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CONTINUING PROFESSIONAL DEVELOPMENT
COUNSELLING IN PRACTICE
1. Which of the following BEST
describes a perennial allergen?
a) Allergens that occur when outdoor
moulds release their spores.
b) Allergens that affect a sufferer all year
round, and include dust mites, animal
dander, indoor and outdoor mould
c) Allergens that occur when trees, grasses
and weeds release tiny pollen particles
into the air to fertilise other plants.
d) Allergens that cause symptoms to vary
from day-to-day depending on the
weather and typically improve in wet
weather and worsen on hot windy days.
2. Which of the following are symptoms
indicative of hay fever?
a) Rhinorrhoea (runny nose), watery eyes
b) Nasal congestion and itching of the
c) Palate, throat, ear and eye itching.
d) All of the above.
3. A young girl comes into your
pharmacy complaining of hay fever
symptoms that have occurred on
approximately two days a week for
the past two weeks. The symptoms
interrupt her sleep and she is unable
to go to school. This would be
a) Intermittent mild hay fever.
b) Intermittent severe hay fever.
c) Persistent mild hay fever.
d) Persistent severe hay fever.
4. Which of the following is FALSE in
regards to intranasal corticosteroids?
a) Intranasal corticosteroids are the first
line treatment choice in patients with
moderate-to-severe allergic rhinitis.
b) Intranasal corticosteroids work by
reducing inflammation and decreasing
c) Intranasal corticosteroids are especially
useful for ocular symptoms however are
less effective for nasal obstruction.
d) Intranasal corticosteroids should be
started at least 2 weeks prior to the
onset of the relevant pollen season.
5. According the Australasian Society
of Clinical Immunology and Allergy,
allergen immunotherapy is often
recommended for treatment of
allergic rhinitis due to pollen or
dust mite allergy in the following
a) Symptoms are severe and the cause is
difficult to avoid.
b) The allergen has not been identified.
c) Medicines are proving effective.
d) Patients are non-adherent to medicines.
information to health professionals
and consumers to help equip them
to make the best decisions regarding
their health. At: www.nps.org.au
• National Asthma Council of Australia
provides information for those
suffering allergic rhinitis with a history
of asthma. At: www.nationalasthma.
You confirm with Brent that the
symptoms of a running nose and
watering eyes that he has been
experiencing lately are likely due to
allergic rhinitis, which is also known as
hay fever. You are able to confirm his
suspicions that mowing his neighbour’s
lawn lately is a recognised trigger for
allergic rhinitis due to the increased
exposure to grasses and pollens.
He tells you that his neighbours return
home from their holiday next week,
which will relieve him of his mowing
duties. You recommend he uses an
intranasal corticosteroid to help reduce
inflammation and decrease mucus
production. You also provide him further
advice on prevention of allergic rhinitis
for which he is thankful.
TAKE HOME MESSAGE
• Allergic rhinitis, or hay fever, is a
common condition affecting
21% of the Australian population
and is caused by an inflammation
of the lining of the nasal mucosa.
Common symptoms of hay fever
include rhinorrhoea, watery eyes,
sneezing, nasal congestion and
itching of the nose.
• Treatment options available include
intranasal corticosteroids and oral
and intranasal antihistamine, which a
patient may take as monotherapy,
or in sequence. Allergy avoidance
is the ideal way to prevent allergic
rhinitis and a pharmacist can provide
advice on this.
1. Respiratory expert group. Therapeutic Guidelines:
Respiratory. Melbourne: Therapeutic Guidelines Limited;
2. Australasian society of clinical immunology and allergy
(ASCIA). Allergic rhinitis (hay fever) and sinusitis. 2010. At:
3. British Medical Journal. Best practice guidelines: allergic
rhinitis. BMJ Publishing Group Limited. At: www.
4. Wheatley LM, Togias A. Allergic rhinitis. N Eng J Med
5. Ear,nose and throat. In: Rossi S,ed. Australian medicines
handbook. Adelaide: Australian Medicines Handbook Pty
6. Australasian society of clinical immunology and allergy
(ASCIA). Immunotherapy for treatment of allergy. In: ASCIA,
7. Bender BG. Motivating patient adherence to allergic rhinitis
treatments. Curr Allergy Asthma Rep 2015;15(3):507.
8. NPS MedicineWise. Top 3 tips to beat hay fever. 2014. At:
9. National Health Service (NHS) Choices: Allergic rhinitis
– prevention. 2014. At: www.nhs.uk/Conditions/Rhinitis---
10. Australasian society of clinical immunology and allergy
(ASCIA). Pollen allergy. 2010. At: www.allergy.org.au/
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