Norhafiza Abdullah
To assess medication compliance for patients with concomitant medical problems who have allergic rhinitis (AR) and are using intranasal corticosteroid spray (INCS). Methods: There was a cross-sectional study done. Adults over the age of 18 who also had concomitant asthma, eczema, diabetes mellitus (DM), hypertension (HPT), and persistent AR symptoms were included in the study. Total nasal symptom score (TNSS) was used to gauge the severity of symptoms, patient diaries were used to gauge medication compliance, and the Brief Medication Questionnaire was used to examine adherence hurdles. Results: There were 185 registered participants. Adherence to medicine was 58.9%. Participants with elevated levels of total serum immunoglobulin E (IgE) (2=8.371, p 0.05), house dust mite (HDM) allergy to Dermatophagoides pteronyssinus (DP) type (2=5.149, p 0.05), and severe TNSS at baseline had significantly better medication adherence. the initial visit (p 0.05, 2=37.016). At the first visit, adhering was twice as likely in cases of DP allergy, 2.7 times more likely in cases of increased total IgE, and 15 times more likely in cases of severe TNSS. Lack of symptoms, taking medication only when necessary, worry about side effects, running out of medication, experiencing disagreeable effects, poor response, forgetfulness, and taking too many prescriptions were among the obstacles to adherence. The only other factors that mattered were the absence of symptoms, taking medicine when they appeared, worrying about side effects, and running out of medication. Asthma/eczema, HPT/DM, and multi-medication use did not significantly correlate with medication adherence (2=0.418, p>0.05, 2=0.759, p>0.05, and 2=1.027, p>0.05, respectively).
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