Mometasone and Cromolyn

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Questions and Answers

Mometasone, an intranasal corticosteroid, primarily helps manage allergic rhinitis symptoms by what mechanism?

  • Reducing inflammation in the nasal passages by suppressing the immune response. (correct)
  • Decongesting nasal passages via vasoconstriction.
  • Directly blocking histamine receptors to reduce itching and sneezing.
  • Stabilizing mast cells to prevent the release of inflammatory mediators.

What is the primary mechanism of action of cromolyn sodium as a mast cell stabilizer?

  • Reversing the effects of histamine after it is released.
  • Blocking histamine receptors to prevent allergic reactions.
  • Promoting the breakdown of histamine.
  • Preventing the release of inflammatory mediators from mast cells. (correct)

Which of the following adverse effects is most commonly associated with the intranasal administration of cromolyn?

  • Increased bone density.
  • Significant weight gain.
  • Severe immunosuppression.
  • Nasal burning or stinging. (correct)

A patient with seasonal allergies is prescribed both mometasone and cromolyn. What is the key difference in how these medications should be used to achieve optimal symptom control?

<p>Mometasone should be used only as needed for acute symptom flares, while cromolyn is for daily preventative use. (C)</p> Signup and view all the answers

What is a significant limitation regarding the use of cromolyn for managing allergic symptoms?

<p>It requires frequent administration due to its short duration of action. (C)</p> Signup and view all the answers

Compared to cromolyn, what is a major advantage of using mometasone for allergic rhinitis?

<p>Mometasone typically requires less frequent dosing. (B)</p> Signup and view all the answers

A patient using a cromolyn nebulizer reports throat irritation and coughing after each use. What advice would be most appropriate?

<p>Rinse the mouth and gargle with water after each use. (D)</p> Signup and view all the answers

Which of the following is the MOST likely reason why a patient might prefer mometasone over cromolyn for treating their allergic rhinitis?

<p>Mometasone requires less frequent dosing (B)</p> Signup and view all the answers

What is the primary difference in time-to-effect between mometasone and cromolyn?

<p>Mometasone takes several days to weeks to reach full effect, while cromolyn has a quicker onset but requires frequent dosing. (A)</p> Signup and view all the answers

A patient experiences nosebleeds after starting mometasone for allergic rhinitis. What is the most appropriate initial recommendation?

<p>Reduce the frequency of use and ensure proper administration technique. (B)</p> Signup and view all the answers

A patient with severe, chronic allergic rhinitis is considering both mometasone and cromolyn. What is the most critical factor in determining which medication is more appropriate for long-term management?

<p>The patient's ability to adhere to a strict, frequent dosing schedule for preventative treatment. (B)</p> Signup and view all the answers

Which of the following scenarios would be LEAST appropriate for initiating treatment with intranasal cromolyn?

<p>A patient experiencing acute, severe nasal congestion and rhinorrhea due to a sudden allergic reaction. (B)</p> Signup and view all the answers

A patient reports that mometasone effectively controls most of their allergic rhinitis symptoms, but they still experience occasional breakthrough nasal congestion. What is the most appropriate next step in managing this patient's symptoms?

<p>Add a short-term decongestant nasal spray as needed for breakthrough congestion, while continuing mometasone. (C)</p> Signup and view all the answers

What is the most important counseling point to emphasize to a patient who is newly prescribed intranasal cromolyn?

<p>Consistent, regular use of cromolyn is necessary to prevent allergy symptoms. (D)</p> Signup and view all the answers

A patient using mometasone for allergic rhinitis develops a suspected fungal infection in the nasal passages. What is the most appropriate course of action?

<p>Discontinue mometasone and seek medical evaluation for possible antifungal treatment. (A)</p> Signup and view all the answers

Which patient characteristic would make cromolyn a more suitable choice than mometasone for managing allergic rhinitis?

<p>A patient with mild, predictable seasonal allergies and concerns about steroid side effects. (A)</p> Signup and view all the answers

Which of the following patient scenarios would warrant the MOST caution when considering the use of intranasal mometasone?

<p>A patient with a recent surgery for deviated septum correction. (D)</p> Signup and view all the answers

A patient using a cromolyn nebulizer for asthma reports that it does not seem to be helping with their exercise-induced bronchospasm. What would be the most appropriate recommendation?

<p>Re-evaluate the patient's asthma management plan, considering alternative or additional medications. (C)</p> Signup and view all the answers

A patient using mometasone for allergic rhinitis reports experiencing a metallic taste in their mouth after each use. What is the most appropriate recommendation to address this?

<p>Instruct the patient to tilt their head forward while administering the spray to minimize runoff into the throat. (A)</p> Signup and view all the answers

A patient asks about using both mometasone and cromolyn simultaneously for severe seasonal allergies. How should the patient be advised?

<p>Cromolyn should be started a few weeks before allergy season, with mometasone added if symptoms persist. (A)</p> Signup and view all the answers

Flashcards

Mometasone Mechanism of Action

Reduces inflammation in the nasal passages by inhibiting the release of inflammatory mediators.

Mometasone Adverse Effects

Local irritation, nosebleeds, headache.

Allergic Symptoms Mometasone Treats

Nasal congestion, sneezing, and runny nose.

Cromolyn Mechanism of Action

Prevents the release of histamine and other inflammatory mediators from mast cells.

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Cromolyn Adverse Effects

Intranasal: Nasal stinging; Nebulizer: Coughing/wheezing.

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Allergic Symptoms Cromolyn Treats

Runny nose, sneezing, itching.

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Issues with Cromolyn Use

Requires frequent dosing (several times daily) and is less potent than corticosteroids.

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Intranasal Corticosteroid

A type of medication sprayed into the nose to reduce inflammation.

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Mast Cell Stabilizer

A medication that stabilizes mast cells to prevent the release of histamine and other inflammatory mediators.

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Study Notes

Mometasone

  • An intranasal corticosteroid that treats allergic symptoms.
  • Mechanism of action not specified.
  • Adverse effects not specified.
  • Alleviates unspecified allergic symptoms.

Cromolyn

  • A mast cell stabilizer used to treat allergic symptoms.
  • Mechanism of action not specified.
  • Adverse effects can occur with intranasal and nebulizer administration (specific effects not listed).
  • Effective for unspecified allergic symptoms.
  • Issues with cromolyn use and administration not specified.

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