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Table 2 Treatment and Grade of Recommendation for Adults With ARS (Adapted From Fokkens et al)[3]

From: Indications, Efficacy, and Safety of Intranasal Corticosteriods in Rhinosinusitis

Therapy

Grade of Recommendation

Relevance

Oral antibiotic

A

After 5 d or severe cases

Topical corticosteroid

A

Evidence based

Topical corticosteroid plus oral antibiotic

A

Evidence based

Oral corticosteroid

A

For pain reduction in severe disease

Oral antihistamine

B

Only in allergic patients

Decongestants

D

As symptomatic relief

Mucolytics, douche phytotherapy

D

No role