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In addition it also has mast-cell stabilizing and anti-inflammatory properties, reducing the concentration of leukotrienes, kinins and platelet activating factor in vitro and in vivo, as well as inflammatory cell migration in rhinitis patients. Well-controlled studies in patients with seasonal allergic rhinitis SAR, perennial rhinitis PR or vasomotor rhinitis VMR confirm that azelastine nasal spray has a rapid onset of action, and improves nasal symptoms associated with rhinitis such as nasal congestion and post-nasal drip.

   
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One such recommendation is to supplement with calcium and vitamin D, to reduce the risk of developing steroid-induced osteoporosis. Another suggested supplement is folic acid, in order to counteract deficiencies caused by methotrexate treatment.

   
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Ruth (taken for 1 to 4 years) 19.01.2019

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