Allergic Rhinitis

Prim Care. 2023 Jun;50(2):159-178. doi: 10.1016/j.pop.2023.01.003. Epub 2023 Mar 8.

Abstract

Allergic rhinitis is a common ailment in primary and acute care settings. Diagnosis is clinical, by means of history and physical examination. Referral to an allergist is considered when symptoms are difficult to manage and/or confirmation by means of further testing is desired. Management of allergic rhinitis should not be considered trivial, as multiple secondary effects can present as the course progresses. Several treatment modalities exist but should begin with glucocorticoid nasal sprays and systemic second- or third-generation antihistamines.

Keywords: Allergen; Allergic rhinitis; Antihistamine; Decongestant; Histamine; Immunotherapy; Intranasal corticosteroids; Seasonal allergies.

Publication types

  • Review

MeSH terms

  • Administration, Intranasal
  • Adrenal Cortex Hormones* / therapeutic use
  • Glucocorticoids / therapeutic use
  • Histamine Antagonists / therapeutic use
  • Humans
  • Rhinitis, Allergic* / diagnosis
  • Rhinitis, Allergic* / drug therapy

Substances

  • Adrenal Cortex Hormones
  • Histamine Antagonists
  • Glucocorticoids