Article: Considering nasal corticosteroids to treat allergic rhinitis.

Q: A 30-year-old female patient who has a long history of allergic rhinitis cannot afford the cromolyn sodium (Nasalcrom) that has controlled her symptoms. (Her health insurer has refused to pay for the medication since it became available over the counter.) Her symptoms are worse since she stopped the cromolyn. OTC antihistamines make her alternately drowsy and hyperactive. I'm considering a prescription intranasal corticosteroid to control her symptoms.

How do intranasal corticosteroid preparations compare with intranasal cromolyn, and how do the intranasal corticosteroid preparations compare with each other? What are the significant advantages, disadvantages, ...

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