Rhinitis Treatment

Rhinitis treatment is often a combination of allergen avoidance, targeted symptom control with antihistamines and corticosteroids, and immunotherapy. Immunotherapy trains your immune system to tolerate the allergens that cause you to sneeze and sniffle.비염축농증치료

Allergic rhinitis is usually caused by pollen, dust mites, animal danders and molds. Symptoms of allergic rhinitis can be seasonal, occurring only during certain times of year, or they may be perennial. Perennial allergic rhinitis is most commonly caused by household and occupational irritants, such as cigarette smoke, perfumes, strong odors and cleaning products.

Traditionally, patients with allergy-induced rhinitis have been classified according to whether their symptoms are seasonal or perennial. However, recent studies have shown that many people with allergy-induced rhinitis experience both seasonal and persistent symptoms and that not all patients fit the traditional seasonal or perennial categories [1, 2].

First-line pharmacologic treatments for allergic rhinitis include intranasal corticosteroids, oral second-generation antihistamines, and decongestants. Antihistamines reduce your body’s production of histamine, a substance that triggers allergic rhinitis symptoms. The newer, second-generation antihistamines, such as loratadine (Claritin), desloratadine (Aerius) and cetirizine (Reactine), are preferred over older medications because they are more effective, have fewer side effects and do not cause sleepiness.

Decongestants narrow the blood vessels in your nose, which helps reduce congestion. These drugs can be purchased without a prescription and are available in a number of forms, including nasal sprays. Side effects of decongestants can be high blood pressure, heart pounding or feeling restless. For some, a mixture of decongestants and antihistamines may work better than either drug alone.

Some medicines, such as birth control pills, some drugs for high blood pressure or erectile dysfunction, and medications for depression or prostatic enlargement can worsen rhinitis. If your rhinitis symptoms are accompanied by these problems, ask your doctor if your medications could be contributing to the condition.

Often, nonallergic rhinitis is treated with over-the-counter and/or prescription decongestants, such as pseudoephedrine or phenylephrine. If these medicines do not help your rhinitis, your doctor may prescribe a stronger steroid nasal spray. The most common steroid nasal sprays are fluticasone (Flonase Allergy Relief) and triamcinolone (Nasacort Allergy 24 Hour).

In some cases, an ear, nose and throat specialist may recommend saline rinses to wash out mucus from the nose. You can purchase saline solution from a drug store, or you can make it at home by mixing one cup of warm water with half a teaspoon (3 grams) of salt and a pinch of baking soda.

Allergy shots, or subcutaneous immunotherapy, are an excellent treatment option for severe, chronic allergies that do not respond to other treatments. This treatment works by slowly introducing small amounts of allergens over time so that your immune system becomes used to them, and eventually stops reacting to them. Oral immunotherapy, or sublingual immunotherapy, is another alternative for people with severe allergic rhinitis. Oral immunotherapy involves taking a series of doses of diluted allergens under the tongue. It is currently available for allergies to trees, grasses, weeds and molds in the United States, but not for foods or insect venoms.라경찬한의원