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After 6 months of daily use, patients should consult their primary care provider about continued use. Many patients will consult their pharmacists regarding management strategies to alleviate their bothersome symptoms. With the availability of intranasal corticosteroids without a prescription, patients now have greater access to agents that will effectively control their symptoms with proper use. AR differs from the common cold or other illnesses in that it is caused by an allergen and not by a virus or infection.
Common allergens include dust mites, animal dander, mold, and tree, grass, and weed pollens. One way to treat symptoms of AR is to avoid what causes them. Ventilation systems and frequent thorough household cleanings may help reduce indoor allergens. For outdoor allergens, try to stay indoors during periods of poor air quality. Nasal Irrigation: Rinsing out the nasal passages with saline nasal irrigations or sprays can help clear out allergens and mucus from the nose and reduce drainage to the back of the throat.
This is very safe when done correctly and can be performed once or twice daily, as needed. Intranasal Corticosteroids: These drugs are administered directly into the nose by spray and work to reduce inflammation and discomfort. Symptom improvement can be seen almost immediately, though maximal efficacy can take a few days.
Discontinue use and call your doctor if symptoms do not improve within 7 days, or if new symptoms occur. Side effects are minimal and include dry nose and unpleasant smell or taste. Ask your pharmacist about the proper technique to administer intranasal medications. Antihistamines: These products help reduce the symptoms of runny nose, itchy eyes, and itchy throat, but will not help nasal congestion. They are taken orally either once or twice daily. These products can be taken every day during allergy seasons, or as needed.
Use a nondrowsy product like Allegra fexofenadine , Claritin loratadine , or Zyrtec cetirizine. Side effects are mild but may include dry mouth and constipation. Do not take this medication without consulting a doctor or pharmacist if you are over 65 years old, have glaucoma, difficulty urinating, prostate enlargement, thyroid disorders, or other medical conditions. Decongestants: Nasal and oral decongestants can alleviate congestion or stuffiness associated with AR and may work best when combined with an intranasal corticosteroid or antihistamine.
Nasal decongestants, such as Afrin oxymetazoline , should not be used for more than 3 days due to the risk of rebound congestion. Oral decongestants, such as Sudafed pseudoephedrine , can be taken throughout the day. However, side effects include increased heart rate, nervousness, and insomnia, so they are best taken in the morning.
These drugs should not be used if you have uncontrolled hypertension, heart disease, closed-angle glaucoma, or hyperthyroidism, or are on certain medications. Clinical practice guideline: allergic rhinitis. Otolaryngol Head Neck Surg. Carr WW. Pediatric allergic rhinitis: current and future state of the art.
Allergy Asthma Proc. Current and future directions in pediatric allergic rhinitis. J Allergy Clin Immunol Pract. Allergic rhinitis substantially impacts patient quality of life: findings from the Nasal Allergy Survey Assessing Limitations. J Fam Pract. Bhattacharyya N. Incremental healthcare utilization and expenditures for allergic rhinitis in the United States.
The economic impact of allergic rhinitis and current guidelines for treatment. Ann Allergy Asthma Immunol. Agency for Healthcare Research and Quality. Treatments for seasonal allergic rhinitis. March Accessed May 19, Skoner DP. Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis.
J Allergy Clin Immunol. The diagnosis and management of rhinitis: an updated practice parameter. Small P, Kim H. Steroid nasal sprays. OK Cancel. Where to Buy. Select Location and Language:. Canada EN. Canada FR. Czech Republic. New Zealand. United States. Search Submit.
Relieves nasal congestion. Relieves itchy nose, runny nose, and sneezing. Available without a prescription. Available OTC. Generic version available. Please see specific products for full labelling information. Use only as directed. Speak to your doctor or pharmacist about the best way to treat your symptoms. Sources: i. Follow Us.
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