1. Avoid exposure to allergen
2. Panadol sinus 2 caplets every 4-6 hours as required
3. If there are excessive secretions and sneezing add:

• loreen10mg tab orally once a day

4. In more sever cases add:

• Montelukast 10mg once daily at bed time
• Rhinase 50mcg/dose nasal spray 2 sprays in each nostril once a day

Panadol sinus:

Ingredients:

Each Panadol Sinus caplet contains:

• Paracetamol 500mg
• Pseudoephedrine Hydrochloride 30mg.

Panadol Sinus is for fast effective relief from:

• Sinus Pain, Nasal Congestion, and Headache.
• Panadol Sinus provides powerful relief from sinus pain and congestion. .

How to Use:

Adults and children over 12 years:

• Take 2 caplets every 4-6 hours as required.

Corticosteroids nasal spray (Fluticasone)

Available forms:

• Flixonase, Rhinase, Dalman, Avamys, Aierxem: 50mcg/dose

Indications:

corticosteroid indicated for the management of thenasal symptoms of perennial nonallergic rhinitis in adult and pediatric patients

aged 4 years and older. 

Dose:

For intranasal use only. Recommended starting dosages:

• Adults: 2 sprays per nostril once daily (200 mcg per day). 
• Adolescents and children aged 4 years and older: 1 spray per nostril oncedaily (100 mcg per day). 

 Loratadine

Available forms:

• Loratan, clara, histal, Klarihist, Loreen, Lorine Lohist, Ramitin:10mg tab, 5mg/5ml syrup
• Tidilor, Claritine, Lorax :10mg tab, 1mg/1ml syrup
• Loratin, Restamine:10mg tab
• Lostamin: 5mg/5ml syrup

Indications:

• Relief of symptoms associated with allergic rhinitis, such as sneezing, nasal discharge (rhinorrhea) as well as ocular itching and burning.
• indicated for the relief of symptoms and signs of chronic urticaria and other allergic dermatologic disorders.

Dose:

• Adults and children 6 years and older who weigh more than 30kg : 1 x tablet once daily
• Adults and children over 12 years of age: 2 teaspoons (10 ml), once a day, with or without food.
• The dosage for children aged 2-12 is by weight:
• Body weight over 30 kg: 2 teaspoons (10 ml), once a day, with or without food.
• Body weight of 30 kg or less: one teaspoon (5 ml), once a day, with or without food.

Pregnancy and breast-feeding :

As a precautionary measure, it is preferable to avoid the use of Loratadine Tablets during pregnancy. Loratadine is excreted in breast milk so preferable to avoid the use in lactation

side effect:

• drowsiness 
• headache
• increased appetite 
• difficulty sleeping.