Positioning of glucocorticosteroids in asthma and allergic rhinitis guidelines (versus other therapies)

Immunol Allergy Clin North Am. 2005 Aug;25(3):597-612, vii-viii. doi: 10.1016/j.iac.2005.06.001.

Abstract

Asthma and allergic rhinitis are both characterized by airway inflammation, and glucocorticosteroids form the cornerstone of their pharmacologic treatment. All patients with asthma should be prescribed rapid-acting inhaled beta2-agonists as needed to use as rescue therapy in case of symptoms. As soon as patients experience symptoms at least once a week, controller medications should be started on a daily basis to achieve and maintain control of their asthma. Intranasal corticosteroids are given as first-line therapy for moderate to severe persistent rhinitis. Depending on the dominant symptom, H1-antihistamines, decongestants, or ipratropium can be added after re-evaluation.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Algorithms
  • Anti-Inflammatory Agents / therapeutic use*
  • Asthma / drug therapy*
  • Glucocorticoids / therapeutic use*
  • Humans
  • Practice Guidelines as Topic
  • Rhinitis, Allergic, Perennial / drug therapy*
  • Rhinitis, Allergic, Seasonal / drug therapy*

Substances

  • Anti-Inflammatory Agents
  • Glucocorticoids