Allergic Rhinitis
Ani Agustina, S.Farm., M.Sc., Apt
UNIVERSITAS SARI MULIA
BANJARMASIN
Capaian Pembelajaran:
 Mahasiswa mampu menjelaskan tentang swamedikasi pada rinitis alergi.
Outline:
Swamedikasi pada rinitis alergi:
 Epidemiologi dan etiologi
 Tanda dan gejala serta alarm symptom
 Alur swamedikasi pada rinitis alergi (termasuk kriteria rujukan ke dokter)
 Terapi farmakologi dan non-farmakologi
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                          Epidemiology
The prevalence of AR among adults in
Indonesia is still unknown.
 UNIVERSITAS SARI MULIA
 BANJARMASIN
                           Etiology
 Allergens
 Inflammatory response
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                             What you need to know?
    Age (approximate)
    Baby, child, adult
    Duration
    Symptoms
    Previous history
    Associated conditions
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                               Age
                          Start any age
                          More common in children and young adults
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                                Duration
The PRODIGY classification of allergic rhinitis:
 Intermittent : occurs less than 4 days per week or for less than 4 weeks.
 Persistent : occurs more than 4 days per week and for more than 4
   weeks.
 Mild : all of the following – normal sleep; normal daily activities, sport,
   leisure; normal work and school; symptoms not troublesome.
 Moderate : one or more of the following – abnormal sleep; impairment of
   daily activities, sport, leisure; problems caused at work or school;
   troublesome symptoms.
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                             Symptoms
    Rhinorrhoea
    Nasal congestion
    Nasal itching
    Eye symptom
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                       Associated conditions
    Tightness of the chest
    Wheezing
    Shortness of breath
    Coughing
    Earache and facial pain
    Purulent conjunctivitis
    Failed Medication
                             Immediate referral is advised!
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                            Medication
 If no improvement is noted after 5 days, the patient might be referred to the
  doctor for other therapy.
 OTC antihistamines and steroid nasal sprays are effective in the treatment
  of allergic rhinitis.
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                           Antihistamine
 Cetirizine and loratadine are taken once daily.
 Chlorphenamine and diphenhydramine are relatively less sedative.
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 Oral decongestants are occasionally included such as pseudoephedrine.
• Steroid nasal sprays : Beclometasone nasal spray, fluticasone metered
  nasal spray, triamcinolone aqueous nasal spray.
  UNIVERSITAS SARI MULIA
  BANJARMASIN