We describe a concurrent case of refractory NP and BRP in a 67 year-old female successfully controlled with cervical musculoskeletal disease management. Skin lesions in this patient cleared using our newly standardized multimodal therapy program for NP and BRP utilizing a customized clearing and maintenance phase schedule directed at cervical spinal and disc disease at C4-C6. The main components of this program utilized in office and at-home TENS and EMS, cervical acupuncture, phototherapy with Narrow band ultraviolet B (NB UVB) for generalized pruritus control, physical therapy referral, and consultation with Rheumatology and Pain Management. Patient was doing very well dermatologically at a 3 year follow up with complete resolution of symptoms and remission of skin findings. She recently notified us of a new diagnosis of systemic lymphoma.
Though they each try to get your symptoms under control, they do it by different mechanisms which when taken altogether, can work even better than by itself.
So, using the table below, a patient can generally take one medication from each column at the same time (but not more than one medication contained within a column unless directed by your doctor). For example (highlighted in BOLD ), a patient can choose to take allegra, nasonex, singulair, patanase, nasalcrom, and saline flushes all at the same time.
Steroid Nasal Spray
Anti-Histamine Nasal Spray
Cromolyn Nasal Spray
One study showed more than a 600% increased risk of blood clots for women taking COCPs with drospirenone compared with non-users, compared with 360% higher for women taking birth control pills containing levonorgestrel.  The . Food and Drug Administration (FDA) initiated studies evaluating the health of more than 800,000 women taking COCPs and found that the risk of VTE was 93% higher for women who had been taking drospirenone COCPs for 3 months or less and 290% higher for women taking drospirenone COCPs for 7–12 months, compared with women taking other types of oral contraceptives.