Rhinitis medicamentosa: what an otolaryngologist needs to know.
Rhinitis medicamentosa (RM) is a drug induced non-allergic rhinitis associated with prolonged use of topical nasal decongestants. This review discusses the nasal mucosa microcirculation, basic pharmacology of topical decongestants and the theories of the pathophysiology of RM. Diagnostic problems are discussed in addition to the current opinion on how to treat RM.
Doshi
Jayesh
J
ENT Department, University Hospital of North Staffordshire, Newcastle Rd, Stoke on Trent, ST4 6QG, UK. jayeshdoshi@hotmail.com
D000281:Administration, Intranasal; D000287:Administration, Topical; D002983:Clinical Competence; D003071:Cognition; D003937:Diagnosis, Differential; D006801:Humans; D014663:Nasal Decongestants / Q000008:administration & dosage / Q000009:adverse effects*; D009297:Nasal Mucosa / Q000098:blood supply / Q000187:drug effects / Q000503:physiopathology; D010036:Otolaryngology; D012220:Rhinitis / Q000139:chemically induced* / Q000175:diagnosis / Q000503:physiopathology*; D013997:Time Factors
D014663:Nasal Decongestants