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Purpose: Allergic rhinitis (AR) affects up to 40 million Americans, with an estimated cost of $2.7 billion per annum. This review discusses several therapeutic options that reduce the symptoms of AR, including allergen avoidance, antihistamines, intranasal corticosteroids (INS), leukotriene receptor antagonists, and immunotherapy.Data sources: The articles included in this review were retrieved by a search of literature on the subjects of Medline AR, antihistamines, INS, leukotriene antagonists, and immunotherapy, as well as current published guidelines for the treatment of AR.Conclusions: Allergen avoidance is recommended for all patients prior to pharmacologic therapy.and nasal Oral H (1) - antihistamines are recommended to alleviate the symptoms of mild and intermittent AR, and INS are recommended as the first-line treatment choice for mild persistent and more moderate-to-severe persistent AR.Implications for practice: There are a number of different types of therapy for the management of AR; with so many options available,successful treatment of tailoring to suit individual requirements is realistically achievable.
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