Allergic rhinitis
- Allergen avoidance when practical
- Intranasal corticosteroid = most effective drug
- 2nd-gen oral/intranasal antihistamine for symptoms
- Saline irrigation is useful adjunct
- Decongestants only short-term
- Immunotherapy for persistent selected disease
- Avoid chronic sedating 1st-gen antihistamines
Use at a glance
- Allergen avoidance when practical
Treatment options
- Intranasal corticosteroid = most effective drug
- 2nd-gen oral/intranasal antihistamine for symptoms
- Saline irrigation is useful adjunct
- Decongestants only short-term
Choosing treatment
- Immunotherapy for persistent selected disease
Safety / pitfalls
- Avoid chronic sedating 1st-gen antihistamines
Self-check
- Which antihistamines should be avoided chronically for allergic rhinitis?
Chronic sedating 1st-gen antihistamines. - What is the most effective drug for allergic rhinitis?
Intranasal corticosteroid.
Drugs used for this (16)
All clinical uses · Open Allergic rhinitis in the interactive console ↗