Home' Australian Pharmacist : Australian Pharmacist August 2014 Contents Australian Pharmacist August 2014 I © Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
COUNSELLING IN PRACTICE
Advise people to minimise allergen
exposure, target symptoms with the
correct medicine and persist with
long-term medicines. Some people
may need more than one medicine to
INCS are first line treatment for
moderate-to-severe AR. Sedating
and less-sedating antihistamines are
equally effective, but less-sedating
antihistamines have a better safety
profile. Although nasal decongestants
are best for a blocked nose, INCS are
effective for this too if used regularly.
Severity of allergic rhinitis may
influence a person’s control of asthma.
Not only do these conditions co-exist,
but treatment of rhinitis may actually
improve asthma control.
6. Allergy New Zealand. 2008. At: www.allergy.org.nz/A-
7. de Groot EP, Nijkamp A, Duiverman EJ, et al. Allergic rhinitis
is associated with poor asthma control in children with
asthma. Thorax 2012;67(7):582–87.
8. Morjaria JB, Caruso M, Rosalia E, et al. Preventing
progression of allergic rhinitis to asthma. Curr Allergy
Asthma Rep 2014;14(2):412.
9. National Asthma Council Australia. Asthma & allergy. An
information paper for health professionals. Melbourne: National
Asthma Council Australia;2013. At: http://www.nationalasthma.
10. Narayan-Ram M. Essential CPE. Respirator y: A focus on asthma
and COPD. Canberra: Pharmaceutical Society of Australia; 2014.
11. Davidson H, Golla S. Diagnosis and management of allergic
rhinitis. J Clin Outcomes Manage 2009;16(10):481–7.
12. Scadding GK, Durham SR, Mirakian R et al. BSACI
guidelines for the management of allergic and non-
allergic rhinitis. Clin Exp Allergy 2008;38(1):19–42.
13. Bousquet J, Cauwenberge P, Bond C et al. Allergic
rhinitis and its impact on asthma: a pocket guide for
pharmacists. World Health Organisation. 2003. At: www.
14. Rossi S, et al. Australian medicines handbook .Adelaide:
Australian Medicines Handbook; 2014.
15. National Asthma Council Australia. Managing allergic
rhinitis in people with asthma. An information paper for
health professionals. 2012. At: www.nationalasthma.org.
16. NPS MedicineWise. Top tips to beat hay fever. 2014. At:
1. Which of the following statements is
a) The severity of allergic rhinitis
can be classified as either mild or
b) People can suffer from allergic or
c) Classification of allergic rhinitis has
changed to intermittent or persistent
rather than seasonal or perennial.
d) Symptoms of non-allergic rhinitis are
significantly different to allergic rhinitis.
2. In which of the following scenarios
would you suspect that the
symptoms are NOT due to rhinitis?
a) 14-year-old boy with itchy eyes, runny
nose, and mild asthma.
b) Five-year-old boy with one blocked
nostril but no other symptoms.
c) 82-year-old woman with itchy nose,
post-nasal drip and watery eyes.
d) 32-year-old truck driver with sneezing
and congested nose.
3. Which of the following statements is
a) When using a nasal spray, people should
be advised to tilt their head back and
sniff hard when spraying into the nostril.
b) Using the opposite hand to opposite
nostril may help with better
administration of a nasal spray.
c) The risk with incorrect administration of
nasal sprays is that medicines can run
down the back of the throat and away
from the site of action.
d) Intranasal corticosteroids should not be
used in people with nasal polyps.
4. Which of the following statements is
a) Patients with persistent allergic rhinitis
will achieve greater control of symptoms
with regular intranasal corticosteroids.
b) Intranasal decongestants are most effective
at providing acute relief of a blocked nose.
c) Sublingual immunotherapy (SLIT ) and
subcutaneous immunotherapy (SCIT ) are
convenient forms of therapy as both can
be administered at home by the patient.
d) Australian guidelines suggest a stepped
approach to treating symptoms of
5. What advice would you give a person
who has co-existent allergic rhinitis
a) Treating allergic rhinitis may reduce
symptoms of asthma.
b) Avoid allergens as it will benefit both
the asthma and allergic rhinitis.
c) The person may require treatment
with both intranasal and inhaled
d) All of the above options are correct.
Runny nose Nasal itch
Table 3. Comparative effectiveness of agents used to treat AR12
Legend: 0 = negligible + = marginal ++ = mild +++ = moderate ++++ = substantial
1. National Asthma Council Australia.2012. At: www.
2. Non allergic rhinitis. WedMD. 2014. At: www.webmd.com/
3. Bousquet J, Khaltaev N, Cruz A, et al. Allergic rhinitis
and its impact on asthma (ARIA) 2008.Allergy
4. Lynch JS. What are the new guidelines for classifying
allergic rhinitis? Medscape. 2014. At: www.medscape.
5. Anand M, Kaliner M, Routes J et al. Medscape. Immediate
hypersensitivity reactions. 2014. At: http://emedicine.
Links Archive Australian Pharmacist September 2014 Australian Pharmacist July 2014 Navigation Previous Page Next Page