Intranasal Steroid Use and Satisfaction in Allergic Rhinitis: A Cross-Sectional Study from an Asian Perspective

Abstract

<b><i>Background:</i></b> Intranasal steroid (INS) is the most effective medication class for controlling allergic rhinitis (AR) symptoms; however, its effectiveness is limited by patient compliance. Previous studies have explored INS use, compliance, satisfaction, and experience. There is, however, no Asian study on these factors in entirety. <b><i>Objective:</i></b> We aimed to investigate the rate of compliance to usage of INS and explore the reasons for noncompliance in our local population. <b><i>Methods:</i></b> We conducted a prospective cross-sectional study on 65 AR patients in a tertiary hospital. Recruited patients were administered a questionnaire to collect data about symptoms, INS use, and concerns they may have. Statistical analysis was performed using SPSS. <b><i>Results:</i></b> The overall compliance rate to INS was 63.1%. Noncompliance was associated with increased frequency of dosing (<i>p</i> = 0.050), presence of sensory attributes (<i>p</i> = 0.041), and forgetfulness (<i>p</i> = 0.049). The top 3 most frequent sensory attributes experienced by patients include throat rundown (29.2%), aftertaste (21.5%), and immediate taste (20.0%). There was a significant difference between brands of INS with regard to sensory attributes experienced (<i>p</i> = 0.003) but no side effects (<i>p</i> = 0.070). <b><i>Conclusions:</i></b> Identifying risk factors for noncompliance to INS can help health-care providers address difficulties faced by patients and hence increase compliance, allowing better control of AR symptoms.