What is the recommended management for allergic rhinitis?

The recommended management for allergic rhinitis focuses on the combination of antihistamines and nasal corticosteroids. This approach is supported by clinical guidelines because antihistamines effectively alleviate symptoms such as sneezing, itching, and runny nose by blocking the action of histamine, which is released during an allergic reaction. Nasal corticosteroids, on the other hand, significantly reduce inflammation in the nasal passages, addressing the underlying cause of nasal congestion and other symptoms more effectively.

Using both antihistamines and nasal corticosteroids allows for a comprehensive management strategy. Antihistamines can provide rapid relief from acute symptoms, while nasal corticosteroids can offer longer-term control by reducing inflammation and preventing symptom recurrence. This combination therapy has been shown to improve overall quality of life for patients suffering from allergic rhinitis.

In contrast, relying solely on oral decongestants may not address all the symptoms effectively and can lead to potential side effects, whereas topical anesthetics are not a standard treatment for allergic rhinitis, as they primarily relieve pain rather than allergic symptoms. Immediate immunotherapy, although beneficial for long-term management, is usually considered when other treatments have failed or if the allergies are severe, rather than as a first-line treatment.