AR- Choosing Treatment

Question 1

Nonpharm treatment options for AR

Answer 1

Allergen avoidance
Nasal saline irrigations
Adhesive nasal strips

Question 2

Choosing treatment: nasal congestion is dominant complaint

Answer 2

INS, PO decongestant

Question 3

Choosing treatment: intermittent sneezing, nasal itching, rhinorrhea

Answer 3

PO antihistamine, intranasal antihistamine

Question 4

Choosing treatment: mild symptoms

Answer 4

PO antihistamine

Question 5

Choosing treatment: moderate-severe symptoms

Answer 5

INS, intranasal antihistamine, combo therapy

Question 6

Choosing treatment: prefers CAM

Answer 6

acupuncture

Question 7

Combo therapy: if patient is on INS monotherapy

Answer 7

add intranasal antihistamine or oxymetazoline for <3 days

Question 8

Combo therapy: if patient is on PO antihistamine monotherapy

Answer 8

add PO decongestant, could add LTRA

Question 9

Combo therapy: if patient is on intranasal antihistamine monotherapy

Answer 9

add intranasal steroid

Question 10

Clinical pearl: ICS vs. OAH

Answer 10

ICSs have superior efficacy, but OAHs may be adequate for patients with primary symptoms of sneezing and itching or patients with intermittent symptoms