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

UNIVERSITAS SARI MULIA

BANJARMASIN
 Epidemiology
The prevalence of AR among adults in
Indonesia is still unknown.

UNIVERSITAS SARI MULIA

BANJARMASIN
 Etiology
 Allergens
 Inflammatory response

UNIVERSITAS SARI MULIA

BANJARMASIN
 What you need to know?
 Age (approximate)
 Baby, child, adult
 Duration
 Symptoms
 Previous history
 Associated conditions

UNIVERSITAS SARI MULIA

BANJARMASIN
 Age

 Start any age

 More common in children and young adults

UNIVERSITAS SARI MULIA

BANJARMASIN
 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.

UNIVERSITAS SARI MULIA

BANJARMASIN
 Symptoms
 Rhinorrhoea
 Nasal congestion
 Nasal itching
 Eye symptom

UNIVERSITAS SARI MULIA

BANJARMASIN
 Associated conditions
 Tightness of the chest
 Wheezing
 Shortness of breath
 Coughing
 Earache and facial pain
 Purulent conjunctivitis
 Failed Medication

Immediate referral is advised!

UNIVERSITAS SARI MULIA

BANJARMASIN
 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.

UNIVERSITAS SARI MULIA

BANJARMASIN
 Antihistamine
 Cetirizine and loratadine are taken once daily.
 Chlorphenamine and diphenhydramine are relatively less sedative.

UNIVERSITAS SARI MULIA

BANJARMASIN
 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