Nonallergic Rhinitis: Treatment

Immunol Allergy Clin North Am. 2016 May;36(2):305-19. doi: 10.1016/j.iac.2015.12.007. Epub 2016 Feb 26.

Abstract

Chronic nonallergic rhinitis (NAR) is a syndrome rather than a specific disease. A lack of understanding of the pathogenesis of this condition has led to imprecise terminology with several alternate names for the condition, including vasomotor rhinitis, nonallergic rhinopathy, and idiopathic rhinitis. The therapy for NAR is best based on the underlying pathology, which typically exists in a form whereby an abnormality of the autonomic nervous system is dominant or a form in which inflammation seems to be the cause of symptoms. In general the most effective therapy is the combination of an intranasal antihistamine and an intranasal corticosteroid.

Keywords: Idiopathic rhinitis; Nonallergic rhinitis; Nonallergic rhinopathy; Noninfectious nonallergic rhinitis; Vasomotor rhinitis.

Publication types

  • Review

MeSH terms

  • Administration, Intranasal
  • Adrenal Cortex Hormones / therapeutic use
  • Autonomic Nervous System / pathology
  • Humans
  • Hypersensitivity
  • Rhinitis / pathology
  • Rhinitis / therapy*

Substances

  • Adrenal Cortex Hormones