Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal Corticosteroids
Abstract Introduction Oral antihistamines and intranasal corticosteroids have been shown to be effective and safe for the treatment of allergic rhinitis; however, the evidence suggests a level of superiority of corticosteroids, so they should be preferred over the former. O...
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Format: | Article |
Language: | English |
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Thieme Revinter Publicações Ltda.
2019-05-01
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Series: | International Archives of Otorhinolaryngology |
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1688968 |
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author | Guillermo Sánchez Carlos Castro |
author_facet | Guillermo Sánchez Carlos Castro |
author_sort | Guillermo Sánchez |
collection | DOAJ |
description | Abstract
Introduction Oral antihistamines and intranasal corticosteroids have been shown to be effective and safe for the treatment of allergic rhinitis; however, the evidence suggests a level of superiority of corticosteroids, so they should be preferred over the former.
Objective To know the prescription profile of two second generation antihistamines (cetirizine and levocetirizine) and two nasal corticosteroids (mometasone and furoate-ciclesonide) in a cohort of patients with allergic rhinitis, and to compare the clinical outcomes obtained.
Methods A cohort study was carried including patients with allergic rhinitis treated with cetirizine, levocetirizine, mometasone furoate or ciclesonide. The improvement was evaluated with the total nasal symptoms score (TNSS). This scale yields results between 0 and 12. Zero indicates absence of symptoms.
Results A total of 314 patients completed 12 weeks of follow-up. Seventy-five percent were treated with antihistamines, 20% with corticosteroids, and 5% with a combination of the above. The TNSS median for corticosteroid was 2.5 points; for antihistamines, its was 5 points, and for combination, it was 4 points. We found differences between corticosteroids and antihistamines.
Conclusion The prescription percentage of second generation oral antihistamines is higher than that of intranasal corticosteroids. However, patients with allergic rhinitis treated with the second option obtained better control of symptoms. |
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format | Article |
id | doaj.art-0968711084b3466b80658138a4e272aa |
institution | Directory Open Access Journal |
issn | 1809-9777 1809-4864 |
language | English |
last_indexed | 2024-04-13T17:38:26Z |
publishDate | 2019-05-01 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | Article |
series | International Archives of Otorhinolaryngology |
spelling | doaj.art-0968711084b3466b80658138a4e272aa2022-12-22T02:37:15ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642019-05-012303e325e33010.1055/s-0039-1688968Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal CorticosteroidsGuillermo Sánchez0Carlos Castro1Department of Research, Soluciones Integrales para la Investigación y la Educación en Salud (SIIES), Bogotá, ColombiaDepartment of Research, Soluciones Integrales para la Investigación y la Educación en Salud (SIIES), Bogotá, ColombiaAbstract Introduction Oral antihistamines and intranasal corticosteroids have been shown to be effective and safe for the treatment of allergic rhinitis; however, the evidence suggests a level of superiority of corticosteroids, so they should be preferred over the former. Objective To know the prescription profile of two second generation antihistamines (cetirizine and levocetirizine) and two nasal corticosteroids (mometasone and furoate-ciclesonide) in a cohort of patients with allergic rhinitis, and to compare the clinical outcomes obtained. Methods A cohort study was carried including patients with allergic rhinitis treated with cetirizine, levocetirizine, mometasone furoate or ciclesonide. The improvement was evaluated with the total nasal symptoms score (TNSS). This scale yields results between 0 and 12. Zero indicates absence of symptoms. Results A total of 314 patients completed 12 weeks of follow-up. Seventy-five percent were treated with antihistamines, 20% with corticosteroids, and 5% with a combination of the above. The TNSS median for corticosteroid was 2.5 points; for antihistamines, its was 5 points, and for combination, it was 4 points. We found differences between corticosteroids and antihistamines. Conclusion The prescription percentage of second generation oral antihistamines is higher than that of intranasal corticosteroids. However, patients with allergic rhinitis treated with the second option obtained better control of symptoms.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1688968perennial allergic rhinitishistamine antagonistsmometasone furoateciclesonidedrug prescriptionscohort studies |
spellingShingle | Guillermo Sánchez Carlos Castro Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal Corticosteroids International Archives of Otorhinolaryngology perennial allergic rhinitis histamine antagonists mometasone furoate ciclesonide drug prescriptions cohort studies |
title | Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal Corticosteroids |
title_full | Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal Corticosteroids |
title_fullStr | Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal Corticosteroids |
title_full_unstemmed | Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal Corticosteroids |
title_short | Prescription Profile and Clinical Outcomes in Patients with Allergic Rhinitis Treated with Oral Antihistamines or Nasal Corticosteroids |
title_sort | prescription profile and clinical outcomes in patients with allergic rhinitis treated with oral antihistamines or nasal corticosteroids |
topic | perennial allergic rhinitis histamine antagonists mometasone furoate ciclesonide drug prescriptions cohort studies |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1688968 |
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