Patients should use beclomethasone dipropionate at regular intervals since its effectiveness depends on their regular use. The patient should take the medication as directed. It is not acutely effective, and the prescribed dosage should not be increased. Instead, nasal vasoconstrictors or oral antihistamines may be needed until the effects of this drug are fully manifested. One to 2 weeks may pass before relief is obtained. The patient should contact the doctor if symptoms do not improve, or if the condition worsens, or if sneezing or nasal irritation occurs. For the proper use of this unit and to attain maximum improvement, the patient should read and follow carefully the accompanying patient's instructions.
A neb treatment has 2500 mcg of Albuterol, while two puffs of an MDI is 200 mcg of the same medicine. The increase in heart rate often noted with the neb reflects the higher dose. So how do we explain the often reported similar subjective and lung response in patients regardless of delivery method ? I’m not sure, but I wonder if the neb dose could be lowered without sacrificing response for those instances where the MDI is effective. Or approach nebs like we do with an MDI: start with 500 – 1000 mcg, and if desired take a second treatment.
Rarely, masses such as nasal polyps and even cancer may cause symptoms of nasal obstruction. As such, an initial important part of any examination investigating a person's nasal obstruction is nasal endoscopy . Nasal endoscopy enables the physician to look into the back half of the nose which is not able to be seen by just looking into the nose with a flashlight. Beyond the examination, an exact description of a person's complaints is helpful to determine what type of treatment whether medical or surgical would be most beneficial. The most common scenarios are described below: