שאלה משלב א׳ בא.א.ג וכירורגיה של ראש וצוואר · מועד 2026, שאלה 35

With negative specific IgE this is NON-ALLERGIC rhinitis, and for rhinorrhoea the most effective treatment listed is TOPICAL IPRATROPIUM BROMIDE, an anticholinergic that blocks the parasympathetic glandular drive (with an intranasal antihistamine such as azelastine or an intranasal steroid as alternatives, and saline irrigation throughout). Oral H1 antihistamines are of little value without allergy, topical decongestants cause rhinitis medicamentosa, and omalizumab is an anti-IgE treatment for allergic disease.

מקור: Cummings p. 580, 641