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RHINITIS - ALLERGIC
Allergic rhinitis is a symptomatic disorder of the nose secondary to IgE-mediated inflammation of the nasal membranes induced after exposure to allergens.
Major symptoms include nasal itching, watery rhinorrhea, nasal obstruction/congestion, sneezing and postnasal drainage.
Other symptoms include headache, conjunctival symptoms, eye pruritus, impaired smell and morning cough.
Symptoms can reverse spontaneous w/ or w/o treatment.

Patient Education

  • Provide general information about the disease & available treatments
    • Manage patient’s expectations from therapy & explain that a complete cure may not be possible
  • Provide educational materials as necessary
  • Educate patient about the proper use of medications & possible side effects
    • Concomitant medications should also be reviewed to determine if the patient is taking drugs that may cause oral or nasal dryness
  • Educate patient about the complications of allergic rhinitis (eg otitis media & chronic sinusitis)
  • Advise patient regarding the proper use & timing of medications during times when allergen exposure is unavoidable
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Stephen Padilla, 21 Nov 2018
Use of triple therapy consisting of a long acting muscarinic antagonist (LAMA), long acting β agonist (LABA) and inhaled corticosteroid (ICS) leads to a reduced rate of moderate or severe exacerbations of chronic obstructive pulmonary disease (COPD) and better lung function and health-related quality of life compared with dual therapy (ICS and LABA or LAMA and LABA) or LAMA monotherapy, according to the results of a meta-analysis.