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The Curbsiders Internal Medicine Podcast

#447 Rhinitis and Environmental Allergies with Dr. Olajumoke Fadugba

Jul 8, 2024
Expert allergist Dr. Olajumoke Fadugba discusses distinguishing between allergic and non-allergic rhinitis, allergy skin testing, pathophysiology of allergies, allergy immunotherapy, chronic sinusitis, sinus rinses, and climate change impact on allergies.
01:08:44

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Differentiating between allergic and non-allergic rhinitis is crucial for tailored treatment plans.
  • Proper selection of antihistamines involves considering potency, sedation potential, and individual response.

Deep dives

Key Point 1: Managing Allergic Rhinitis

For patients like Clara experiencing seasonal allergies, initial treatment often involves a combination of nasal corticosteroids and second-generation antihistamines to manage symptoms effectively. Nasal corticosteroids, such as fluticasone, mometasone, or triamcinolone, are commonly recommended as first-line therapy due to their efficacy in reducing inflammation in the nasal passages. Additionally, prescribing a second-generation antihistamine like loratadine (Claritin), cetirizine (Zyrtec), fexofenadine (Allegra), or levocetirizine (Xyzal) helps alleviate symptoms like nasal congestion, sneezing, and itching. Proper use of nasal sprays is crucial, emphasizing preventive usage rather than symptom relief post-onset.

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