Seasonal Allergic Rhinitis
Allergic rhinitis is a significant chronic health problem worldwide. It can be divided into seasonal and perennial classifications based on the timing of symptoms and the causative agents. Empiric treatment can be initiated without allergy testing, but testing is required for definitive diagnosis and consideration of certain trigger-specific therapies such as allergen avoidance and allergen immunotherapy. There are many options for pharmacotherapy and non-pharmacologic therapy, and the selection must be made based on symptoms, patient age/comorbidities, and patient/family preferences. Intranasal corticosteroids are the most effective medication class for monotherapy management of SAR and when combined with intranasal antihistamines can be even more effective. For patients with multiple allergies or who desire to reduce their reliance on medication, allergen immunotherapy can be a good option and is the only therapy that can permanently alter the course of the disease. Both step-down and step-up approaches are appropriate based on individual patient needs and preferences. This chapter discusses seasonal allergic rhinitis in particular and reviews oral and intranasal pharmacotherapy options as well as allergen immunotherapy.
KeywordsSeasonal allergic rhinitis Pollen Hay fever Antihistamine Pruritus Allergen Immunotherapy
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