Background: 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.
Objective: We aimed to investigate the rate of compliance to usage of INS and explore the reasons for noncompliance in our local populati on.
Methods: 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.
Results: The overall compliance rate to INS was 63.1%. Noncompliance was associated with increased frequency of dosing (
p = 0.050), presence of sensory attributes (
p = 0.041), and forgetfulness (
p = 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 (
p = 0.003) but no side effects (
p = 0.070).
Conclusions: Identifying risk factors for noncompliance to INS can help health-care providers address difficulties faced by patients and hence i ncrease compliance, allowing better control of AR symptoms.
ORL
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