MK, a 30-year-old housewife, comes to the pharmacy to purchase an OTC treatment for her allergies. She requests assistance from the pharmacist to choose the best product. The pharmacist asks her about her symptoms and how long she has had them.
MK informs the pharmacist that every spring, when she starts to get her flower garden ready for planting and around the time that the trees start budding, she develops nasal congestion, runny nose, and sneezing. During their conversation, the pharmacist observes that MK is breathing through her mouth and constantly wiping her nose with a tissue.
The pharmacist asks MK whether she has any difficulty continuing her normal activities or sleeping due to her symptoms. She admits that the symptoms are annoying but not so severe that she cannot sleep or that she has to stop her normal activities, including gardening. The pharmacist also asks her how long she has had these symptoms, and she replies that she has had them for 2 weeks. She says that the symptoms typically last only 3 to 4 weeks.
The pharmacist walks into the aisle to make a recommendation for MK. Based on her symptoms and their duration, how is her allergic rhinitis classified? What treatment option is recommended for this classification
AH, a 35-year-old man, comes to the pharmacy to purchase an OTC medication for his allergies. He asks the pharmacist where he can find the antihistamines.
AH explains that his doctor recommended that he try an oral antihistamine to control his pollen-allergy symptoms, because his symptoms are intermittent and mild. AH is concerned that the antihistamines will cause drowsiness and interfere with his daytime activities. The pharmacist recommends that he try loratadine or another second-generation antihistamine because they are associated with less sedation than diphenhydramine and other firstgeneration antihistamines.
As the pharmacist is ringing up his purchase, AH inquires about ways to avoid pollen and thereby reduce his allergic rhinitis. He has already hired a teenager in the neighborhood to mow his lawn. What recommendations can the pharmacist make to help him avoid pollen exposure?
One study linked multiple pregnancies to an increased risk of developing atrial fibrillation later in life, and another investigated the association between premature delivery and cardiovascular disease.
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