Rhinitis vasomotor

The precipitating factors for rhinitis must be established first. Dust, smoke, molds and other allergens are examples, and the use of air conditioners in bed-rooms and cars can also be the cause when a runny nose condition becomes prolonged. After establishing the probable cause(s), three distinct categories can be distinguished allergic rhinitis, vasomotor rhinitis, and acute rhinitis such as in influenza or common cold. 

Dexchlorpheniramine competitively antagonizes histamine Hi at receptor sites. It is indicated in treatment of perennial and seasonal allergic rhinitis vasomotor rhinitis allergic conjunctivitis mild, uncomplicated allergic skin manifestations of urticaria and angioedema amelioration of allergic reactions to blood or plasma dermographism and adjunctive anaphylactic therapy. 

It may be employed for the treatment ofangioedema, dermographism and amelioration of reactions to blood or plasma. It is also effective for use in seasonal andperennial allergic rhinitis, vasomotor rhinitis, allergic conjunctivitis due to inhalant allergens andfoods. 

Nasal corticosteroids are effective in vasomotor rhinitis, but because of the duration of the disorder, certain caution is advised to avoid systemic effects and local adverse reactions after long-term use. Ipratropium bromide spray works well if the dominating problem is runny nose. 

Disease states in which currently available capsaicin solutions or creams are clearly beneficial, such as non-allergic (vasomotor) rhinitis (Stjarne et al., 1989 Lacroix et al., 1991 Marabini et al., 1991 Filiaci et al., 1994), urinary bladder hyperreflexia (Fowler et al., 1992 Geirsson et al., 1995) and notalgia parestetica (Leibsohn, 1992). 

Marabini, S., Ciabatti, P.G., Polli, G., Fusco, B.M., Geppetti, P. Beneficial effects of intranasal applications of capsaicin in patients with vasomotor rhinitis, Eur. Arch, of Oto-Rhino-Laryngol. 1991, 248, 191-194. 

Stjame, P., Lundblad, L., Lundberg, J.M., Anggard, A. Capsaicin and nicotine-sensitive afferent neurones and nasal secretion in healthy human volunteers and in patients with vasomotor rhinitis, Br. J. Pharmacol. 1989, 96, 693-701. 

The use of intranasal glucocorticoids in the treatment of allergic and vasomotor rhinitis in Sweden has doubled... 

A 46-year-old woman, who had used inhaled budesonide (dosage not stated) for 8 years for vasomotor rhinitis, developed a recurrent perioral rash, which responded to treatment with oral erythromycin 1 g/ day for 6 weeks. One year later, she had a recurrence, which resolved with oral erythromycin. She continued to use inhaled budesonide. 

Banov CH, Lieberman P Vasomotor Rhinitis Study Groups. Efficacy of azelastine nasal spray in the treatment of vasomotor (perennial nonallergic) rhinitis. Ann Allergy Asthma Immunol 2001 86(l) 28-35. 

The clinical picture of hypersensitivity reactions varies from vasomotor rhinitis, urticaria, and angioedema to serious bronchoconstriction and in some cases anaphylactic shock. 

The classic description of the aspirin-intolerant asthmatic includes the triad of severe asthma, nasal polyps, and aspirin intolerance. The typical patient experiences intense vasomotor rhinitis, which may or may not be associated with aspirin exposure, beginning during the third or fourth decade of life." Over a period of months, nasal polyps begin to appear, followed by severe asthma exacerbated by aspirin. 

Azelastine is an ophthalmic antihistaminic preparation. It is indicated in the treatment of symptoms of seasonal allergic rhinitis, such as rhinorrhea, sneezing, and nasal pruritus treatment of symptoms of vasomotor rhinitis, such as rhin-orrhea, nasal congestion, and postnasal drip (nasal inhalation) treatment of itching of eye associated with allergic conjunctivitis (ophthalmic). 

Carbinoxamine competitively antagonizes histamine at Hj receptor sites. It is indicated in the symptomatic treatment of nasal and nonnasal seasonal and perennial allergic rhinitis. Palgic tablets also are indicated for vasomotor rhinitis allergic conjunctivitis caused by inhalant allergens and... 

Ephedrine (25 to 50 mg p.o. t.i.d.) is indicated in the treatment of allergic disorders such as bronchial asthma nasal congestion in acute coryza vasomotor rhinitis, acute sinusitis, and hay fever. Ephedrine (25 to 30 mg slowly SC, IM, or IV) has been used to relieve acute bronchospasm, but epinephrine is more effective. Ephedrine is also used in shock. It is a naturally occurring sympathomimetic agent that stimulates alpha and beta receptors and CNS. It is less potent than epinephrine but has a longer duration of action (see also Figure 37). 

Hypersensitivity Possible prolongation of labor Vasomotor rhinitis... 

Certain individuals display hypersensitivity to aspirin and NSAIDs, as manifested by symptoms that range from vasomotor rhinitis with profuse watery secretions, angioedema, generalized urticaria, and bronchial asthma to laryngeal edema, bronchoconstriction, flushing, hypotension, and shock. Aspirin intolerance is a contraindication to therapy with any other NSAID because cross-sensitivity can provoke a life-threatening reaction. 

It is invariably associated with an antibacterial formulation that is indicated mostly for the treatment of vasomotor rhinitis and other hypersensitivity reaction of the upper respiratory tract (URT) complicated by bacterial infections. 

Although many side effects are associated with OCDs, the incidence of actual allergic reactions to the hormones themselves appears to be low. Chilla and Hau-BRiCH (1975) questioned 460 women in a survey and determined that the symptoms of the 67 women who were allergic were not the result of hormonal therapy. In 1977 Frouchtman et al. published the results of a study to assess the incidence of allergies to medication in allergic patients. Of 500 selected case histories, they reported only one patient with crisis of vasomotor rhinitis due to birth control pills. ... 

Voorhorst, R. 1965. The dander-alleigens as a cause of atopic vasomotor rhinitis. Int. Rhinol. 3 65-71. 

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