Impact of Montelukast on Allergic Rhinitis and Asthma as Emerging New Treatment Option

Muhammad Ali Lal Bux, T. Laique
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Abstract

Background: AR (allergic rhinitis) is a condition that causes chronic nasal mucosal inflammation. Among the regional signs of AR are sneezing, rhinorrhea, nasal discomfort, and nasal congestion. AR places a considerable financial and social impact on both the person with AR and society. There is mounting evidence that AR may elevate inflammatory mediators throughout the body and raise the chance of developing asthma. Aim: To determine the degree to which Montelukast altered the symptoms and signs of allergic rhinitis (AR) and asthma, as well as to estimate the proportion of participants who were adversely affected. The absolute eosinophil count and five essential asthma and allergic rhinitis symptoms were assessed before and after therapy. Method: This was a randomized trial. This experiment at the Lahore General Hospital involved 204 participants with asthma and allergic rhinitis. Participants received either (budesonide) BD (256 mg) with (montelukast) MNT (10mg) + MNT for two weeks, or BD alone (256 mg). The data was entered and analysed in SPSS 23. Results:However, when compared to BD alone, BD + MNT demonstrated noticeably greater improvements in nasal blockage and itching. Both treatments greatly lessened the five primary symptoms as compared to the baseline. After two weeks of treatment, absolute eosinophil counts in BD + MNT significantly surpassed BD. Practical Implication: Asthma and allergic rhinitis are major problems nowadays. This investigation will help find better answers to this problem. BD+ MNT is a more successful treatment for this illness. Conclusion:BD + MNT therapy may be more efficient overall than BD monotherapy for those with asthma and allergic rhinitis, especially in lowering nasal obstruction, itching, and subclinical lower airway inflammation. The absolute eosinophil count can also be used to monitor a patient's response to treatment for allergic rhinitis. Keywords: Asthama, budesonide, montelukast, and allergic rhinitis. Key words: Montelukast, allergic rhinitis, Asthma, Emerging New Treatment Option
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孟鲁司特对过敏性鼻炎和哮喘的影响--新出现的治疗方案
背景:过敏性鼻炎(AR)是一种导致慢性鼻粘膜炎症的疾病。过敏性鼻炎的区域性症状包括打喷嚏、流鼻涕、鼻腔不适和鼻塞。AR 给患者和社会都带来了巨大的经济和社会影响。越来越多的证据表明,AR 可能会使全身的炎症介质升高,增加患哮喘的几率。目的:确定孟鲁司特对过敏性鼻炎(AR)和哮喘的症状和体征的改变程度,并估计受到不利影响的参与者比例。在治疗前后对嗜酸性粒细胞绝对计数以及五种基本哮喘和过敏性鼻炎症状进行评估。研究方法这是一项随机试验。这项在拉合尔总医院进行的实验涉及 204 名哮喘和过敏性鼻炎患者。参与者接受了为期两周的(布地奈德)BD(256 毫克)与(孟鲁司特)MNT(10 毫克)+ MNT 或单独 BD(256 毫克)治疗。数据在 SPSS 23 中进行了输入和分析。结果:然而,与单独使用 BD 相比,BD + MNT 对鼻塞和鼻痒的改善明显更大。与基线相比,两种疗法都大大减轻了五种主要症状。治疗两周后,BD + MNT 的嗜酸性粒细胞绝对计数明显超过了 BD。实际意义:哮喘和过敏性鼻炎是当今的主要问题。这项研究将有助于找到解决这一问题的更好办法。BD+ MNT 是治疗这种疾病的一种更成功的方法。结论:对于哮喘和过敏性鼻炎患者来说,BD+MNT疗法可能比BD单药疗法更有效,尤其是在降低鼻阻塞、鼻痒和下呼吸道亚临床炎症方面。嗜酸性粒细胞绝对计数也可用于监测患者对过敏性鼻炎治疗的反应。关键词阿斯达玛、布地奈德、孟鲁司特、过敏性鼻炎。关键字孟鲁司特、过敏性鼻炎、哮喘、新兴治疗方案
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