Intranasal Capsaicin in Management of Nonallergic (Vasomotor) Rhinitis

There has been a recent obvious trend towards the increased prevalence of chronic rhinitis – 10-20% of the population experiences this disorder. Vasomotor rhinitis, sometimes also called idiopathic rhinitis, is the indisputable leader among various chronic rhinitis forms (allergic, infectious, atrophic, catarrhal and hypertrophic). The term of vasomotor rhinitis has been the subject of experts' repeated criticism because neurovisceral innervation disorders that underlie this condition are found in almost every form of chronic rhinitis. The main clinical manifestations of vasomotor rhinitis include a feeling of nasal congestion and nasal respiratory obstruction, regular abundant discharge of clear mucus and a feeling of its trickling down the posterior pharyngeal wall. A past respiratory viral infection treated by excessive quantities of vasoconstrictor drops triggers the vasomotor rhinitis onset in most cases.

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Cryosurgery on Postganglionic Fibers (Posterior Nasal Branches) of the Pterygopalatine Ganglion for Vasomotor Rhinitis

Acta Oto-Laryngologica ◽

10.3109/00016488309132884 ◽

1983 ◽

Vol 96 (1-2) ◽

pp. 139-148 ◽

Cited By ~ 7

Author(s):

A. Terao ◽

K. Meshitsuka ◽

H. Suzaki ◽

S. Fukuda

Keyword(s):

Vasomotor Rhinitis ◽

Pterygopalatine Ganglion

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Rhinitis during pregnancy and rhinitis medicamentosa

Otolaryngology ◽

10.1177/019459989210700606.2 ◽

1992 ◽

Vol 107 (6_part_2) ◽

pp. 845-849 ◽

Cited By ~ 24

Author(s):

Mary D. Lekas

Keyword(s):

Intranasal Corticosteroid ◽

Short Term ◽

Vasomotor Rhinitis ◽

Nasal Sprays ◽

Nasal Steroids ◽

Rebound Phenomenon ◽

Nasal Blood Vessels ◽

Rhinitis Medicamentosa ◽

Corticosteroid Injections ◽

Catecholamine Levels

Vasomotor rhinitis is a nonspecific disorder that is caused neither by infection nor allergy but rather by an imbalance of the autonomic nervous system with a preponderant action of parasympathetic fibers on nasal blood vessels. Rhinitis during pregnancy appears to result from the increased production of estrogen; increased estrogen levels caused by treatment, puberty, or liver disease may also cause rhinitis. Nasal saline mist, antihistamines, and topical corticosteroids are recommended; intranasal corticosteroid injections are also useful but must be administered under expert care. Rhinitis medicamentosa results from overuse of topical vasoconstrictors, which produce a rebound phenomenon. Rebound can also result from numerous medications, including antihypertensive preparations that reduce catecholamine levels, antidepressants, antipsychotics, and tranquilizers. Management of rhinitis medicamentosa consists in limiting the use of vasoconstrictors to no more than 3 days and giving the patient saline nasal sprays, daytime oral vasoconstrictors, and nocturnal antihistamines. Corticosteroids, preferably topical nasal steroids rather than even a short-term course of systemic administration, should also be used.

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Vasomotor Rhinitis

Rhinitis: Immunopathology and Pharmacotherapy ◽

10.1007/978-3-0348-9181-3_6 ◽

1997 ◽

pp. 125-146

Author(s):

Jane Krasnick ◽

Roy Patterson

Keyword(s):

Vasomotor Rhinitis

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Alternative methods for controlling nasal obstruction in children

Medical Council ◽

10.21518/2079-701x-2021-12-124-129 ◽

2021 ◽

pp. 124-129

Author(s):

V. V. Dvorianchikov ◽

M. V. Drozdova ◽

S. V. Ryazantsev ◽

Yu. S. Preobrazhenskaya ◽

S. S. Pavlova

Keyword(s):

Mucous Membrane ◽

Nasal Obstruction ◽

Bacterial Infections ◽

Clinical Manifestations ◽

Study Drug ◽

Alternative Methods ◽

Childhood And Adolescence ◽

Positive Trend ◽

Vasomotor Rhinitis ◽

Positive Treatment

Currently, rhinitis accompanied by nasal obstruction is one of the most common diseases in children and adolescents. Regardless of the cause of its occurrence - an infectious or non-infectious (allergic) process, each time there is a vascular (vasomotor) reaction. In children of preschool and primary school age, the most common is infectious rhinitis, which develops with viral and bacterial infections. The group of non-allergic rhinitis, which develops more often in adolescents, is united by the term idiopathic (vasomotor) rhinitis.Purpose of the study. Evaluation of the effectiveness of the use of a complex preparation containing calendula, witch hazel, esculus, menthol and zinc oxide in the treatment of vasomotor rhinitis in children.Materials and methods. The study included 40 patients of childhood and adolescence, of both sexes (23 girls and 17 boys) aged 6 to 14 years with an established diagnosis of vasomotor (idiopathic) rhinitis, without concomitant pathology, not registered with specialists, without constant admission The study drug was used to lubricate the mucous membrane of the nasal cavity or put turundas with ointment for 3-5 minutes 2-3 times a day. The course of treatment was 7-10 days. The effectiveness of treatment was assessed by the dynamics of clinical data and the severity of the subjective symptoms of the disease.Results. A comparisons of these scores for re-assessing the status of patients relative to the timing of the study drug use showed a uniform positive trend in terms of the clinical picture and subjective complaints of patients.Conclusions. The inclusion in the complex therapy of pediatric patients with idiopathic (vasomotor) rhinitis of the drug Fleming’s Ointment, or monotherapy with this agent, contributes to a rapid and pronounced weakening of the clinical manifestations of the disease, allowing you to quickly achieve positive treatment results in the form of relief of nasal obstruction, rhinorrhea, edema of the mucous membrane of the cavity nose, sneezing. There is a positive trend in the state of the mucous membrane itself.

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