| 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* |
