Chronic #rhinitis in adults is like having your nostrils pinched closed for weeks at a time. You can't sleep, your mouth dries out from mouth-breathing... it's awful. It can lead to sinus & ear infection, polyps and maybe eventually a need for sinus surgery. It's often downplayed by the #medical community because it's not life threatening like heart disease.
Worse if a patient has high eye pressure (IOP) and high #glaucoma risk -- they can't use meds like #nasal steroids or decongestants, and many antihistamines as they can all increase IOP (via anticholinergic effects).
So, #MedMastodon, what are some good approaches for this?
This paper gives a good overview.
#rhinology #otolaryngology #otorhinolaryngology #nasal
Rhinitis in Older Adults
https://link.springer.com/article/10.1007/s11882-013-0342-3
Rhinitis in Older Adults - Current Allergy and Asthma Reports

Rhinitis symptoms of rhinorrhea, congestion, sneezing, nasal/ocular pruritis, and postnasal drainage can significantly affect the quality of life for older adults. As the US population ages, it will be increasingly important for health-care providers to effectively diagnose and manage rhinitis. Rhinitis is categorized broadly into allergic rhinitis and non-allergic rhinitis. Environmental changes and avoidance measures are a primary means of intervention. In addition, there are several topical therapies (nasal sprays) that can be effective for symptom control.

SpringerLink
@AskPippa How strong is the evidence that nasal steroids will worsen glaucoma?

@horsepharmer
- Nasal steroids are associated with increased risk for increasing IOP and glaucoma risk. I've seen studies like this: https://pubmed.ncbi.nlm.nih.gov/30585941/
- There is risk of acute angle closure with some meds, but I can't find out how big that risk is.
https://glaucoma.org/when-people-with-glaucoma-should-avoid-allergy-and-decongestant-medications/

- An overview: https://www.aaaai.org/Allergist-Resources/Ask-the-Expert/Answers/Old-Ask-the-Experts/ocular-pressure

The Relationship Between Long-term Use of Intranasal Corticosteroid and Intraocular Pressure - PubMed

Prolonged use of intranasal steroids cause statistical significant increase in IOP in patients with allergic rhinitis although no significant glaucomatous disc changes were seen. We suggest patients on long-term use of intranasal steroid have a yearly eye examination to be monitored for IOP elevatio …

PubMed
@horsepharmer Oh, and one more, a more reader friendly list. I saw more sciency one the other day but can't find it. https://www.brightfocus.org/glaucoma/article/medications-may-adversely-affect-glaucoma
Medications that May Adversely Affect Glaucoma | BrightFocus Foundation

Many different drugs have the potential to elevate eye pressure and increase the risk of developing glaucoma. This article explores the classes of medications that may affect the open-angle and angle-closure forms of glaucoma.

@AskPippa Perhaps will get ophthalmology and or allergist input here but not likely that short term nasal steroids are completely off the table, except for certain patients, who should check first.
@horsepharmer I should've added those as hashtags, so here they are #ophthalmology #allergy. :)