1. Nasal steroid sprays aka “intranasal steroids.” Two of these are over the counter now— Flonase Allergy Relief ( fluticasone propionate ) and Nasacort Allergy ( triamcinolone acetonide )—so you can buy them and try them on your own. Intranasal steroids are more effective than oral antihistamines and should be first line treatment here. Onset of action is a few hours but they may take a few days to get rid of your cough. If it works for you, continue therapy for 3 months. For comparisons of the nasal sprays see my previous blog .
editor's note: The addition of nebulized ipratropium in the emergency department to the usual regimen of corticosteroids and albuterol also has been shown to reduce hospitalization rates in children. Some studies have demonstrated even shorter durations of treatment in the emergency department and fewer albuterol doses needed. Evidence for adding ipratropium to the treatment regimen for acute asthma exacerbations in patients of all ages is mounting. However, the value of ipratropium in the admission rates of patients with less severe asthma symptoms is not as clear.-.