A 27-year-old female is seen for a follow-up of allergic rhinitis and asthma. She is on immunotherapy (for grasses, trees, weeds, cat, dust mite), started one year ago. Currently she reports symptoms of asthma 2 times per week which are partially relieved by a rescue inhaler use. She has had no night time symptoms and no emergency room visits in the past year. She reports symptoms of allergic rhinitis, although since she started immunotherapy, the symptoms are mostly seasonal, limited to runny nose in the fall. She has been trying to become pregnant for the last 2 months and wants to know if any medication changes may be needed.
Medications Brompheniramine, dextromethorphan, and pseudoephedrine b.i.d. for three days around the time of each allergy shot. She receives the immunotherapy every week. Fluticasone, nasal spray. She also takes a prenatal multivitamin daily and she stopped using…
