oa Current Allergy & Clinical Immunology - Treatment of allergic rhinitis : review article

Volume 26, Issue 1
  • ISSN : 1609-3607



Allergic rhinitis (AR) is a symptomatic disorder of the nose, induced after allergen exposure, by an IgE-mediated inflammation of the nasal membranes. The symptoms of AR include rhinorrhoea, nasal congestion or blockage, nasal itching, sneezing and postnasal drip. Treatment of patients with AR includes patient education, allergen avoidance, pharmacotherapy and immunotherapy. Allergen avoidance may lessen the severity of disease but is seldom sufficient as a single intervention to control rhinitis. Drugs that can be used for the treatment of allergic rhinitis include intranasal corticosteroids, antihistamines, leukotriene receptor antagonists, cromones, anticholinergics and decongestants. Intranasal corticosteroids are the preferred form of pharmacotherapy for AR, being effective against all the symptoms of AR, with a low incidence of adverse effects. Antihistamines are most effective against rhinorrhoea, sneezing and nasal itching. Allergen specific immunotherapy is the only curative treatment for AR.

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