Intranasal corticosteroid use in patients with allergic rhinitis

Author:

Starostina Svetlana V.ORCID,Toldanov Alexey V.ORCID

Abstract

Allergic rhinitis (AR) is one of the most common diseases in the world, which is based on IgE-mediated inflammation that develops after exposure to various allergens. About 40% of people suffer from the same or other allergic diseases, every third inhabitant of the Earth has symptoms of AR and every tenth has bronchial asthma. According to the ARIA classification, ARs are divided: by the nature of the flow, by the severity of the flow and by the stage of the flow; for symptoms, the proposed therapy, consisting of sequential steps. Groups of drugs include: systemic or topical blockers of histamine H1 receptors, intranasal and systemic corticosteroids, mast cell stabilizers (intranasal cromones), M-antagonists, antagonists of leukotriene receptors. Medicines do not give a lasting effect after their cancellation, therefore, with persistent AR, treatment should be prolonged; methods of application more often oral or intranasal. The advantages of the pharmacological antiallergic effect of InHCS are the simultaneous inhibition of both the early and late phases of the allergic response and the inhibition of all AR symptoms. The advantage of InHCS over oral administration is the minimal risk of developing systemic side effects against the background of the creation of adequate concentrations of the substance in the nasal mucosa, which allows to control the symptoms of AR. Based on data from a number of studies, the advantages of intrasal corticosteroids for AR, in particular fluticasone propionate, are used.

Publisher

Consilium Medicum

Reference27 articles.

1. Карпова E.П., Бараташвили А.Д. Фенотипическая классификация ринитов и основные принципы терапии. РМЖ. Медицинское обозрение. 2019;8:33-6 [Karpova EP, Baratashvili AD. Phenotypic classification of rhinitis and major treatment approaches. RMJ. Medical Review. 2019;8:33-6 (in Russian)].

2. Validation of the classification of ARIA (allergic rhinitis and its impact on asthma)

3. Протокол ведения больных. Алергический ринит (утв. Минздравсоцразвития РФ 28.04.2006); c. 1-79 [Protokol vedeniia bol'nykh. Alergicheskii rinit (utv. Minzdravsotsrazvitiia RF 28.04.2006); p. 1-79 (in Russian)].

4. Allergic Rhinitis and Its Impact on Asthma

5. ARIApharmacy 2018 “Allergic rhinitis care pathways for community pharmacy”

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3