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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...

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Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis

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Treating rhinitis in the older population: special considerations.

Raymond G Slavin¹

¹Department of Internal Medicine, Division of Immunobiology, Section of Allergy & Clinical Immunology, Saint Louis University School of Medicine, 1402 South Grand Boulevard, M157, Saint Louis, MO 63104, USA. slavinrg@slu.edu

Allergy, Asthma, and Clinical Immunology : Official Journal of the Canadian Society of Allergy and Clinical Immunology

|December 18, 2009

Summary

Elderly rhinitis is common due to aging nasal changes. Treatment focuses on nasal moisture, with caution for older antihistamines and decongestants, favoring safer alternatives.

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Area of Science:

Geriatric Medicine
Otolaryngology
Allergy and Immunology

Background:

Rhinitis is a frequent, often overlooked issue in older adults.
Age-related nasal structural changes increase susceptibility to rhinitis.
Elderly patients present unique challenges including polypharmacy and altered physiological functions.

Purpose of the Study:

To review the specific considerations for rhinitis management in the elderly.
To highlight age-related factors impacting rhinitis treatment efficacy and safety.
To recommend appropriate therapeutic strategies for geriatric rhinitis.

Main Methods:

Literature review of rhinitis in aging populations.
Analysis of age-specific physiological and pharmacological factors.
Categorization of rhinitis types in the elderly.

Main Results:

Nasal dryness is a primary concern, necessitating mucosal hydration.
First-generation antihistamines and decongestants require careful administration due to potential side effects.
Second-generation antihistamines, intra-nasal steroids, leukotriene modifiers, and iprapropium nasal spray are generally well-tolerated.

Conclusions:

Tailored rhinitis treatment is crucial for the elderly, considering individual health status.
Prioritizing nasal moisture and selecting safer medication classes improves outcomes.
Further research into optimized geriatric rhinitis care is warranted.