Pediatric Allergic Rhinitis: Factors Affecting Treatment Choice

@article{Gelfand2005PediatricAR,
  title={Pediatric Allergic Rhinitis: Factors Affecting Treatment Choice},
  author={Erwin W Gelfand},
  journal={ENT Journal},
  year={2005},
  volume={84},
  pages={163 - 168}
}
  • E. Gelfand
  • Published 1 March 2005
  • Medicine
  • ENT Journal
Allergic rhinitis is the most prevalent chronic allergic disease in children. Although it is not life-threatening, it can have a significantly detrimental effect on a child's quality of life, and it may exacerbate a number of common comorbidities, including asthma and sinusitis. The Allergic Rhinitis and its Impact on Asthma guidelines, an evidence-based algorithm for the treatment of allergic rhinitis, advocate the use of antihistamines for the treatment of the broad spectrum of the disease… 
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Oral antihistamines are commonly cited as first-line options for allergic rhinitis, although their effect on nasal congestion is relatively modest, and clinical evidence suggests a very low risk at prescribed dosages.
Antihistamines used in addition to topical nasal steroids for intermittent and persistent allergic rhinitis in children.
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Despite the lack of evidence for the benefit or lack of benefit of antihistamine add-on therapy with topical nasal steroids for children with intermittent or persistent allergic rhinitis, it is important that clinicians are mindful of the adverse effects ofAntihistamines and the additional costs that may be incurred.
Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision.
TLDR
These are the most recent and currently the most systematically and transparently developed recommendations about the treatment of allergic rhinitis in adults and children and patients are encouraged to use these recommendations in their daily practice and to support their decisions.
Topical nasal steroids for intermittent and persistent allergic rhinitis in children.
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The three included trials provided some weak and unreliable evidence for the effectiveness of Beconase(R) and flunisolide used topically intranasally for the treatment of intermittent and persistent allergic rhinitis in children.
Antihistamines in pediatric allergy
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This review will highlight the characteristics of H1 antihistamines and their indications in pediatric allergic disorders.
Allergic rhinitis and its associated co-morbidities at Bugando Medical Centre in Northwestern Tanzania; A prospective review of 190 cases
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It is shown that allergic rhinitis is common in settings representing 14.7% of all otorhinolaryngology and commonly affecting children and adolescent and high index of suspicions in diagnosing allergic Rhinitis and early treatment is recommended.
Non-Interventional Study Comparing Treatment Satisfaction in Patients Treated with Antihistamines
TLDR
Levocetirizine is considered an effective and well tolerated option for treating allergic disease by patients and physicians alike, particularly when the best available effectiveness and tolerability are required.
Pattern of allergic rhinitis among children in Ekiti, Nigeria.
TLDR
Allergic rhinitis affect all paediatric age group and there were delayed presentation in the participants, there were associated comorbid illnesses, complications and affectation of quality of life at presentation in majority of the patients.
Fexofenadine in pediatrics: oral tablet and suspension formulations
TLDR
A new oral suspension formulation of fexofenadine has been developed, indicated for the relief of seasonal allergic rhinitis symptoms in children aged 2 – 11 years and for uncomplicated skin manifestations of chronic idiopathic urticaria in children as young as 6 months.
Costs of second-generation antihistamines in the treatment of allergic rhinitis: US perspective
TLDR
Preliminary evidence suggests that newer SGAs offer clinical, pharmacodynamic, and pharmacokinetic advantages that may translate into superior cost-effectiveness in the treatment of AR.
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