Hello everyone, I’m Dr. Li Wenfeng.
I have a friend who suffers from allergic rhinitis. It is said that the reason for the failure of blind date is that she sneezes incessantly when meeting, has a runny nose, and has a heavy nasal sound. When the girl looks at it, she has no interest in it in an instant. Of course, Yan value may also be held back.
He made up his mind to control allergic rhinitis and went to several hospitals. People all gave pertinent advice, but rhinitis was repeated because he did not insist on treatment.
He has also been on his way to a blind date.
Typical symptoms of allergic rhinitis are paroxysmal sneezing, clear water-like nasal mucus, nasal itching and nasal obstruction. It can be accompanied by itching eyes, tears, red eyes and burning sensation, etc. The onset of the disease is very painful.
Is there any specific medicine for allergic rhinitis? Any side effects? I’ll talk to you today.
Is there any specific medicine for allergic rhinitis?
Allergic rhinitis cannot be completely cured at present.
First of all, we need to be clear about this point in order to better accept the following contents. However, clinically, some patients may have healed themselves rather than been cured.
But allergic rhinitis does have specific drugs!
So far, the most effective drug for allergic rhinitis is glucocorticoid!
What is called glucocorticoid?
To put it bluntly, it is what everyone usually calls hormone. Hormone is short for short and glucocorticoid is full name. Glucocorticoid is a hormone secreted by human adrenal gland.
This hormone (glucocorticoid) has very strong anti-inflammatory, anti-allergic and anti-edema effects. Usually we ICU doctors use it when treating anaphylactic shock, severe asthma and other diseases, and the effect is surprisingly good!
Studies have shown that glucocorticoid has obvious improvement effect on all symptoms of patients with allergic rhinitis, and is currently one of the most effective drugs for the treatment of allergic rhinitis.
Clinically, glucocorticoid is recommended for nasal cavity treatment of allergic rhinitis, which can be used for mild, moderate and severe patients.
Isn’t this a specific medicine?
Is glucocorticoid safe?
People may be a little nervous when they hear the word hormone.
Of course, casual use of hormones will cause adverse consequences, but it is generally no problem to use glucocorticoids inhaled from nasal cavity under the guidance of doctors.
The safety and tolerance of nasal hormones are very good, which has been confirmed by numerous clinical studies.
However, at present, there is no clear indication of how long it will take to stop taking glucocorticoid for nasal cavity use. It is generally believed that the course of treatment is not less than 4 weeks.
The specific medication time should be determined according to the medical history and characteristics of allergic rhinitis.
For seasonal allergic rhinitis, medication can be started before the onset season comes, and the dosage can be slowly reduced after the onset season has passed until the medication is stopped.
For perennial allergic rhinitis, it may be necessary to use low frequency and perennial continuous medication.
Systemic adverse reactions of nasal hormones are rare.
The main adverse reactions are some local discomfort of nasal cavity, such as dry nasal cavity, irritation, epistaxis, pharyngitis, cough, etc. The symptoms are generally mild.
The incidence rate of epistaxis after short-term treatment with nasal hormone (within 12 weeks) is less than 10%, which is not significantly different from placebo (referring to tablets, pills and injections that have no drug therapeutic effect and are commonly used in controlled experiments clinically).
However, the incidence rate of epistaxis after long-term treatment (more than 1 year) can reach 20%.
Mastering the correct nasal cavity spraying method can reduce the occurrence of epistaxis. We should avoid taking the medicine and spraying it directly into the nasal septum. We should spray it into the nasal cavity. We should not tilt the nozzle to the center to spray it (nasal septum).
The instructions for nasal spraying drugs often have detailed explanations of spraying angles and postures, which should be compared.
Many parents will also worry that these hormones will affect children’s height development. Clinical observation shows that glucocorticoid nasal spray has treated children’s allergic rhinitis for one year and has no effect on height development.
As long as we follow the recommended dosage in the instructions, there will generally be no problem. Therefore, there is no need to worry so much. Children over 2 years old can also use nasal spray hormone.
What are the common nasal use of glucocorticoids?
Introduce several commonly used glucocorticoid drugs for nasal inhalation:
- Fluticasone, budesonide and mometasone furoate
In addition to the above drugs, glucocorticoids for nasal cavity include triamcinolone acetonide, beclomethasone, etc.
However, these two hormones are not as good as the above three in some ways, nor are they used as widely as they are. Of course, triamcinolone acetonide and beclomethasone will also be cheaper.
Can’t rely too much on drugs
In addition to the above hormones, there are other ways to treat allergic rhinitis, such as oral antihistamines, desensitization therapy, etc. Due to space constraints, there will be no discussion today.
Allergic rhinitis cannot be cured. It is very important and crucial to use what drugs, exercise and avoid contact with allergens.
If you pay close attention, you will find that rhinitis symptoms may decrease after you continue to exercise for several months. Some people have obviously improved their rhinitis symptoms after cold-resistant exercises such as taking cold baths. Others may disappear from rhinitis after changing their living environment.
The pharmaceutical factory has produced so many drugs that it is definitely hoped that all our patients with allergic rhinitis will use them, and the more they use, the better.
But this is impossible. We cannot resist drugs without reason or rely too much on drugs.
Maybe one day when you exercise as usual, you will find that rhinitis has disappeared.