CLINICAL MANAGEMENT GUIDELINE

Allergic rhinitis

ICD10: Allergic rhinitis, unspecified [J30.9]

Treatment: alleviating allergic rhinitis

Defining facts about this disorder: Symptoms of Sneezing, pruritus, rhinorrhea, or/and nasal congestion which is related to an allergen exposure. It may also be associated with constitutional symptoms; fatigue or/and irritability, or eye irritation.

Skin Prick test is useful to identify the allergens 1, 2.

It considered moderate to severe if cause:

  1. Sleep disturbance

2.Impairment of daily activities, leisure, and/or sport

  1. Impairment of school or work
  1. Troublesome symptoms.

Success criteria:

  1. Allergen avoidance and control.

  2. Symptoms relive.

  3. Control adverse effects.

If the patient is classified as moderate or severe, use level 2.

Treatments

Level 1 / 3
pharmacological
Cetirizine
ROUTE
Oral
DOSE
2.500 mg
FREQUENCY
OD PRN
pharmacological
Cromolyn
ROUTE
nasal
DOSE
1.000 spray
FREQUENCY
BID-QID PRN
procedures
Recommendation regarding activity
procedures
Irrigation of nasal passages

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  • Weight based dosing
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  • Hepatic dosing

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