Updates in the Management of Seasonal Allergic Rhinitis

G. Blair Sarbacker, PharmD, BCACP


US Pharmacist. 2016;41(7):30-34. 

In This Article


Given the recent updates to guidelines and the availability of OTC medications in most of the pharmaceutical classes, pharmacists are uniquely positioned to positively impact the management of seasonal allergic rhinitis. The two main classes to recommend are intranasal corticosteroids and oral antihistamines, followed by intranasal antihistamines. Proper classification of allergic rhinitis is important in determining the most appropriate choice of medication. Patients with moderate-to-severe seasonal allergic rhinitis and those with congestion as the predominant symptom will obtain the most benefit from intranasal corticosteroids. Patients with mild seasonal allergic rhinitis and those with itching and sneezing as predominant symptoms should use oral antihistamines. Combination therapy for poorly controlled seasonal allergic rhinitis can be complicated, but proper guidance by a pharmacist can help relieve the discomfort caused by this condition.