Syndrome Treatment Examples Comments
Post-infection First-generation antihistamine plus decongestant combination Dexbrompheniramine maleate 6 mg plus pseudoephedrine 120 mg twice a day Nasal corticosteroids are useful for maintenance therapy Ipratropium nasal MDI is also effective
Allergic rhinitis Second-generation antihistamine Loratadine 10 mg/day Cromolyn, azelastine, leukotriene inhibitors are also useful
  Nasal corticosteroid Beclomethasone nasal 42 mcg each nostril four times a day Consider allergy testing
  Allergen avoidance    
Non-allergic rhinopathy (vasomotor rhinitis) Anticholinergic nasal spray Ipratropium 0.06% 2 snuffs/nostril 4-6 times/day Intranasal glucocorticoids and/or intranasal antihistamine only if congestionand sneezing are present
Chronic sinusitis First-generation antihistamine plus decongestant (3 wks) Dexbrompheniramine Use antibiotic active against Haemophilus influenza, Streptococcus pneumoniae, oral anaerobes
  Nasal decongestant (5 days) Pseudoephedrine as above Nasal corticosteroids after cough resolves
  Appropriate antibiotics (3 wks) Oxymetazoline 2 sprays twice a day
GERD diet, antacids, prokinetics , PPIs (4 weeks) .Sucralfate1 g q.d.s Cisapride5 mg twice a day, Esemeprazole /Pantoprazole 40mg twice a day Some time it needs the antireflux surgery in improving or curing reflux cough syndrome*
Table 2: Treatment for UACS and GERD