Oral decongestants may be used in the management of allergic rhinitis but may cause insomnia, loss of appetite, or nervousness. Intranasal antihistamines are effective in the treatment of allergic rhinitis and may reduce nasal congestion. However, sedation may occur. For more severe allergic rhinitis, nasally inhaled corticosteroids and oral corticosteroids may be effective. Multiple therapeutic interventions including immunotherapy may also be effective in more severe cases.
Oral antihistamines remain the first-line pharmacologic treatments for childhood allergic rhinitis.
Infectious-acute, chronic, viral, and bacterial b. A 33 year old computer analyst was first seen in September complaining of itching eyes, runny nose, head congestion, and fatigue. She denied fever but noticed her symptoms were worse going in and out of her air-conditioned workplace. She had a history of similar symptoms in the spring and fall since she had moved from Arizona to Alabama. She avoided aspirin because it caused palpitations and shortness of breath.