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Wednesday, December 2, 2009
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Allergic rhinitis

Allergic rhinitis
Allergic rhinitis
Allergy symptoms
Allergy symptoms
Recognizing invader
Recognizing invader
Alternative Names

Hay fever; Nasal allergies


Treatment

The best treatment is to avoid what causes your allergic symptoms in the first place. It may be impossible to completely avoid all your triggers, but you can often take steps to reduce exposure.

There are many different medications available to treat allergic rhinitis. Which one your doctor prescribes depends on the type and severity of your symptoms, your age, and whether you have other medical conditions (such as asthma).

For mild allergic rhinitis, a nasal wash can be helpful for removing mucus from the nose. You can purchase a saline solution at a drug store or make one at home using one cup of warm water, half a teaspoon of salt, and pinch of baking soda.

Treatments for allergic rhinitis include:

ANTIHISTAMINES

Antihistamines work well for treating allergy symptoms, especially when symptoms do not happen very often or do not last very long.

  • Antihistamines taken by mouth can relieve mild to moderate symptoms, but can cause sleepiness. Many may be bought without a prescription. Talk to your doctor before giving these medicines to a child, as they may affect learning.
  • Newer antihistamines cause little or no sleepiness. Some are available over the counter. They usually do not interfere with learning. These medications include fexofenadine (Allegra), and cetirizine (Zyrtec).
  • Azelastine (Astelin) is a antihistamine nasal spray that is used to treat allergic rhinitis.

CORTICOSTEROIDS

  • Nasal corticosteroid sprays are the most effective treatment for allergic rhinitis.
  • They work best when used nonstop, but they can also be helpful when used for shorter periods of time.
  • Many brands are available. They are safe for children and adults.

DECONGESTANTS

  • Decongestants may also be helpful in reducing symptoms such as nasal congestion.
  • Nasal spray decongestants should not be used for more than 3 days.
  • Be careful when using over-the-counter saline nasal sprays that contain benzalkonium chloride. These may actually worsen symptoms and cause infection.
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Review Date: 07/21/2009
Reviewed By: A.D.A.M. Editorial Team: David Zieve, MD, MHA, Greg Juhn, MTPW, David R. Eltz. Previously reviewed by Stuart I. Henochowicz, MD, FACP, Associate Clinical Professor of Medicine, Division of Allergy, Immunology, and Rheumatology, Georgetown University Medical School (5/25/2009).

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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