best initial treatment....for allergic rhinitis - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-07-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 588 Times in 354 Posts
Reputation: 598
Default best initial treatment....for allergic rhinitis

allergic rhinitis
start oral anithistamines or topical steroids ?
Reply With Quote Quick reply to this message



  #2  
Old 06-07-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 246
Threads: 18
Thanked 142 Times in 86 Posts
Reputation: 152
Default

Intranasal corticosteroids are the preferred treatment if medications are required with other options used only if these are not effective

Other measures that may be used second line include: antihistamines, decongestants, cromolyn, leukotriene receptor antagonists, and nonpharmacologic therapies such as nasal irrigation.

I thought the opposite first
Reply With Quote Quick reply to this message
  #3  
Old 06-07-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,104 Times in 1,049 Posts
Reputation: 2124
Default

Quote:
Originally Posted by tyagee View Post
allergic rhinitis
start oral anithistamines or topical steroids ?
topical steroids
Reply With Quote Quick reply to this message
 
  #4  
Old 06-07-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,175
Threads: 38
Thanked 852 Times in 478 Posts
Reputation: 862
Default

I think INITIAL is Antihistamine.

If that doesn't work, we progress onto Steroids.
__________________
PGY-3
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #5  
Old 06-08-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 588 Times in 354 Posts
Reputation: 598
Default

@ above,
please post reference.
Reply With Quote Quick reply to this message
  #6  
Old 06-08-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 246
Threads: 18
Thanked 142 Times in 86 Posts
Reputation: 152
Default

Wiki.........
Reply With Quote Quick reply to this message
  #7  
Old 06-08-2012
USMLE Forums Scout
 
Steps History: 1 + CS
Posts: 19
Threads: 0
Thanked 17 Times in 8 Posts
Reputation: 57
Default

Mild and episodic symptoms..1st line Antihistamine ( second generation oral or Topical)
severe or persistent symptoms or antihistamines are not effective- INGC
if both are not helping can add Intranasal cromolyn
if patients with asthma/ nasal polyposis can add montelukast to INGC
if you ask, which one is the most effective therapy - INGC

source : uptodate
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (01-23-2013), tyagee (06-08-2012)
  #8  
Old 06-08-2012
USMLE Forums Guru
 
Steps History: Step 1 Only
Posts: 342
Threads: 50
Thanked 197 Times in 103 Posts
Reputation: 207
Default

start antihistamine cetrizine 10 mg or levocetrizine 5 mg (causes sedation) or loratadine,fexofenadine , ,once a day before sleep,.
topical steroids effect starts after 6,7 days , , , ,
so if you have to choose one antihistamine is the choice definitely

source .. . . .i have done 3 months house job in ENT ward . . .and definitely treated many allergic rhinitis patients successfully , , ,
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (01-23-2013), tyagee (06-08-2012)
  #9  
Old 06-08-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 246
Threads: 18
Thanked 142 Times in 86 Posts
Reputation: 152
Default

Classical ans for the exam, (( u might also find another ans too))
Patients with intermittent symptoms are often treated adequately with oral antihistamines, decongestants, or both as needed.

intranasal steroid spray may be more appropriate for patients with chronic symptoms
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (01-23-2013), tyagee (06-08-2012)



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
chronic treatment of gout...what is the best initial regimen? tyagee USMLE Step 2 CK Forum 8 05-28-2012 10:01 PM
How to confirm the diagnosis of Allergic Rhinitis? tyagee USMLE Step 2 CK Forum 7 03-05-2012 03:40 PM
Seasonal allergic rhinitis ag2011n USMLE Step 2 CK Forum 6 09-24-2011 02:12 AM
Watery Diarrhea - What is the Best Initial Treatment rulz USMLE Step 1 Forum 21 07-15-2011 11:05 AM
Initial treatment of rheumatoid arthritis? Haisook USMLE Step 2 CK Forum 5 07-01-2011 12:35 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)