Reducing allergy symptoms is the goal of treatment, and the best way to do this is to avoid exposure to allergens. Complete avoidance of environmental allergens may be impossible, but exposure may be minimized in many cases.
In allopathy, drug therapies (such as antihistamines, decongestants, and nasal corticosteroid sprays) are used to control mild to moderate symptoms. Medication is recommended based on the type of allergic rhinitis. Perennial allergic rhinitis may require daily medication, and if you have seasonal allergic rhinitis (hay fever), you may be advised to start medication a few weeks before the pollen season.
- Anti-inflammatory agents : To prevent severe allergic rhinitis; examples include nasal corticosteroid (steroid) sprays, leukotriene antagonists (namely, zafirlukast and montelukast), and nasal cromolyn.
- Antihistamines : To relieve sneezing and itching; may prevent nasal congestion before an allergic attack; available by prescription or over-the-counter.
- Decongestants :tablets and sprays will help relieve a stuffy, blocked nose with catarrh, but can cause rebound blocking and should be used for short periods only.
- Oral decongestants : commonly contain the active ingredient pseudoephedrine; side effects, such as nervousness, drowsiness, blood pressure changes, are more likely with oral than nasal decongestants.
- Nasal decongestants : applied directly into the nasal passages with a spray, gel, drops, or vapor; available as long-lasting (6 to 12 hours) or short acting; work faster than oral decongestants and with fewer side effects. With extended use, nasal decongestants can cause the nasal passages to swell, and this can begin a cycle of dependency.
- Desensitization immunotherapy, when available, might be considered in severe house dust mite allergic rhinitis. However, it is less effective than grass pollen desensitization.
Be aware that over-the-counter nasal sprays and drops may be addictive and should be used sparingly. Medications containing.