
What symptoms are best helped with intranasal steroids?
Rhinocort (Budesonide)
Flonase (fluticasone)
Nasacort (Triamcinolone)
Sneezing
itching
rhinorrhea
congestion
***rhinocort preferred in pregnancy (:
What symptoms are helped with antihistamines?
1st gen
Benadryl (diphenhydramine)
Chlorpheniramine
Doxylamine
2nd gen
Zyrtec (certirizine)
Xyzal (levocetirizine)
Allegra (fexofenadine)
Claritin (loratadine)
itching
sneezing
rhinorrhea
***do not help with congestion!!!!
What is the age limit on Benadryl?
> 6 years old
**avoid all other antihistimanes in < 2 years old
What 2nd gen antihistamines are MORE sedatind?
cetirizine (Zyrtec)
levocetirizine (Xyzal)
What 2nd gen antihistamines are LESS sedating?
fexofenadine (Allegra)
Loratadine(Claritin)
Which antihistamine should you avoid taking with fruit juice due to decreased absorption?
Allegra (fexodenadine)
Which antihistamines are preferred in pregnancy?
loratadine (Claritin)
certirizine (Zyrtec)
What is an intranasal antihistamine option?
Azaelastine (Astelin)
What symptoms are decongestants best for?
Phenylephrine (Sudafed PE)
Pseudoephedrine (Sudafed, Nexafed, Zephrex-D)
Oxymetazoline (Afrin)
sinus and nasal congestion
What nasal spray causes rhinitis medicamentosa?
rebound congestion
oxymetazoline (Afrin)
decongestant
What OTC allergy medications should you avoid use with MAO inhibitors?
Sudafed PE and Sudafed
Oral Decongestant SE
AVOID in children < 4
caution in CV disease and uncontrolled HTN (increases BP)
worsens BPH and urinary retention
SE: tachycardia, palpitations, insomnia, decreased appetite
What is the maxium dose of Sudafed you can buy in one day? every 30-days?
1 day - 3.6 g
Every 30 days - 9 g
What oral medication is indicated in both allergic rhinitis and asthma?
Montelukast (Singulair)
