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Vasomotor Rhinitis

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2. [Therapeutic effect of nasal corticosteroids combined with nasal antihistamine on vasomotor rhinitis]. (PubMed)

[Therapeutic effect of nasal corticosteroids combined with nasal antihistamine on vasomotor rhinitis]. Objective: To observe the clinical efficacy of nasal corticosteroids combined with nasal antihistamine in the treatment of vasomotor rhinitis. Method: One hundred and twenty vasomotor rhinitis patients were randomly divided into three groups including budesonide group, azelastine group, and budesonide and azelastine group with 40 cases in each. Nasal spray with nasal corticosteroids and nasal (...) (27.50, 70.00%), respectively (P<0.05). But there was no significant difference between budesonide group and azelastine group (P>0.05). Conclusion: Nasal corticosteroids and nasal antihistamine can effectively relieve the nasal symptoms of vasomotor rhinitis and improve the quality of life of patients. The effect of nasal corticosteroids was better than that of nasal antihistamine. The effect of nasal corticosteroids combined with nasal antihistamine was superior to that of single drug..Copyright©

2018 Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery

3. Severity of nasal obstruction can predict the anxiety status of patients with allergic rhinitis but not patients with vasomotor rhinitis. (PubMed)

Severity of nasal obstruction can predict the anxiety status of patients with allergic rhinitis but not patients with vasomotor rhinitis. Allergic rhinitis (AR) is a chronic systemic allergic disease with an association reported between allergy and anxiety. The objective of the current study was therefore to investigate and retrospectively evaluate the factors that may possibly induce state and trait anxiety among patients with AR and vasomotor rhinitis (VMR).A total of 253 outpatients

2016 International forum of allergy & rhinology

4. [Nasal irrigation for the treatment of vasomotor rhinitis: a pilot study]. (PubMed)

[Nasal irrigation for the treatment of vasomotor rhinitis: a pilot study]. Objective: To observe the therapeutic effect of simple 3.0% saline nasal irrigation and combined treatment of 3.0% saline nasal irrigation and budesonide nasal spray for vasomotor rhinitis (VMR), and explore the long-term effect for VMR. Through examination of levels of substance P (SP) and mucin (MUC)5B in nasal lavage fluid, the mechanisms of nasal irrigation treatment for VMR was discussed. Methods: One hundred

2017 Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery

5. A Pilot Study Investigating Clinical Responses and Biological Pathways of Azelastine/Fluticasone in Nonallergic Vasomotor Rhinitis before and after Cold Dry Air Provocation. (PubMed)

A Pilot Study Investigating Clinical Responses and Biological Pathways of Azelastine/Fluticasone in Nonallergic Vasomotor Rhinitis before and after Cold Dry Air Provocation. Nonallergic vasomotor rhinitis (NAVMR) has been considered a diagnosis by exclusion due to unknown mechanisms or lack of diagnostic biomarkers.To determine clinical responses and biological pathways in NAVMR subjects challenged to cold dry air (CDA) in an environmental exposure chamber (EEC) pre- and posttreatment

2017 International Archives of Allergy and Immunology

6. Vasomotor Rhinitis

Vasomotor Rhinitis Vasomotor Rhinitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vasomotor Rhinitis Vasomotor Rhinitis Aka (...) : Vasomotor Rhinitis , Nonallergic Rhinopathy , Idiopathic Nonallergic Rhinitis , Senile Rhinitis , Geriatric Rhinitis , Gustatory Rhinitis From Related Chapters II. Symptoms: Chronic (>3 months) Characteristics Allergic symptoms are typically absent (nasal, ocular or pharyngeal/palatal , sneezing, s) Wet or Dry Dry: Nasal obstruction, airway resistance and congestion Wet: predominates Mixed (congestion and ) Provocative (non-allergic triggers) Odors (e.g. perfumes, auto emissions, smoke) Spicy food

2018 FP Notebook

7. Non-allergic rhinitis

and nasal polyposis, or, less commonly, tumour or foreign body. Definition Non-allergic rhinitis (NAR) refers to a group of chronic rhinitis sub-types that are not caused by allergy or infection. At least eight sub-types have been proposed, including vasomotor rhinitis (VMR [also known as 'autonomic rhinitis', 'non-allergic rhinopathy', and 'idiopathic non-allergic rhinitis']), non-allergic rhinitis with eosinophilia syndrome (NARES), atrophic rhinitis, senile rhinitis, gustatory rhinitis, drug-induced (...) rhinitis, hormonal rhinitis, and occupational rhinitis. VMR is the most common sub-type. Kaliner MA, Baraniuk JN, Benninger M, et al. Consensus definition of nonallergic rhinopathy, previously referred to as vasomotor rhinitis, nonallergic rhinitis, and/or idiopathic rhinitis. World Allergy Organ J. 2009 Jun 15;2(6):119-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3650969/ http://www.ncbi.nlm.nih.gov/pubmed/24229320?tool=bestpractice.com To establish a definitive diagnosis of NAR, all other chronic

2019 BMJ Best Practice

8. Non-allergic rhinitis

and nasal polyposis, or, less commonly, tumour or foreign body. Definition Non-allergic rhinitis (NAR) refers to a group of chronic rhinitis sub-types that are not caused by allergy or infection. At least eight sub-types have been proposed, including vasomotor rhinitis (VMR [also known as 'autonomic rhinitis', 'non-allergic rhinopathy', and 'idiopathic non-allergic rhinitis']), non-allergic rhinitis with eosinophilia syndrome (NARES), atrophic rhinitis, senile rhinitis, gustatory rhinitis, drug-induced (...) rhinitis, hormonal rhinitis, and occupational rhinitis. VMR is the most common sub-type. Kaliner MA, Baraniuk JN, Benninger M, et al. Consensus definition of nonallergic rhinopathy, previously referred to as vasomotor rhinitis, nonallergic rhinitis, and/or idiopathic rhinitis. World Allergy Organ J. 2009 Jun 15;2(6):119-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3650969/ http://www.ncbi.nlm.nih.gov/pubmed/24229320?tool=bestpractice.com To establish a definitive diagnosis of NAR, all other chronic

2018 BMJ Best Practice

9. Allergic Rhinitis - Guidelines for Prescribing Intranasal Corticosteroids

treatment. Irritant (non-allergic, vasomotor) rhinitis: Symptoms follow a known physical or chemical irritant - change in temperature, humidity; exercise; exposure to chemicals, odours. Patient history is important in differentiating irritant and allergic rhinitis because symptoms are similar. Identify irritant and avoid when possible. Drug-induced rhinitis : AR symptoms following start of treatment with drugs such as angiotensin-converting enzyme inhibitors, methyldopa, alpha-blockers, beta-blockers (...) in reducing symptoms of itching, sneezing, and rhinorrhea. First generation and older second generation antihistamines have little effect on nasal congestion. Fexofenadine and desloratadine have some decongestant activity. May also reduce symptoms of allergic conjunctivitis associated with AR. Little or no benefit in other forms of rhinitis (e.g., vasomotor, infectious). Effective on an as needed basis, but work best to control AR symptoms when taken regularly. When exposure to an allergen is anticipated

2017 medSask

10. Surgical management of vasomotor rhinitis: A systematic review. (PubMed)

Surgical management of vasomotor rhinitis: A systematic review. Vasomotor rhinitis (VMR) is one of the most prevalent forms of nonallergic rhinitis. In the past, when maximal medical therapy failed, surgical options were limited. Vidian neurectomy (VN) was one option; however, it was fraught with complications and limited success. The advent of endoscopic sinus surgery revitalized interest in surgical procedures for VMR. This study was designed to review the available literature and assess (...) with any long-term sequelae. Rhinorrhea and nasal obstruction were shown to improve after endoscopic VN (EVN) and the benefits were maintained for several years after surgery.EVN is well tolerated, safe, and effective in a majority of patients. Overall, the literature has shown that the endoscopic approach is associated with less morbidity than the traditional transantral approach. Currently, no literature exists on the effect of EPNN in patients with vasomotor rhinitis and further study is needed

2015 American journal of rhinology & allergy

11. The role of antihistamines in the treatment of vasomotor rhinitis. (PubMed)

The role of antihistamines in the treatment of vasomotor rhinitis. The pathogenesis of vasomotor rhinitis is not understood. It is unlikely that antihistamines, based on their H1 antagonist activity alone, would be effective in this disorder.Nonetheless, at least one double-blind, placebo-controlled multicenter trial has found that intranasal azelastine relieves symptoms of this disorder better than placebo. The mechanism responsible for its beneficial effect in nonallergic rhinitis is unclear (...) to conclude that antihistamines may be potentially effective agents in vasomotor rhinitis, and are more likely to be so when administered intranasally, despite the fact that data documenting this beneficial effect are sparse.

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2013 The World Allergy Organization journal

12. Allergic Rhinitis

, symptoms that develop on exposure to irritants such as smoke, fumes, and chemicals are less likely to represent AR. Symptoms of other sinonasal diseases such as sinusitis, vasomotor rhinitis, and granulomatous diseases can overlap with AR symptoms and should be differentiated from AR. Less typical symptoms, such as epistaxis, unilateral rhinorrhea, unilateral nasal blockage, severe headache, or anosmia, suggest alternative diagnoses and should be investigated further. These symptoms could indicate (...) Allergic Rhinitis Clinical Practice Guideline: Allergic Rhinitis - Michael D. Seidman, Richard K. Gurgel, Sandra Y. Lin, Seth R. Schwartz, Fuad M. Baroody, James R. Bonner, Douglas E. Dawson, Mark S. Dykewicz, Jesse M. Hackell, Joseph K. Han, Stacey L. Ishman, Helene J. Krouse, Sonya Malekzadeh, James (Whit) W. Mims, Folashade S. Omole, William D. Reddy, Dana V. Wallace, Sandra A. Walsh, Barbara E. Warren, Meghan N. Wilson, Lorraine C. Nnacheta, 2015 MENU IN THIS JOURNAL Sign In Institution

2015 American Academy of Otolaryngology - Head and Neck Surgery

13. Azelastine hydrochloride and fluticasone propionate (Dymista nasal spray suspension) - moderate to severe seasonal and perennial allergic rhinitis

and allergic manifestations: - allergic rhinitis - seasonal rhinitis - acute and chronic congestive rhinitis - vasomotor rhinitis. 18/01/2012 (re-registration) Moderate Not applicable Yes Triamcinolone NASACORT 55 µg/dose Sanofi Aventis France Seasonal allergic rhinitis in adults and children above age 6. Perennial allergic rhinitis in adults. 16/11/2011 (re-registration) Moderate Not applicable Yes Intranasal antihistamine Azelastine ALLERGODIL 0.127 mg/dose Meda Pharma Symptomatic treatment of seasonal (...) was evaluated versus fluticasone in a 52-week open-label study in patients with chronic allergic or vasomotor rhinitis. The percentages of adverse events related to treatment were 9.4% in the azelastine/fluticasone group and 11.1% in the fluticasone group. These were mainly dysgeusia (2.5% versus 0.5%), epistaxis (1.2% versus 0.5%), headache (1.0% versus 4.3%) and cough (1.0% versus 0.0%). An increase in blood cortisol, weight gain and reduced glucose tolerance were each observed in 0.5% of patients in both

2014 Haute Autorite de sante

14. Effect of Health Promotion on Allergic Rhinitis by Infrared-C Ray Irradiation

, write or communicate in Mandarin, Taiwanese or Hakka, and agreed to participate Exclusion Criteria: Inflammatory skin wounds on the back of the shoulder, neck or lower back Polyposis Acute and chronic sinusitis Vasomotor rhinitis Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov (...) Effect of Health Promotion on Allergic Rhinitis by Infrared-C Ray Irradiation Effect of Health Promotion on Allergic Rhinitis by Infrared-C Ray Irradiation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2018 Clinical Trials

15. Overcoming rhinitis adherence challenges

Overcoming rhinitis adherence challenges The AFP Community Blog: Overcoming rhinitis adherence challenges | Monday, August 6, 2018 - Jennifer Middleton, MD, MPH The current issue of AFP includes an overview of " " (the newer term for "vasomotor rhinitis"). The article includes tips to distinguish allergic from nonallergic rhinitis along with treatment regimens. Many of the medications that are useful for allergic rhinitis are also useful for nonallergic rhinitis, including intranasal (...) corticosteroids, intranasal antihistamines, oral decongestants - with the addition of intranasal ipratropium for nonallergic symptoms. Unfortunately, . For many patients, rhinitis symptoms are inconsistent and episodic, waxing and waning with seasonal changes and exposure to triggers. While not taking intranasal medications when symptoms and triggers are absent may be reasonable, . Many intranasal medications for rhinitis also have that can affect adherence. Cost is another factor; . Interestingly, ; in one

2018 The AFP Community Blog

16. Cryotherapy for the Treatment of Chronic Rhinitis: A Qualitative Systematic Review. (PubMed)

identify the safety, efficacy, and durability of treatment response of cryotherapy in treating chronic rhinitis.A systematic literature review was performed to identify studies that investigated the utility of cryotherapy in chronic rhinitis. Only studies with the primary objective of assessing the efficacy of cryotherapy on chronic rhinitis were included. Patients were classified as allergic rhinitis, nonallergic rhinitis (vasomotor rhinitis), or mixed rhinitis using the original author's criteria (...) Cryotherapy for the Treatment of Chronic Rhinitis: A Qualitative Systematic Review. Chronic rhinitis impacts 60 million Americans and is associated with significant costs for patients. Although medical treatments are first line, some patients require surgical intervention such as vidian or posterial nasal neurectomy. Previous reviews have investigated the role of surgical management in chronic rhinitis, but none have investigated a longstanding treatment with recent interest: cryotherapy.To

2018 American journal of rhinology & allergy

17. Bioavailability and pharmacokinetics of intranasal hydromorphone in patients experiencing vasomotor rhinitis. (PubMed)

Bioavailability and pharmacokinetics of intranasal hydromorphone in patients experiencing vasomotor rhinitis. Narcotic analgesics such as hydromorphone undergo an extensive first-pass effect resulting in a low systemic bioavailability following oral administration. Alternative dosing routes, such as rectal and intranasal (IN) routes, have been suggested as options for oral or intravenous administration. Rhinitis and pharmacological agents used for treatment are considered factors that could (...) of hydromorphone in this study. There was not a significant difference in bioavailability between treated and untreated rhinitis.This study found intranasal administration of hydromorphone in patients experiencing vasomotor rhinitis had acceptable bioavailability and a pharmacokinetic profile comparable to previous studies. These data support further investigation of this single-dose delivery system for clinical use.

2012 Clinical drug investigation

18. Efficacy/Safety of Pseudoephedrine Plus Levocetirizine Versus Placebo in Patients With Vasomotor Rhinitis

Efficacy/Safety of Pseudoephedrine Plus Levocetirizine Versus Placebo in Patients With Vasomotor Rhinitis Efficacy/Safety of Pseudoephedrine Plus Levocetirizine Versus Placebo in Patients With Vasomotor Rhinitis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Efficacy/Safety of Pseudoephedrine Plus Levocetirizine Versus Placebo in Patients With Vasomotor Rhinitis The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01509209 Recruitment Status : Completed First Posted : January 12, 2012 Last Update Posted

2012 Clinical Trials

19. Vasomotor Rhinitis

Vasomotor Rhinitis Vasomotor Rhinitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vasomotor Rhinitis Vasomotor Rhinitis Aka (...) : Vasomotor Rhinitis , Nonallergic Rhinopathy , Idiopathic Nonallergic Rhinitis , Senile Rhinitis , Geriatric Rhinitis , Gustatory Rhinitis From Related Chapters II. Symptoms: Chronic (>3 months) Characteristics Allergic symptoms are typically absent (nasal, ocular or pharyngeal/palatal , sneezing, s) Wet or Dry Dry: Nasal obstruction, airway resistance and congestion Wet: predominates Mixed (congestion and ) Provocative (non-allergic triggers) Odors (e.g. perfumes, auto emissions, smoke) Spicy food

2015 FP Notebook

20. Sphenopalatine artery ligation with nerve resection in patients with vasomotor rhinitis and polyposis: a prospective, randomized, double-blind investigation. (PubMed)

Sphenopalatine artery ligation with nerve resection in patients with vasomotor rhinitis and polyposis: a prospective, randomized, double-blind investigation. Sphenopalatine artery ligation relieves symptoms of rhinorrhea, sneezing, and nasal itching in patients with vasomotor rhinitis associated with nasal polyps.Nasal polyps often arise in a setting of vasomotor rhinitis. Dysfunctions in nerve fiber activity of the sympathetic and parasympathetic systems are responsible for the accompanying (...) symptoms of rhinorrhea, sneezing, and nasal itching. Sphenopalatine pedicle resection with autonomic denervation could potentially reduce related symptoms.In a prospective, double-blind setting, 60 patients with vasomotor rhinitis and bilateral nasal polyps randomly assigned to functional endoscopic surgery either with (group A) or without (group B) sphenopalatine artery ligation completed a 3-year follow-up. Preoperative and postoperative (at 1 and 3 years) evaluations included symptom score

2012 Acta oto-laryngologica

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