Allergic Rhinitis (cont.)
IN THIS ARTICLE
Medicines are a key part of treatment for allergic rhinitis.
Treatment for allergic rhinitis usually starts with over-the-counter medicines, such as:
If over-the-counter medicines don't work or if they cause bothersome side effects such as drowsiness, your doctor may prescribe stronger antihistamines, decongestants, or eyedrops. Or your doctor may prescribe nasal corticosteroid sprays, which you may use with antihistamines. These sprays may reduce all symptoms of allergic rhinitis. They work well for most people. They start working quickly, but it may be several weeks before you get the full effect.
Your doctor may suggest other medicines if these don't work or in special cases, such as if you are pregnant. Other medicines include:
Some doctors may prescribe omalizumab (Xolair) for allergic rhinitis. This is called an unlabeled use, because the medicine has only been approved by the U.S. Food and Drug Administration (FDA) to treat allergic asthma. Studies have shown that it works well to reduce nasal symptoms of allergic rhinitis, such as sneezing and an itchy, runny, or stuffy nose.1. But it's not known if omalizumab works as well as nasal steroids. It is very expensive, and you have to get the injection from your doctor.
Use medicine safely
Some people begin using over-the-counter medicines for allergic rhinitis before they see their doctors. These medicines can work well. But people who have other medical problems, older adults, children, women who are pregnant or breast-feeding, and people who have more than occasional mild symptoms should see a doctor before starting self-treatment. For example:
What to think about
You may want to think about using different medicines at different times of the day. For example, during the day it may be important to avoid the drowsiness that some antihistamines cause. But if you are at home in the evening and this side effect is not a concern, you can think about using a low-cost, over-the-counter antihistamine. You may also try a combination of medicines to relieve all of your symptoms. Talk with your doctor about which symptoms are most important for you to treat and which medicines may work best for you.
If you don't take your medicine, your symptoms may come back or get worse. When you give medicine to children, explain to them why they are taking medicine and how it can help them. Also tell them what side effects may occur.
You may use medicine daily for quick relief of symptoms that occur suddenly or are getting worse. Or you may use it in advance if you know you may breathe an allergen. For example, if you have severe pollen allergies, your doctor may suggest that you start using a corticosteroid spray 1 to 2 weeks before the pollen season starts.
eMedicineHealth Medical Reference from Healthwise
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