CauseTherapeutic options
Postnasal-drip symptoms
Nonallergic rhinitisDexbrompheniramine plus pseudoephedrine for three weeks, or ipratropium (0.06 %) nasal spray for three weeks
Allergic rhinitisAvoidance of offending allergens; loratadine, in a dosage of 10 mg once a day
Vasomotor rhinitisIpratropium (0.06 %) nasal spray for three weeks and then as needed
Chronic bacterial sinusitisDexbrompheniramine plus pseudoephedrine for three weeks; oxymetazoline for five days; antibiotic directed against Haemophilus influenzae, Streptococcus pneumoniae and oral anaerobes
AsthmaBeclomethasone by metered-dose inhaler with spacer; albuterol by metered-dose inhaler with spacer, as needed
Gastroesophageal reflux diseaseModification of diet and lifestyle†; acid suppression; prokinetic therapy
Chronic bronchitisElimination of irritant; ipratropium, two 18-μg puffs four times daily by metered-dose inhaler with spacer
Angiotensin-converting enzyme inhibitorsDiscontinuation of drug
Eosinophilic bronchitisInhaled budesonide, 400 μg twice daily for 14 days