Abstract | UNLABELLED: SUBJECTS AND METHODS: We clinically reviewed the cases of 33 patients of rhinitis medicamentosa (23 men, 10 women; mean age, 44.4±15.6 years) treated with nasal steroid sprays instead of decongestant nasal sprays in our clinic from October, 2011 to December, 2012. RESULTS: Periods of drug use were generally long. Only 7 cases had a duration of use less than 1 year, and about half (48.5%) had a duration of use longer than 2 years. Causes of use included acute inflammation (n=6), chronic rhinosinusitis (n=2), and allergic rhinitis (n=20) and unknown cause (n=5). About two-third of the patients failed to answer questions concerning their use of decongestant nasal spray in a questionnaire prior to examination; therefore, careful observation was necessary. Among the 33 cases, 31 were followed up, all of whom showed improvement and stopped using decongestant nasal spays within 4 weeks. Periods for recovery were as follows: 3 days in 19 cases (61.3%) and 1 week in 25 cases (80.6%). Duration of drug use did not correlate with the period required for recovery; therefore, these results suggest that patients with long-term drug use are able to improve quickly. CONCLUSION:
Rhinitis medicamentosa with nasal congestion appears readily reversible with suitable treatment.
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Authors | Atsushi Yuta, Yukiko Ogawa |
Journal | Arerugi = [Allergy]
(Arerugi)
Vol. 62
Issue 12
Pg. 1623-30
(Dec 2013)
ISSN: 0021-4884 [Print] Japan |
PMID | 24608651
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Adrenergic alpha-Agonists
- Androstadienes
- Nasal Decongestants
- Nasal Sprays
- Pregnadienediols
- Mometasone Furoate
- Fluticasone
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Topics |
- Adolescent
- Adrenergic alpha-Agonists
(administration & dosage, adverse effects)
- Adult
- Aged
- Androstadienes
(administration & dosage)
- Drug Substitution
- Female
- Fluticasone
- Humans
- Male
- Middle Aged
- Mometasone Furoate
- Nasal Decongestants
(administration & dosage, adverse effects)
- Nasal Obstruction
(chemically induced, drug therapy)
- Nasal Sprays
- Pregnadienediols
(administration & dosage)
- Retrospective Studies
- Rhinitis
(chemically induced, drug therapy)
- Time Factors
- Treatment Outcome
- Young Adult
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