Reference no: EM133395285

Assessment/Plan: The patient is a 16 old male w/ a PMH [previous medical history] significant for allergies, who presents with chronic upper respiratory symptoms consistent with allergic rhinitis.

The patient was started on beclomethasone and instructed to use two sprays in each nostril every 12 hours. He is to continue the guaifenesin/phenylephrine, the same dose you have prescribed, as needed, and he is to receive regular allergy injections.

We will begin with injections twice a week as long as he can tolerate this, namely without his arms getting sore or developing any other clinical symptoms of congestion from the shots. If he can't continue, we will have to drop him back to once a week. These injections should be given for a year and then tapered down slowly to reach once a month for 3 years, if possible.

Thank you for referring this patient. Vaccines will be sent to your office as well as the copies of other records on this patient.

Jerry Perlmutter, M.D.

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