Allergic Rhinitis and Its Treatment Guidelines
Learn about allergic rhinitis, an inflammation of the nasal and sinus membranes triggered by allergens like pollen and dust. Discover treatment recommendations, including the use of corticosteroid nasal sprays, with specific considerations for patients on protease inhibitors to avoid potential complications. Access detailed evidence and resources for informed decision-making regarding medication choices.
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Presentation Transcript
Chapter 19 ENT conditions NATIONAL DEPARTMENT OF HEALTH AFFORDABLE MEDICINES ESSENTIAL MEDICINES PROGRAMME PRIMARY HEALTHCARE GUIDELINES 20120 1
EVIDENCE Please access the National Essential Medicines List Committee (NEMLC) report for detailed evidence (including rationale, references and costings) informing decision-making on medicine addition, amendments and deletions: http://www.health.gov.za/index.php/standard-treatment-guidelines-and- essential-medicines-list/category/285-phc DISCLAIMER This slide set is an implementation tool and should be used alongside the most recently published STG available on the EML Clinical Guide Application. This information does not supersede or replace the STG itself. 2
Allergic Rhinitis DESCRIPTION Inflammation of the mucous membranes of the nose and paranasal sinuses in response to an allergen e.g. pollen, house dust, grasses, and animal hair. CHANGES Corticosteroids, nasal spray: RETAINED as a therapeutic class Fluticasone contra-indicated in patients on PIs these patients should be prescribed for beclomethasone. REASON Protease inhibitors increase blood concentrations of budesonide & fluticasone - could lead to Cushing s syndrome 3
