Medicines are a key part of treatment for allergic rhinitis.
allergic rhinitis usually starts with
over-the-counter medicines, such as:
over-the-counter medicines don't work or if they cause bothersome side effects such as
drowsiness, your doctor may prescribe stronger antihistamines, decongestants, or eyedrops. Or your doctor may prescribe nasal
corticosteroid sprays, which you may use with
antihistamines. These sprays may reduce all symptoms of allergic rhinitis. They
work well for most people. They start working
quickly, but it may be several weeks before you get the full effect.
Your doctor may suggest other medicines if these don't
work or in special cases, such as if you are pregnant. Other medicines include:
Some doctors may prescribe omalizumab (Xolair) for allergic rhinitis. This is called an unlabeled use, because the medicine has only been approved by the U.S. Food and Drug
Administration (FDA) to treat allergic asthma. Studies have shown that it works well
to reduce nasal symptoms of allergic rhinitis, such as sneezing and an itchy,
runny, or stuffy nose.1
But it's not known if omalizumab works as well as nasal steroids. It is
very expensive, and you have to get the injection from your doctor.
Use medicine safely
Some people begin using
over-the-counter medicines for allergic rhinitis
before they see their doctors. These medicines can work well. But people who have
other medical problems, older adults, children, women who are pregnant or
breast-feeding, and people who have more than occasional mild symptoms should see a
doctor before starting self-treatment. For example:
- If you are pregnant, talk with your doctor about which allergy medicines are safe when pregnant. Some medicines might be better for you and your baby than
others. If possible, don't use medicine for
at least the first 3 months of your pregnancy.
- When you treat children with medicine, know that it may be more difficult
than treating adults because of the possible side effects. Some medicines also
may not be approved for treating children. Be especially careful with antihistamines and decongestants. They may not be safe for young children, so check the label first. If you do give these medicines to a child, always follow the directions about how much to give based on the child's age and weight.
What to think about
You may want to think about
using different medicines at different times of the day. For example, during
the day it may be important to avoid the drowsiness that some antihistamines
cause. But if you are at home in the evening and this side effect is not a
concern, you can think about using a low-cost, over-the-counter antihistamine.
You may also try a combination of medicines to relieve all of your symptoms.
Talk with your doctor about which symptoms are most important for you to treat
and which medicines may work best for you.
If you don't take your
medicine, your symptoms may come back or get worse. When you give medicine to children, explain
to them why they are taking medicine and how it can help them. Also tell them what side effects may occur.
You may use medicine daily for quick
relief of symptoms that occur suddenly or are getting worse. Or you may use it
in advance if you know you may breathe an allergen. For example, if you have
severe pollen allergies, your doctor may suggest that you start using a
corticosteroid spray 1 to 2 weeks before the pollen season starts.