Allergic rhinitis

1. Treatment: Antihistamine + Corticosteroids

    1. Tab loratadine 10 mg qd #10

    2. Spray Nasal fluticasone qd #1

2. Finest approach

    1. if mild symptoms:

        1. tab loratadine 10 mg qd #20 or Syrup 5mg/ml

        2. or tab cetirizine 10 mg qd #20 or syrup 5mg/ml

        3. or tab fexofenadine 60 mg bid #40

        4. or Tab chlorpheniramine 4 mg qid #30 or syrup 2mg/ml

        5. or Tab diphenhydramine 25 mg qid #30 or syrup 12.5 mg/ml

    2. If more severe symptom:

        1. Spray nasal fluticasone bid #1

            1. or spray nasal fluticasone 2 puff qd

            2. spray Mometasone 2 puff qd

        2. syrup loratadine 5-10 cc #1 qd

    3. for pregnant pt

        1. spray nasal cromolyn  qid #1

        2. spray mometasone 2 puff qd #1

    4. if not responded to antihistamine and corticosteroids

        1. tab montelukast 10 mg qd #30

        2. spray nasal fluticasone bid #1