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https://cfpclearn.ca/podcast/bs-medicine-episode-514-antihistamines-for-allergic-rhinosinusitis-achoosing-the-right-treatment/ 

In episode 514, James and Mike invite Betsy Thomas to the podcast for the first time. We look at a very common condition that many of us have at some point in our lives – allergic rhinosinusitis. We go over the best available evidence for the oral antihistamines and try to figure out which one is the “best”. In addition, we look at the evidence for intranasal corticosteroids and they are likely more effective than oral antihistamines.