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Ocular antihistamine drops (for eye symptoms), intranasal antihistamine sprays, intranasal cromolyn, intranasal anticholinergic sprays, and short courses of oral corticosteroids (reserved for severe, acute episodes only) may also provide relief.

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One randomized controlled trial (RCT) looking at quality-of-life measures compared the antihistamine loratadine (Claritin) with the nasal corticosteroid fluticasone (Flonase) in 88 adults over a four-week period.

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Four of 264 patients (2%) treated with DYMISTA and 3 of 89 (3%) treated with fluticasone propionate nasal spray discontinued from the trial due to adverse events.

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Issues regarding securing the device (especially in children where bony wells are less feasible) and the various techniques used were described.

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Although the system for obtaining hearing aids in the UK is quite different, with the current 're-structuring' of the NHS, the increasing involvement of the private sector in NHS hearing aid provision and the government's promise to 'increase patient choice' (which I suspect may include choosing to buy extras) the findings of this study should be of interest to us all.

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To briefly review, allergic rhinitis is the result of type I hypersensitivity reactions whereby exposure to allergens in susceptible individuals leads to sensitization by production of specific IgE antibodies directed against these extrinsic proteins.

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