Allergic Rhinitis
Ani Agustina, [Link]., [Link]., Apt
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Capaian Pembelajaran:
Mahasiswa mampu menjelaskan tentang swamedikasi pada rinitis alergi.
Outline:
Swamedikasi pada rinitis alergi:
Epidemiologi dan etiologi
Tanda dan gejala serta alarm symptom
Alur swamedikasi pada rinitis alergi (termasuk kriteria rujukan ke dokter)
Terapi farmakologi dan non-farmakologi
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Epidemiology
The prevalence of AR among adults in
Indonesia is still unknown.
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Etiology
Allergens
Inflammatory response
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What you need to know?
Age (approximate)
Baby, child, adult
Duration
Symptoms
Previous history
Associated conditions
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Age
Start any age
More common in children and young adults
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Duration
The PRODIGY classification of allergic rhinitis:
Intermittent : occurs less than 4 days per week or for less than 4 weeks.
Persistent : occurs more than 4 days per week and for more than 4
weeks.
Mild : all of the following – normal sleep; normal daily activities, sport,
leisure; normal work and school; symptoms not troublesome.
Moderate : one or more of the following – abnormal sleep; impairment of
daily activities, sport, leisure; problems caused at work or school;
troublesome symptoms.
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Symptoms
Rhinorrhoea
Nasal congestion
Nasal itching
Eye symptom
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Associated conditions
Tightness of the chest
Wheezing
Shortness of breath
Coughing
Earache and facial pain
Purulent conjunctivitis
Failed Medication
Immediate referral is advised!
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Medication
If no improvement is noted after 5 days, the patient might be referred to the
doctor for other therapy.
OTC antihistamines and steroid nasal sprays are effective in the treatment
of allergic rhinitis.
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Antihistamine
Cetirizine and loratadine are taken once daily.
Chlorphenamine and diphenhydramine are relatively less sedative.
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Oral decongestants are occasionally included such as pseudoephedrine.
• Steroid nasal sprays : Beclometasone nasal spray, fluticasone metered
nasal spray, triamcinolone aqueous nasal spray.
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