Is Long-Term Use of BeColon Safe for Allergic Rhinitis? - Otolaryngology

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Is Becolon safe for long-term use?


Hello Dr.
Zheng: Due to my job as a taxi driver, I have been exposed to air conditioning for long periods, which has caused my nose to frequently become allergic, leading to a runny nose and discomfort.
I often take nasal medications like Nasalcon, which helps, but after a day or two of driving with the air conditioning, the symptoms return.
I visited an ENT specialist, and after finishing a three-day course of medication, I felt better, but the symptoms reoccurred.
Since I drive every day and still use the air conditioning, I have developed a habit of taking Nasalcon long-term (this medication was recommended by a chain pharmacy, which stated it is a hospital medication).
I also have been using Nasonex nasal spray long-term.
I would appreciate your guidance on this matter.
Thank you!

Xiao Huang Si Ji, 50~59 year old female. Ask Date: 2017/03/22

Dr. Zheng Jueyi reply Otolaryngology


Hello: BeColon is a multi-component compound medication that is not recommended for long-term use.
If you have persistent allergy symptoms, you may continue using Nasonex nasal spray.
However, if there is no significant improvement, it is advisable to seek medical attention for further evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/22

More Info


Long-term use of medications for allergic rhinitis, such as BeColon (which is likely a brand name for a nasal spray or antihistamine), can raise several important considerations regarding safety and efficacy. Allergic rhinitis, commonly known as hay fever, is a condition characterized by symptoms such as sneezing, runny or stuffy nose, and itchy eyes, typically triggered by allergens like pollen, dust mites, or pet dander.

Understanding BeColon and Its Use
BeColon, if it is an antihistamine or a nasal corticosteroid, can effectively alleviate symptoms of allergic rhinitis. Antihistamines work by blocking the action of histamine, a substance in the body that causes allergic symptoms. Nasal corticosteroids, on the other hand, reduce inflammation in the nasal passages, providing relief from congestion and other symptoms.


Long-Term Safety of Antihistamines and Nasal Corticosteroids
1. Antihistamines: Many over-the-counter antihistamines, such as cetirizine (Zyrtec) or loratadine (Claritin), are generally considered safe for long-term use. However, some individuals may experience side effects such as drowsiness, dry mouth, or dizziness. It's important to monitor for these effects, especially if you are driving or operating machinery.
2. Nasal Corticosteroids: Medications like Nasonex (mometasone) are also commonly used for allergic rhinitis. Long-term use of nasal corticosteroids is generally safe and effective for controlling symptoms. However, potential side effects may include nasal irritation, bleeding, or, in rare cases, effects on growth in children. Regular follow-up with a healthcare provider is advisable to monitor for any adverse effects.


Managing Long-Term Use
Given your situation of needing to use these medications frequently due to your occupation as a taxi driver, it is crucial to consider a few strategies:
- Consultation with a Specialist: Regular consultations with an ear, nose, and throat (ENT) specialist or an allergist can help tailor your treatment plan. They may suggest allergy testing to identify specific triggers and recommend appropriate medications or therapies.

- Alternative Therapies: In addition to medications, consider non-pharmacological approaches such as saline nasal rinses, which can help clear allergens from the nasal passages. Allergen avoidance strategies, such as using air purifiers in your vehicle or keeping windows closed during high pollen seasons, can also be beneficial.

- Monitoring Symptoms: Keep a symptom diary to track your responses to medications and any potential side effects. This information can be invaluable for your healthcare provider in adjusting your treatment plan.


Conclusion
In summary, while long-term use of BeColon or similar medications for allergic rhinitis can be effective, it is essential to approach this treatment with caution. Regular monitoring for side effects, consultations with healthcare professionals, and consideration of alternative therapies can help ensure that you manage your symptoms effectively while minimizing potential risks. Always discuss any concerns or changes in your symptoms with your healthcare provider to ensure the best possible care for your allergic rhinitis.

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