21-year-old female, taking OTC loratadine for 10 days to manage her seasonal allergy symptoms.Regardless of her adherence to loratadine, she complains about nonpainful, bilateral, thin, clear discharge from her nose, and sneezing that negatively affects her daily activities (finishing school work and sleeping). She also reports open mouth breathing that reduces her ability to participate in her classroom discussions/conversations. She denies any epistaxis or anosmia. From her clinical presentation, which of the provided information helps you in confirming allergic rhinitis and excluding non-allergic rhinitis:Question 19Answera.Denial of anosmiab.Denial of epistaxisc.Annoying and very frequent sneezingd.All of the listed choices

Which of the following is one of the complications of acute allergic rhinitis:Question 23Answera.Hyposmiab.Sinusitisc.Sleep apnea,d.Nasal polyp formation,

> Dorothy (34 years old) comes into your community pharmacy complaining of a **tickly throat, and an itchy runny nose.** She has had the symptoms for about a day and gets these symptoms particularly when she goes outside when it is **hot and windy.** She has tried some **homeopathic lozenges and a saline nasal spray** but has found that this helps only a little bit. She has no other symptoms, and is taking **irbesartan (Avapro®) 75mg** a day (an angiotensin II receptor antagonist) for her **hypertension**, which is well controlled. What would you do? Recommend: > 1. Paracetamol 500mg six times a day 2. **Budesonide nasal spray** 3. Benzydamine (Difflam®) sore throat spray 4. She sees her doctor immediately

A patient has been experiencing severe, persistent allergy symptoms that are reduced when she takes an antihistamine. Before the treatment, this patient was likely to have had increased activity of which leukocyte?

Which of the following medications used for allergic rhinitis is a prodrug (active after metabolism), for which we should be aware of concurrent use of other medications that might alter drug metabolism and effect:Question 17Answera.Fexofenadineb.Cetirizinec.Pseudoephedrined.Loratidine

Regarding the duration of therapy for allergic rhinitis:Question 11Answera.Not exceed 6 months in persistent allergic rhinitisb.Individualized according to pattern of allergen exposure and severity of symptomsc.Ignore therapeutic approach time, just emphasize on non-pharmacologic approachesd.Not exceed one month in intermittent allergic rhinitise.Strictly based on pharmacists' experience about treatment guidelinesClear my choice