Okay, so allergic rhinitis, if you
haven't experienced it, I'm jealous.
because it's not any fun.
It's an inflammatory response to these allergens
that involves your upper respiratory tract
and it could either be short seasons
or all year round, perennial.
The main medications we use and underline
these with me as we walk through them,
to treat allergic rhinitis you can use:
antihistamines, which can be oral or intranasal.
Circle intranasal glucocorticoids
and sympathomimetic decongestants.
So now that you've got those circled as we went
through them, I want you to think through:
What is the risk of using a
What types of patients are most at
risk for sympathomimetic decongestant?
Why is intranasal medication for allergic
rhinitis usually more effective than oral?
Which route has more risks for systemic effects,
oral or intranasal?
Now, decongestants cause that vasoconstriction
because they hit those alpha 1 receptors
that activate them which
Oral routes have the most risk for patients to have
systemic vasoconstriction and elevated blood pressure.
That's why we don't like using them
with our cardiovascular patients.
Now, there are many brands in the US, there's
one that's particular that's called, Corcidin.
You'll recognize it next time
you go to the drug store.
It has a big giant red heart on it and
those medications are used for patients
with decongestant needs but
they're not sympathomimetic.
So take a look for those the
next time you're at the store.
Dextromethorphan is another
over the counter medication
and that deals with cough as does
Codeine but it requires prescription.
Both medications will treat cough but the
ones that contain codeine are more effective.
Thank you for watching our
video on allergic rhinitis.