Survey: NSAID-Exacerbated Respiratory Disease/MontinaBL-26-27MCI Registration NumberFULL NAME (As in your Pancard)EmailPhone/MobileCityStateSpecialityBank DetailsAccount Holder NameA/c NumberIFSC CodeUpload Cancelled Cheque (Max Size - 2 MB)Choose File Pancard NumberUpload Pancard Details (Max Size - 2 MB)Choose File Clinical Insight Mapping: “NSAID-Exacerbated Respiratory Disease: Rethinking Airway Control Through Real-World Insights & Evolving Interventions”1. How frequently do you encounter patients suggestive of NSAID-exacerbated respiratory disease (N-ERD)? Frequently (More than 50% of moderate–severe airway cases) Occasionally (20–50%) Rarely (Less than 20%) Not routinely identified2. Which patient profile most raises suspicion of N-ERD in your practice? Asthma with recurrent nasal polyps Chronic rhinitis with sinusitis Uncontrolled asthma despite therapy Recurrent nasal blockage with smell loss3. What is the most common reason for underdiagnosis of N-ERD? Lack of detailed history Symptom overlap with AR/asthma Mild or delayed reactions Low clinical suspicion4. What do you consider the primary driver of symptoms in N-ERD? Leukotriene-mediated inflammation Histamine-driven allergy Structural sinus disease Mixed mechanisms5. What is your "Step 1" pharmacological intervention once NERD is confirmed? High-dose Inhaled Corticosteroids (ICS) Leukotriene Receptor Antagonists (LTRA) Systemic Biologics6. For patients with aggressive nasal polyps, do you prefer oral LTRAs over intranasal steroid sprays? Yes, systemic control is necessary for NERD No, topical steroids remain the foundation I always use both in combination7. How do you manage the "Histamine Surge" during a NERD flare-up or post-NSAID accidental exposure? High-potency antihistamines (e.g., Bilastine) Oral corticosteroids only Short-acting beta-agonists (SABA)8. How do you rate the synergy of Montelukast and Bilastine for NERD patients? High - Addresses both the leukotriene shunt and histamine-mediated inflammation Moderate - Useful for symptomatic relief but not disease-modifying Low - Prefer using each agent separately as needed9. Why would you choose Bilastine over older antihistamines for a NERD patient on a multi-drug regimen? Superior safety profile/no hepatic metabolism (p450) Faster onset of action for acute nasal symptoms Better control of ocular symptoms during exercise All of the above10. What is the primary reason for treatment failure in your NERD patients? Accidental NSAID exposure Poor adherence to daily oral therapy Recurrent infection/Biofilm in polyps11. Do you believe Biologics will eventually replace Aspirin Desensitization as the "Gold Standard" for NERD? Yes, they are more convenient and safer No, Desensitization offers a unique metabolic "reset" They will likely be used as co-therapies12. What is your primary metric for "Successful Control" in NERD? Restoration of the sense of smell (Anosmia reversal) Zero emergency room visits for asthma Avoidance of repeat sinus surgeries for more than 3 year I have read and agree to the Terms and Conditions .Submit Form