ARIA pharmacy 2018 “Allergic rhinitis care pathways for community pharmacy”
Authors: Bosnic‐Anticevich Sinthia , Costa Elisio , Menditto Enrica , Lourenço Olga , Novellino Ettore , Bialek Slawomir , Briedis Vitalis , Buonaiuto Roland , Chrystyn Henry , Cvetkovski Biljana , Di Capua Stefania , Kritikos Vicky , Mair Alpana , Orlando Valentina , Paulino Ema , Salimäki Johanna , Söderlund Rojin , Tan Rachel , Williams Dennis M. , Wroczynski Piotr , Agache Ioana , Ansotegui Ignacio J. , Anto Josep M. , Bedbrook Anna , Bachert Claus , Bewick Mike , Bindslev‐Jensen Carsten , Brozek Jan L. , Canonica Giorgio Walter , Cardona Victoria , Carr Warner , Casale Thomas B. , Chavannes Niels H. , Correia de Sousa Jaime , Cruz Alvaro A. , Czarlewski Wienczyslawa , De Carlo Giuseppe , Demoly Pascal , Devillier Philippe , Dykewicz Mark S. , Gaga Mina , El‐Gamal Yehia , Fonseca João , Fokkens Wytske J. , Guzmán Maria Antonieta , Haahtela Tari , Hellings Peter W. , Illario Maddalena , Ivancevich Juan Carlos , Just Jocelyne , Kaidashev Igor , Khaitov Musa , Khaltaev Nikolai , Keil Thomas , Klimek Ludger , Kowalski Marek L. , Kuna Piotr , Kvedariene Violeta , Larenas‐Linnemann Désirée E. , Laune Daniel , Le Lan T. T. , Lodrup Carlsen Karin C. , Mahboub Bassam , Maier Dieter , Malva Joao , Manning Patrick J. , Morais‐Almeida Mário , Mösges Ralph , Mullol Joaquim , Münter Lars , Murray Ruth , Naclerio Robert , Namazova‐Baranova Leyla , Nekam Kristof , Nyembue Tshipukane Dieudonné , Okubo Kimi , O'Hehir Robyn E. , Ohta Ken , Okamoto Yoshitaka , Onorato Gabrielle L. , Palkonen Susanna , Panzner Petr , Papadopoulos Nikolaos G. , Park Hae‐Sim , Pawankar Ruby , Pfaar Oliver , Phillips Jim , Plavec Davor , Popov Todor A. , Potter Paul C. , Prokopakis Emmanuel P. , Roller‐Wirnsberger Regina E. , Rottem Menachem , Ryan Dermot , Samolinski Bolesław , Sanchez‐Borges Mario , Schunemann Holger J. , Sheikh Aziz , Sisul Juan Carlos , Somekh David , Stellato Cristiana , To Teresa , Todo‐Bom Ana Maria , Tomazic Peter Valentin , Toppila‐Salmi Sanna , Valero Antonio , Valiulis Arunas , Valovirta Errka , Ventura Maria Teresa , Wagenmann Martin , Wallace Dana , Waserman Susan , Wickman Magnus , Yiallouros Panayiotis K. , Yorgancioglu Arzu , Yusuf Osman M. , Zar Heather J. , Zernotti Mario E. , Zhang Luo , Zidarn Mihaela , Zuberbier Torsten , Bousquet Jean 
Published: December 2018

Pharmacists are trusted health care professionals. Many patients use over‐the‐counter (OTC) medications and are seen by pharmacists who are the initial point of contact for allergic rhinitis management in most countries. The role of pharmacists in integrated care pathways (ICPs) for allergic diseases is important. This paper builds on existing studies and provides tools intended to help pharmacists provide optimal advice/interventions/strategies to patients with rhinitis. The Allergic Rhinitis and its Impact on Asthma (ARIA)‐pharmacy ICP includes a diagnostic questionnaire specifically focusing attention on key symptoms and markers of the disease, a systematic Diagnosis Guide (including differential diagnoses), and a simple flowchart with proposed treatment for rhinitis and asthma multimorbidity. Key prompts for referral within the ICP are included. The use of technology is critical to enhance the management of allergic rhinitis. However, the ARIA‐pharmacy ICP should be adapted to local healthcare environments/situations as regional (national) differences exist in pharmacy care.