What is the First Treatment for Allergic Rhinitis?
The first-line treatment for mild to moderate allergic rhinitis is intranasal corticosteroids.
Intranasal corticosteroids are nasal sprays containing steroids. They are highly effective because they directly reduce inflammation in the nasal passages. This reduces symptoms like sneezing, runny nose, congestion, and itching. Multiple sources, including the American Academy of Family Physicians (AAFP) https://www.aafp.org/pubs/afp/issues/2010/0615/p1440.html and UpToDate https://www.uptodate.com/contents/allergic-rhinitis-beyond-the-basics, recommend intranasal corticosteroids as the initial treatment for allergic rhinitis.
Several studies support this recommendation:
- Mechanism of Action: Intranasal corticosteroids decrease inflammation by reducing the influx of inflammatory cells and inhibiting the release of cytokines. (Reference: Multiple sources cited above)
- Effectiveness: They are considered the most effective treatment for persistent symptoms affecting quality of life, especially for mild to moderate cases. (Reference: AAFP, other sources)
When Other Treatments May Be Considered
While intranasal corticosteroids are the first choice, other treatments might be added or used instead depending on symptom severity and individual response:
- Oral antihistamines: These can be a first-line therapy for mild-to-moderate seasonal and mild perennial allergic rhinitis, sometimes used in conjunction with or as an alternative to nasal corticosteroids. (Reference: Pharmacological Management of Allergic Rhinitis: A Consensus ... https://pmc.ncbi.nlm.nih.gov/articles/PMC9356736/)
It's crucial to consult a doctor for diagnosis and personalized treatment plan for allergic rhinitis. Self-treating may delay effective management.
