Scott lecture

Question 1

advantage of oral antihistamine

Answer 1

once daily dosing
effective for mild-moderate AR
low cost

Question 2

disadvantage of oralantihistamines

Answer 2

Only impacts histamine receptors, less effective for nasal decongestion

Question 3

Intranasal anti-histamine advantages

Answer 3

quick onset

Question 4

disadvantage of intranasal anti-histamine

Answer 4

risk of drowsiness

Question 5

Intranasal corticosteroid advantages

Answer 5

Most complete treatment and most effective at reliving nasal symptoms

Question 6

Disadvantage of intranasal corticosteroid

Answer 6

max benefit in1-2 weeks

Question 7

Intranasal cromolyn advantage

Answer 7

Safe for pregnancies

Question 8

Disadvantage of intranasal cromolyn

Answer 8

3-4 x a day dosing

Question 9

Montelukast disadvantage

Answer 9

Rx only

Question 10

Oral or nasal decongestant advantage

Answer 10

Superior for relieving congestion

Question 11

Disadvantage of oral or nasal decongestant

Answer 11

Should be limited to 3 X a day and be used with caution in patients with poorly controlled HTN

Question 12

Immunotherapy desensitization advantage

Answer 12

targets specific antigens

Question 13

Disadvantage of immunotherapy desensitization

Answer 13

Expensive

Question 14

Any AR (allergic rhinitis) with persistent rhinorrhea, consider adding

Answer 14

Ipratropium

Question 15

Mild intermittent rhinorrhea treatment plan

Answer 15

Oral antihistamine with or without decongestion or intranasal anti-histamine

Question 16

Medium to severe intermittent AR treatment

Answer 16

Same as mild (OAH + decongestant) but we have option of INCS or INA or LTRA (switch between these to avoid ADR)

Question 17

if AR is not controlled and pt has asthma and AD use_______as treatment

Answer 17

Biologics