[The practice guideline 'Allergic and non-allergic rhinitis' (first revision) from the Dutch College of General Practitioners; a response from the perspective of general practice].
The Dutch guideline 'Allergic and nonallergic rhinitis' of the Dutch College of General Practitioners has been revised. The use of intranasal corticosteroids (INCS) is now advocated in cases with persistent complaints and there is more evidence to prescribe intranasal antihistamines for intermittent allergic rhinitis. The effect of dust-proof bedding covers is questioned and only advocated in persons showing both allergic rhinitis and asthma. Attention is given to the relationship between allergic rhinitis and asthma. Although the efficacy of INCS on asthma outcome has not been assessed, the guideline suggests that INCS could improve asthma symptoms and perhaps could diminish the dose of inhalation corticosteroids for persons with concomitant asthma.
Thiadens
H A
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Leids Universitair Medisch Centrum, afd. Public Health en Eerstelijnsgeneeskunde, Postbus 96000, 2300 RC Leiden. h.a.thiadens@lumc.nl
D000281:Administration, Intranasal; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D018926:Anti-Allergic Agents / Q000627:therapeutic use; D001249:Asthma / Q000175:diagnosis* / Q000188:drug therapy; D005194:Family Practice / Q000592:standards*; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D012220:Rhinitis / Q000175:diagnosis* / Q000188:drug therapy; D012221:Rhinitis, Allergic, Perennial / Q000175:diagnosis / Q000188:drug therapy; D012955:Societies, Medical
D000305:Adrenal Cortex Hormones; D018926:Anti-Allergic Agents