Among the key frustrations is a lack of understanding about exactly what this condition represents (i.e. Is there really a causal relationship to some form of infection? is it immune-mediated? Allergic?...). Since it is a diagnosis of exclusion, there is also always a bit of doubt about whether or not I may have missed a primary nasal diseas.
The use of inhaled medications is certainly not a new phenomenon in feline medicine. It makes intuitive sense that local delivery of medication might result in different actions than systemic administration. There are two primary methods for delivering inhaled medications to cats: 1) use of metered dose inhalers (MDI) or 2) use of a nebulizer to aerosolize liquid medications.