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ALLERGIC RHINITIS
DEFINITIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification  (CHRONIC RHINITIS) ,[object Object],[object Object],[object Object]
Classification  (CHRONIC RHINITIS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Classification  (CHRONIC RHINITIS)
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why these classifications were not satisfactory ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object]
ARIA - New Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Trends ,[object Object],[object Object],[object Object]
Other New Trends ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other New Trends ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition: Allergic Rhinitis ,[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Sneezers and Runners” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Blockers” ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object]
ENVIRONMENT CONTROL The Stepladder Approach to the  Management of Allergic Rhinitis ,[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GOAL of Pharmacotherapy in AR ,[object Object]
ENVIRONMENT CONTROL The Stepladder Approach to the  Management of Allergic Rhinitis ,[object Object],[object Object],Oral antihistamines (Aerius, Zyrtec,  Telfast, Virlix, Xyzal )
Antihistamines - History ,[object Object],Daniel  Phenbenzamine  Chlorphenamine  Terfenadine  Astemizole  Fexofenadine Bovet   Cetirizine   Loratadine Levocetirizine Desloratadine
[object Object],[object Object],[object Object],[object Object],[object Object],Antihistamines –  History & Classification
[object Object],[object Object],[object Object],[object Object],[object Object],Antihistamines –  History & Classification
[object Object],[object Object],[object Object],[object Object],[object Object],Antihistamines –  History & Classification
Antihistamine – Mechanism of Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antihistamine – Mechanism of Action ,[object Object],[object Object],[object Object],[object Object]
Antihistamine- Ideal Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ENVIRONMENT CONTROL Nasal steroid sprays (Nasonex, Flixotide,  Budecort) The Stepladder Approach to the  Management of Allergic Rhinitis ,[object Object],[object Object],Oral antihistamines (Aerius, Zyrtec,  Telfast, Virlix, Xyzal )
Topical Corticosteroids ,[object Object],[object Object],[object Object],[object Object],[object Object]
Action of topical corticosteroids ,[object Object],[object Object],[object Object]
Safety of Topical CS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Safety of Topical CS ,[object Object],[object Object],[object Object],*Meltzer et al; J Allergy Clin Immunol 1999;204: 107-114 **Minshall et al; Otolaryn Head Neck Surg 1998; 118:648-54
Use of Inhaled Steroids in Pregnancy ,[object Object],[object Object]
Use of Inhaled Steroids in Pregnancy ,[object Object],[object Object],[object Object],[object Object]
Use of Inhaled Steroids in Pregnancy ,[object Object],[object Object],[object Object],[object Object]
Relationships between ICS and SGA infants and mean birth weight  3452  +  120.3 8.0 347 flunisolide 3393  +  69.0 9.3 393 Budesonide 3508  +  60.1 4.9 193 Triamcinolone 3428  +  51.7 7.6 720 Fluticasone 3421  +  37.5 6.0 277 Beclomethasone Birth wt (g) Mean  +  SEM SGA percent μ g Drug
Use of Inhaled Steroids in Pregnancy ,[object Object],[object Object],JACI 2004; 113:427-32
ENVIRONMENT CONTROL Nasal steroid sprays (Nasonex, Flixotide,  Budecort) Nasal  antihistamine sprays   (Azep) The Stepladder Approach to the  Management of Allergic Rhinitis ,[object Object],[object Object],Oral antihistamines (Aerius, Zyrtec,  Telfast, Virlix, Xyzal )
Decongestants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Decongestants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rhinitis medicamentosa ,[object Object],[object Object]
Rhinitis medicamentosa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rhinitis medicamentosa ,[object Object],[object Object],[object Object]
ENVIRONMENT CONTROL Nasal steroid sprays (Nasonex, Flixotide,  Budecort) Nasal  antihistamine sprays   (Azep) Oral steroids   (Prednisone) The Stepladder Approach to the  Management of Allergic Rhinitis ,[object Object],[object Object],Oral antihistamines (Aerius, Zyrtec,  Telfast, Virlix, Xyzal )
ENVIRONMENT CONTROL Nasal steroid sprays (Nasonex, Flixotide,  Budecort) Nasal  antihistamine sprays   (Azep) Oral steroids   (Prednisone) Immunotherapy The Stepladder Approach to the  Management of Allergic Rhinitis ,[object Object],[object Object],Oral antihistamines (Aerius, Zyrtec,  Telfast, Virlix, Xyzal )
ENVIRONMENT CONTROL Nasal steroid sprays (Nasonex, Flixotide,  Budecort) Nasal  antihistamine sprays   (Azep) Oral steroids   (Prednisone) Immunotherapy The Stepladder Approach to the  Management of Allergic Rhinitis ,[object Object],[object Object],Oral antihistamines (Aerius, Zyrtec,  Telfast, Virlix, Xyzal ) 1 2 3
Highlights ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Highlights ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Highlights ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Highlights ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]

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  • 60. Relationships between ICS and SGA infants and mean birth weight 3452 + 120.3 8.0 347 flunisolide 3393 + 69.0 9.3 393 Budesonide 3508 + 60.1 4.9 193 Triamcinolone 3428 + 51.7 7.6 720 Fluticasone 3421 + 37.5 6.0 277 Beclomethasone Birth wt (g) Mean + SEM SGA percent μ g Drug
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