Allergies

Question 1

Itch w/lots of conj redness, chemosis, lid edema

Answer 1

Alrex(0.2% loteprednol steroid) qid (age 12+) or

FML 0.1 % q 2 h x 2 days, then qid x1 week, then bid x 1 week

When sx controlled, switch to zaditor etc for on-going sx control

Question 2

Chronic allergies

Answer 2

(Pure mast cell stabilizer Not effective) so use zaditor, etc instead
Of alocril 2% bid (ages 3+) or Cromolyn sodium 4% qid (age 4+)

Question 3

Itching w/ no signs or minimal signs (conj redness, chemosis, lid edema) or chronic sx

Answer 3

OTC bid (antihistamine-mast cell stabilizer) zaditor, alaway, claritin eye, refresh eye itch relief

Rx patanol bid or Bepreve (b&l bedpostsidine) bid or acular qid