Do the symptoms concern the patient or the pharmacist?
yes
No
Refer the patient to a doctor
So it may be
Mild intermittent
Mild persistent
Moderate_severe
أﻋﺮاض ﺑﺴﯿﻄﺔ ﻣﺘﻘﻄﻌﺔ
Moderate– severe Intermittent
Persistent
أﻋﺮاض ﻣﺘﻮاﺻﻠﺔ ﺑﺴﯿﻄﺔ أو ﺷﺪﯾﺪة وﻟﻜﻨﮭﺎ ﻣﺘﻘﻄﻌﺔ
أﻋﺮاض ﺷﺪﯾﺪة وﻣﺘﻮاﺻﻠﺔ
Oral H1-blocker or nasal H1-blocker (antihistaminic) ﻣﻀﺎد ﻟﻠﺤﺴﺎﺳﯿﺔ
Oral H1-blocker
Refer to
Or nasal H1-blocker
physician
and/or decongestant or nasal steroid ﺳﺒﺮاي ﯾﺤﺘﻮى ﻋﻠﻰ ﻛﻮرﺗﯿﺰون
As chlorophenaramine or decongestant*
as: fluxonase
ﻣﺰﯾﻞ ﻻﺣﺘﻘﺎن اﻻﻧﻒ as
If after 7–15 days xylometazoline, pseudoephedrine
No improvement