How is allergic rhinitis treated?

Updated: Jul 26, 2021
  • Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

The three basic approaches to the treatment of allergies are (1) avoidance, (2) pharmacotherapy, and (3) immunotherapy. Treatment should start with avoidance of allergens and with environmental controls. In almost all cases, however, some pharmacotherapy is needed because the patient is either unwilling or unable to avoid allergens and to control the occasional exacerbations of symptoms. For patients with a severe allergy that is not responsive to environmental controls and pharmacotherapy or for those who do not wish to use medication for a lifetime, immunotherapy may be offered.

An international study by Van Bulck et al found the following prevalences of factors behind uncontrolled allergic rhinitis: disease-related factors (64%), treatment-related factors (56%), patient-related factors (54%), and diagnosis-related factors (47%). It was also determined that in 76% of these patients, uncontrolled allergic rhinitis existed for two or more reasons. [8]


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