IP Journal of Otorhinolaryngology and Allied Science

Print ISSN: 2582-4147

Online ISSN: 2582-421X

CODEN : IJOABK

IP Journal of Otorhinolaryngology and Allied Science (JOAS) open access, peer-reviewed quarterly journal publishing since 2018 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...

Article type

Original Article


Article page

118-130


Authors Details

Balasubramanyam A M , Nandu Kolwadkar, Carlton Pereira, Jawahar Bihani, K R Meghanadh , Manish Prakash, Monoj Mukherjee, Navin K Patel, Pawan Singhal, Srinivas Kishore, Uttam Agarwal, Nikhil Bangale*


Article Metrics


View Article As

 


Downlaod Files

   






Article statistics

Viewed: 1311

PDF Downloaded: 1143


Decoding the role of loratadine in optimally managing and in alleviating the burden of allergic rhinitis


Original Article

Author Details : Balasubramanyam A M , Nandu Kolwadkar, Carlton Pereira, Jawahar Bihani, K R Meghanadh , Manish Prakash, Monoj Mukherjee, Navin K Patel, Pawan Singhal, Srinivas Kishore, Uttam Agarwal, Nikhil Bangale*

Volume : 5, Issue : 4, Year : 2022

Article Page : 118-130

https://doi.org/10.18231/j.ijoas.2022.029



Suggest article by email

Get Permission

Abstract

Despite an alarmingly rise in prevalence of allergic rhinitis in the last 2 decades, yet till date it remains underdiagnosed, undertreated, or mistreated in India. The distinguishing features of allergic rhinitis are commonly misinterpreted with the common cold and thus early detection of allergic rhinitis is often delayed in primary care. Poorly controlled allergic rhinitis adversely impairs overall long-term productivity at work or school, quality of life (QoL) and can also trigger underlying comorbidities like asthma. Thus, early diagnosis and timely referral is the need of the hour for more effective management which will reduce the overall burden of allergic rhinitis in India. As allergic rhinitis needs long-term management, it is also paramount to prescribe highly efficacious, cost-effective treatment with minimal side effects like drowsiness to prevent disruption of patient’s QoL. However, current therapies including intranasal corticosteroids have adverse long-term complications and antihistamines like cetirizine, levocetirizine, and fexofenadine have varying degrees of sedation.With these concerns, a management algorithm was developed to aid for early diagnosis in primary care which provides cost effective option of right medication for a proper duration of time to optimize overall patient care. After a thorough discussion of key opinion leaders and evidence-based recommendations, it was highlighted that loratadine deserves to be considered as a first-line antihistamine therapy due to its rapid and long-lasting symptom relief, non drowsy, and low complication rate for long-term management of allergic rhinitis.


Keywords: Allergic rhinitis, Primary care, Long term, Key opinion leaders, Loratadine


How to cite : Balasubramanyam A M, Kolwadkar N, Pereira C, Bihani J, Meghanadh K R, Prakash M, Mukherjee M, Patel N K, Singhal P, Kishore S, Agarwal U, Bangale N, Decoding the role of loratadine in optimally managing and in alleviating the burden of allergic rhinitis. J Otorhinolaryngol Allied Sci 2022;5(4):118-130

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.