Clinical Case Database / Category: Prescribing

Prescribing intranasal drugs

Publication details

Amir Farboud MBChB, Rohit Pratap MRCS
Foundation Years Journal, volume 2, issue 2, p.84 (123Doc Education, London, February 2008)


A 56-year-old gentleman presents in the ENT outpatients with a long history of worsening nasal obstruction and hyposmia. He has a history of asthma and has been taking inhaled bronchodilators only. He has a strong history of allergies, which are especially severe in the summer months. On examination you are able to visualise an inflamed nasal mucosa typical of allergic rhinitis. How can this gentleman be managed medically?

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Amir Farboud MBChB (Corresponding author)

ENT Head and Neck Surgery Department
Norfolk and Norwich University Hospital
Colney lane

Rohit Pratap MRCS

Specialist ENT Registrar
ENT Head and Neck Surgery Department
Norfolk and Norwich University Hospital


1. British National Formulary 54. London BMJ Publishing Group Ltd, 2005.
2. Figures from: (1) how to apply nasal drops and (2) nasal sprays. Accessed on 1 st February 2008.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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