Clinical assessment
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Clear rhinorrhea, sneezing, conjunctival edema, itching, and tearingE, F,, seasonalF, sniffling and congestion |
2 of rhinorrhea, sneezing, nasal obstruction, nasal pruritis |
Can also be accompanied by: fever, pain in front of head and upper face, thick mucusE |
Persistent if >4 days/week or >4 weeks, functional impairment or impaired sleep |
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Pharmacological and non-pharmacological recommendations
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Diphenhydramine or antihistamineA,E,F |
Allergen avoidance |
LoratadineA,F, cetirizineA |
Evaluation for asthma |
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Liquid tears, over the counter cough and cold meds (not for <2 years old)E |
Mild intermittent: oral antihistamine |
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Anti-allergics or decongestantsA |
Moderate/persistent: add nasal corticosteroid |
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Severe: high dose nasal corticosteroid, add oral steroid |
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Conjunctivitis: saline, oral/ocular antihistamine, ocular chromones |
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