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OTC — no prescription

What you can take for chronic rhinitis

Informativ. Nu înlocuiește sfatul medicului. Consultă medicul sau farmacistul înainte de a lua orice medicament.

Medical body content is still in Romanian:

Forms

Perennial allergic — triggers: dust, mites, animals, moulds. Vasomotor — vascular hyperreactivity triggered by cold air or strong odours. Drug-induced — chronic use of nasal decongestants (rebound rhinitis).

Treatment

Corticosteroid nasal sprays (mometasone, fluticasone, budesonide) — first line. Maximum effect after 2 weeks.

Antihistamines — for the allergic component (cetirizine, loratadine, desloratadine).

Hypertonic seawater nasal rinses — daily, mechanically clear mucus.

Topical antihistamine — azelastine.

Ipratropium spray — for resistant watery rhinorrhoea.

Montelukast (Rx) — leukotriene antagonist.

Chronic sinusitis

Facial pain, pressure, post-nasal drip, loss of smell, chronic cough. Sinus CT scan. Treatment: topical corticosteroid, nasal rinses, sometimes endoscopic sinus surgery (ESS).

OTC adjuvants

  • Quercetin — a natural antihistamine.
  • Vitamin C — antioxidant.
  • Probiotics — immune modulation.

Medical disclaimer: the information in this guide is for informational purposes only and does not replace advice from a doctor or pharmacist. For diagnosis and treatment, consult a healthcare professional.

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