The practice guideline 'Allergic and non-allergic rhinitis' (first revision) from the Dutch College of General Practitioners; a response from the perspective of general practice
Thiadens, H.A.
Nederlands Tijdschrift Voor Geneeskunde 151(41): 2251-2252
2007
ISSN/ISBN: 0028-2162 PMID: 17987890 Document Number: 614101
The Dutch guideline 'Allergic and nonallergic rhinitis' of the Dutch College of General Practitioners has been revised. The use of intranasal corticosteroids (INCS) is now advocated in cases with persistent complaints and there is more evidence to prescribe intranasal antihistamines for intermittent allergic rhinitis. The effect of dust-proof bedding covers is questioned and only advocated in persons showing both allergic rhinitis and asthma. Attention is given to the relationship between allergic rhinitis and asthma. Although the efficacy of INCS on asthma outcome has not been assessed, the guideline suggests that INCS could improve asthma symptoms and perhaps could diminish the dose of inhalation corticosteroids for persons with concomitant asthma.