AR Flashcards
Beclomethasone
1st Generation Intranasal Corticosteroid (min age 4)
Budesonide
(Rhinocort) 1st Generation Intranasal Corticosteroid (min age 6)
Flunisolide
1st Generation Intranasal Corticosteroid (min age 6)
Triamcinolone
1st Generation Intranasal Corticosteroid (min age 2)
Fluticasone Propionate
(Flonase) 2nd Generation Intranasal Corticosteroid (min age 4)
Mometasone
(Nasonex) 2nd Generation Intranasal Corticosteroid (min age 2)
Ciclesonide
(Omnaris) 2nd Generation Intranasal Corticosteroid (min age 6)
Fluticasone Furoate
(Veramyst) 2nd Generation Intranasal Corticosteroid (min age 2)
Diphenhydramine
(Benadryl) 1st Gen Oral Antihistamine (min age 6)
Chlorpheniramine
(Chlortrimeton) 1st Gen Oral Antihistamine (min age 6)
Hydroxyzine
(Atarax, Vistaril) 1st Gen Oral Antihistamine (min age 6)
Loratidine
(Claritin) 2nd Gen Oral Antihistamine (min age 2)
Certrizine
(Zyrtec) 2nd Gen Oral Antihistamine (min age 6mo)
Fexofenadine
(Allegra) 3rd Gen Oral Antihistamine (min age 2 years)
Desloratidine
(Clarinex) 3rd Gen Oral Antihistamine (min age 6mo)
Azelastine
(Astelin) Intranasal Antihistamine
Olopatadine
(Patanase) Intranasal Antihistamine
Combo therapy of intranasal azelastine/fluticasone
Dymista-inhaled steroid
Other therapy for congestion in AR
Decongestants
Tx’s of oral steroids with Rhinitis
Tx R. Medicamentosa, Severe Allergic Rhinitis, Sinusitis with an allergic component
Oral Decongestant
Pseudophedrine(Sudafed)
MOA Sudafed
Alpha/Beta agonist(Vasocontricts)
SE of Sudafed
Arrhythmia hypertension, palpitations, tachy, HA, Nervousness, stimulation, anorexia, tremor, and on and on, lots of cautions and contraindications
Intranasal Cromolyn
inferior tx and OTC, inhibits release of histamine
MOA of Montelukast
Leukotriene Receptor antagonists(for older than 6mo)
Fnx’s of Montelukast
Congestion mostly, combo with antihist is best, used in asthma pt’s, safe but may cause psych SE
Nephazoline(Afrin)
Nasal decongestant spray(phenylphrine, oxymetazoline, xylometazoline. (NOT USED AS MONO THERAPY) stop after a day or two or else you could have rebound congestion
Who is Immunotherapy for with AR?
for moderate to severe persistent AR, and not responsive to normal tx, cannot tolerate meds, or doesn’t want to take meds daily