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Sections Allergic Rhinitis
- Overview
- Presentation
- DDx
- Workup
- Treatment
- Guidelines
- Medication
- Medication Summary
- Second-generation antihistamines
- Leukotriene receptor antagonists
- First-generation antihistamines
- Decongestants
- Nasal corticosteroids
- Intranasal Corticosteroid and Antihistamine Combinations
- Antihistamines, Intranasal
- Mast Cell Stabilizers
- Intranasal anticholinergic agents
- Allergen Immunotherapy
- Systemic Corticosteroids
- Nasal Sprays
- Show All
- Follow-up
- Questions & Answers
- References
Further Outpatient Care
See the list below:
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Immunotherapy (desensitization) is a long-term process; noticeable improvement is often not observed for 6-12 months, and, if helpful, therapy should be continued for 3-5 years.
Deterrence/Prevention
See the list below:
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Patients should avoid factors that may cause or exacerbate allergic rhinitis (see Medical Care).
Complications
See the list below:
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Possible complications include otitis media, eustachian tube dysfunction, acute sinusitis, and chronic sinusitis. [4]
Patient Education
See the list below:
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Educate patients on environmental control measures, which involve both the avoidance of known allergens (substances to which the patient has IgE-mediated hypersensitivity) and the avoidance of nonspecific, or irritant, triggers (see Medical Care).
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For excellent patient education resources visit eMedicineHealth's Allergies Center. Also, see eMedicineHealth's patient education articles Hay Fever, Indoor Allergens, and Allergy Shots.
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Tables
Tiffany Jean, MD Assistant Clinical Professor, Division of Basic and Clinical Immunology, University of California Irvine Medical Center
Tiffany Jean, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American Academy of Pediatrics, American College of Allergy, Asthma and Immunology
Disclosure: Nothing to disclose.
Ahdad Ziyar, MD Fellow, Division of Basic and Clinical Immunology, University of California Irvine Medical Center
Ahdad Ziyar, MD is a member of the following medical societies: American Academy of Allergy, Asthma and Immunology, American College of Allergy, Asthma and Immunology, American College of Physicians
Disclosure: Nothing to disclose.
Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference
Disclosure: Received salary from Medscape for employment. for: Medscape.
Stephen C Dreskin, MD, PhD Professor of Medicine, Departments of Internal Medicine, Director of Allergy, Asthma, and Immunology Practice, University of Colorado Health Sciences Center
Stephen C Dreskin, MD, PhD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American Association for the Advancement of Science, American College of Allergy, Asthma and Immunology, Clinical Immunology Society, Joint Council of Allergy, Asthma and Immunology, American Association of Immunologists
Disclosure: Received consulting fee from Genentech for consulting; Received grant support from NIH for research; Received consulting fee from Clinical Immunization and Safety Assessment (CISA) Network (administered by Vanderbilt University) for consulting; Received consulting fee from o Member, Medical Expert Panel, Division of Vaccine Injury Compensation (DVIC), Department of Health and Human Services. for med legal reviews; Received consulting fee from o Member, Medical Expert Panel, Vaccine Review, Pfize.
Michael A Kaliner, MD Clinical Professor of Medicine, George Washington University School of Medicine; Medical Director, Institute for Asthma and Allergy
Michael A Kaliner, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American Association of Immunologists, American College of Allergy, Asthma and Immunology, American Society for Clinical Investigation, American Thoracic Society, Association of American Physicians
Disclosure: Nothing to disclose.
Javed Sheikh, MD Assistant Professor of Medicine, Harvard Medical School; Clinical Director, Division of Allergy and Inflammation, Clinical Director, Center for Eosinophilic Disorders, Beth Israel Deaconess Medical Center
Javed Sheikh, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American College of Allergy, Asthma and Immunology
Disclosure: Received grant/research funds from Genentech for other.
William F Schoenwetter, MD Consultant in Allergic Diseases, Brainerd Medical Center, Brainerd, Minnesota
William F Schoenwetter, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American College of Allergy, Asthma and Immunology, American College of Physicians, American Medical Association, Joint Council of Allergy, Asthma and Immunology, Minnesota Medical Association
Disclosure: Nothing to disclose.
Umer Najib, MD Clinical Research Fellow, Department of Medicine, Division of Allergy and Inflammation, Beth Israel Deaconess Medical Center
Disclosure: Nothing to disclose.
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Sections Allergic Rhinitis
- Overview
- Presentation
- DDx
- Workup
- Treatment
- Guidelines
- Medication
- Medication Summary
- Second-generation antihistamines
- Leukotriene receptor antagonists
- First-generation antihistamines
- Decongestants
- Nasal corticosteroids
- Intranasal Corticosteroid and Antihistamine Combinations
- Antihistamines, Intranasal
- Mast Cell Stabilizers
- Intranasal anticholinergic agents
- Allergen Immunotherapy
- Systemic Corticosteroids
- Nasal Sprays
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- Follow-up
- Questions & Answers
- References
