Nursing a cough, Allergic rhinitis hapuai
: Purpose (AR) affects up to 40 million Americans, with an estimated cost of $ 2.7 billion per annum. This review discusses several therapeutic options that reduce the symptoms of AR, intranasal allergen avoidance, including antihistamines, corticosteroids, leukotriene receptor antagonists (INS), and immunotherapy. Data sources: The articles included in this review were retrieved by a search of Medline literature on the subjects of AR, antihistamines, INS, leukotriene antagonists, and immunotherapy, as well as current published guidelines for the treatment of AR. Conclusions: Allergen avoidance is recommended for all patients prior to pharmacologic therapy. Oral and nasal H(1)-antihistamines are recommended to alleviate the mild and intermittent symptoms of AR, and INS are recommended as the first-line treatment choice for mild persistent and more moderate-to-severe persistent AR. Implications for practice: There are a number of different types of therapy for the management of AR; with so many options available, successful tailoring of treatment to suit individual requirements is realistically achievable.
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