nsAH |
   ↓ If symptoms persist after 2 weeks: |
nsAH updosing (up to 4 times) |
   ↓ If symptoms persist after 1-4 weeks: |
Add leukotriene antagonist or change nsAH |
Exacerbation: systemic steroids (for 3-7 days) |
   ↓ If symptoms persist after 1-4 weeks: |
Add cyclosporine A, H2 antihistamine,a dapsone, omalizumab |
Exacerbation: systemic steroids (for 3-7 days) |