Concluded Case

Allergic Rhinoconjuctivitis.

48 yr old F complaints of on & off episodes of excessive sneezing,watery discharge from nose & eyes from last 6 months. Xray PNS- Normal study S.IgE Levels- Raised. CBC- WNL ESR- Raised. Whole body Allergen Test- NAD. I had prescribed her- Tab Fexofenadine + Montelukast OD HS, Tab Azithromycin 500 mg OD Nasal Drops Xylometazoline 2-3 drops BD. Patient was relieved fully,but now again presented with similar history after 2 months of stopping medications. What should be the Treatment now?

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Concluded answer

Prefer azelastine fluticasone nasal spray. Continue montelukast fexofenadine combination. From next month onwards continue fluticasone nasal spray for next 5 months. Sos Consider inj histoglob.once in a week for 2 months.

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? ALLERGIC RHINITIS..WITH.. ASSOCIATED COMPLICATIONS.. MANAGEMENT.. LEVOCETIRIZINE + MONTELUCAST.. AZITHROMYCIN 500MG.. DAILY.. SEPTELIN .. 1 BD .. SY .. BRESOL 2TSF BD .. STEAM INHALATION WITH COLD BALMS.. AVOID EXPOSURE TO .. ALLERGENS.. POLLUTION..

Prefer azelastine fluticasone nasal spray. Continue montelukast fexofenadine combination. From next month onwards continue fluticasone nasal spray for next 5 months. Sos Consider inj histoglob.once in a week for 2 months.

As you may know Allergy has no specific cure, But instead of above, may try inj. Histaglobilin twice a week x3, then once a month x3 Azeflo nasal spray, bd tab. -Clamist . 01mg ,odx30, Best way to avoid allergic cloaths or food.

Give Tab montek L HS for 15 days. Avoid xylometazoline. Advice tincture benzoin inhalation

Rx Sanjivani vati 2tid Sudarshan ghanvati 3 tid SH tab 1bd shadbindu oil for daily nasya. Shunthi dhanyak fant sos

allergic rhinitis an ayurvedic aspect 1)Cap.Nilsin 1bd, 2)Tab.Septillin 1bd, 3)Allergin granules 2 tsf bd, 4 Pippalyaadi awaleha, 5)Dwatridashang kwath 2tsf bd.

Repeat Cetrizine OD HS Montelakast LS in morning Benocide forte 1BD Tab Celin 500 BD for 5 days Tab Zinc 50 OD Steam inhalation twice a day Deworming

Start her on FLUTICASONE nasal spray. Continue decongestant drops and anti histamine for another week and review. If no response add oral steroid.

Allergic rhinitis.. Rx antihistamines Steroids, Bronchodilator, Anti-inflammatory Multivitamins supplements

High protein diet Green leafy vegetable Vit Becosule 2 tsf bd

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