Rules and clinical review queue
Version 0.1.0 · Sources checked 2026-09-05 · No rules approved for public use.
Review exact escalation urgency, overlapping patterns, drug interaction coverage, OTC versus off-label nonallergic treatment, and clinical usability. Experimental irrigation additives are excluded pending a separate review.
Escalation rules
Get emergency medical care now.emergency-complication
- Condition
- Any emergency red flag selected
- Action
- emergency; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Get urgent medical advice about the bleeding.bleeding-anticoagulant
- Condition
- Nosebleeds plus blood-thinner use
- Action
- today; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Evidence
This version cannot choose treatment for you.outside-scope
- Condition
- Under 18 / unknown age, pregnancy, breastfeeding, immunosuppression, postoperative care or outside US
- Action
- outside; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Contact a clinician today.severe-or-prolonged-fever
- Condition
- High fever at least four days, fever at least four days, or severe/rapidly worsening facial symptoms
- Action
- today; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Arrange medical evaluation promptly.double-worsening
- Condition
- Symptoms improved then became noticeably worse
- Action
- appointment; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Arrange an appointment for the persistent symptoms.persistent-acute-sinus
- Condition
- Nasal drainage plus obstruction/facial symptoms for at least 10 days without improvement
- Action
- appointment; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Get the ongoing symptoms checked.persistent-other-symptoms
- Condition
- Symptoms over 10 days without improvement and not clearly isolated allergy/dryness pattern
- Action
- appointment; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Evidence
Book an assessment for persistent nasal symptoms.twelve-week-review
- Condition
- Symptoms for 12 weeks or longer
- Action
- appointment; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Arrange a nose and sinus assessment.persistent-unilateral
- Condition
- One-sided symptoms lasting more than 10 days, several weeks or recurring
- Action
- appointment; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Contact a dentist or clinician.dental-pain
- Condition
- Significant dental pain accompanying nasal symptoms
- Action
- appointment; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Book a review of the recurring symptoms.recurrent-review
- Condition
- Symptoms keep returning without an evident allergy pattern
- Action
- appointment; review notice alongside conservative care
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Arrange a review of repeated nosebleeds.minor-nosebleeds
- Condition
- Nosebleeds selected without an emergency finding
- Action
- appointment; review notice alongside conservative care
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Evidence
Have the persistent smell change assessed.persistent-smell
- Condition
- Reduced smell with several weeks or recurring symptoms
- Action
- appointment; review notice alongside conservative care
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Ask a clinician before extending this medication trial.steroid-review-threshold
- Condition
- A nasal steroid used daily for 7+ days with no improvement or with worsening
- Action
- appointment; stop medicine ladder
- Evidence
- Safety guidance
- Review status
- needs clinical review
- Checked
- 2026-09-05
Earlier framework rules, retained for review
The original complete-input treatment ladder is retained for regression review. The current live explorer does not display its diagnostic-pattern headings or treatment sequence. It uses symptom and label matches, known contraindication checks, and the escalation rules above. Legal classification remains unresolved; read the review boundaries.
Your spray may be contributing to the blockagerebound
Current topical decongestant use beyond 3 days
Needs clinical review. Overlapping matches are displayed; no disease probability is calculated.
Irritation needs attention firstdryness
Dry/burning nose or minor nosebleeds
Needs clinical review. Overlapping matches are displayed; no disease probability is calculated.
Your answers fit an allergy patternallergy
Itching/eye symptoms or sneezing with environmental allergy trigger, without reported fever
Needs clinical review. Overlapping matches are displayed; no disease probability is calculated.
This resembles a recent viral illnessviral
Recent cold, duration up to 10 days, no double worsening
Needs clinical review. Overlapping matches are displayed; no disease probability is calculated.
Evidence
Irritant-triggered rhinitis is one possibilitynonallergic
Irritant/weather trigger with nasal symptoms, little itching/eye symptoms and no fever
Needs clinical review. Overlapping matches are displayed; no disease probability is calculated.
Treatment eligibility and previous trials
Each treatment record holds its risk exclusions, sources, time expectations and review status. The engine also prevents overlapping medicine classes, holds new medicines when a combination’s ingredients are unknown, and respects topical decongestant and nasal-steroid review limits.
| Treatment | Review state | Medical reviewer |
|---|---|---|
| Sodium chloride saline | needs clinical review | Not yet reviewed |
| Saline solution for nasal irrigation | needs clinical review | Not yet reviewed |
| Fluticasone propionate | needs clinical review | Not yet reviewed |
| Triamcinolone acetonide | needs clinical review | Not yet reviewed |
| Budesonide | needs clinical review | Not yet reviewed |
| Azelastine hydrochloride | needs clinical review | Not yet reviewed |
| Cetirizine hydrochloride | needs clinical review | Not yet reviewed |
| Loratadine | needs clinical review | Not yet reviewed |
| Fexofenadine hydrochloride | needs clinical review | Not yet reviewed |
| Diphenhydramine hydrochloride | needs clinical review | Not yet reviewed |
| Oxymetazoline hydrochloride | needs clinical review | Not yet reviewed |
| Pseudoephedrine hydrochloride | needs clinical review | Not yet reviewed |
| Phenylephrine, taken by mouth | needs clinical review | Not yet reviewed |
| Phenylephrine hydrochloride, nasal | needs clinical review | Not yet reviewed |
| Acetaminophen (also called APAP) | needs clinical review | Not yet reviewed |
| Ibuprofen | needs clinical review | Not yet reviewed |
Current limitations
- The NICE emergency criteria were checked through indexed official text; direct retrieval was restricted. Confirm the source and consumer wording in clinical review.
- The pattern rules are explicit heuristics, not a validated diagnostic instrument.
- V1 uses a conservative pharmacist check for prescriptions and important comorbidities. It does not model every interaction.
- No experimental irrigation additives, dosing calculators, antibiotic selection or medication withdrawal protocols.
- Changes affecting clinical behavior need appropriate regression checks and current source verification before release.