M.D. Allergic Rhinitis Allergic Rhinitis Algorithm Simple allergic rhinitis is traditionally managed with antihistamines. Non specific antihistamines are available over the counter and are most often combined with a nasal decongestant such as pseudoephedrine, in part to enhance their efficacy and in part to counteract the side effect of drowsiness. Newer H1 specific antihistamines require prescription and are less likely to cause drowsiness.
Different individuals respond differently to the different antihistamines.
Environmental control is complex. There are excellent free patient handouts provided by companies which benefit from the sale of the equipment. The following are our general recommendations. Since a large part of each 24 hours is spent in the bedroom, dust control in this area should be more vigorous. Remove stuffed or upholstered furniture.