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Back Aims of treatment At present, the goal of allergic rhinitis treatment is to control symptoms, as a complete cure is rarely available. However, for people whose symptoms are not adequately managed with standard treatments, allergen immunotherapy may be an option. This is currently the only treatment shown to alter the course of the disease, away from allergy and towards tolerance of the allergen(s) triggering the symptoms. Your healthcare provider will work with you to review your symptoms and to adjust your treatment plan accordingly. To see how well your symptoms are under control, your healthcare provider may ask you to keep a symptom diary at home, either on paper or in an app (for example: MaskAir app). This helps your doctor adjust your treatment so you can get the most benefit from your therapy. Nasal saline rinse Washing out the nose with saline after allergen exposure also helps. Nasal rinsing with saline (salt water) is an effective, low-risk, inexpensive, non-pharmacological treatment option for managing allergic rhinitis symptoms in adults and children. Nasal rinsing can: Help clear out your nasal passages and sinuses Help prevent secretions from dripping into your throat Wash away allergens and irritants that might be making your symptoms worse Using a rinse 15 minutes before applying other medications to your nose (like corticosteroid sprays) can also help those medicines work better by allowing them to reach the inside of your nose more effectively.Nasal rinsing with saline has few side effects, except that you need to learn how to do it properly to avoid discomfort. Nasal rinsing can be safely done every day. You can learn how to make your own saline solution, explore the different rinsing devices available, and follow step by step instructions for using each type of device. We’ve also created a helpful video with tips and tricks on how to care for and maintain your nasal rinsing equipment. It is important to use clean water. In some countries, it is safe to use tap water.However, always follow your healthcare provider’s instructions and, in case of doubt, use commercially bottled still water, distilled water, or previously boiled and cooled down tap water to prepare the saline solution. https://youtu.be/x16GGU73Pvohttps://youtu.be/h-e4PUPMAa4https://youtu.be/aPJIStLvhXchttps://youtu.be/rwCGpCaEfnA You can download your own copy of our nasal rinsing leaflet to keep nearby when performing rinses at home. It will guide you through the process and help you get the most out of this treatment. Download the guide Download de gids Télécharger le guide Nasal sprays Nasal corticosteroids (examples: mometasone, fluticasone, ciclesonide) Nasal corticosteroid sprays are an effective, and first-line treatment option for easing the nasal and eye symptoms caused by allergic rhinitis. They reduce nasal congestion and are considered the preferred option for long term symptom control. Studies have shown that nasal corticosteroid sprays are more effective than oral antihistamines for symptom relief, and they provide relief of symptoms for a lot of people. Some nasal corticosteroid sprays are available over-the-counter, while others require a prescription. Nasal corticosteroid sprays:• Reduce inflammation inside your nose• Reduce stuffiness, runny nose, itching and sneezing over time• Reduce eye symptoms that are often associated with allergic rhinitis Consistent use is important, as these sprays do not provide immediate relief. It can take up to two weeks for the nasal spray to work fully. If your symptoms are very strong at the beginning, you may need an additional medicine, such as a nasal antihistamine, for a short time until the nasal corticosteroid reaches its full effect. Maximal effect is achieved with daily use. If you find it difficult to remember your nasal spray, try keeping it next to your toothbrush or linking it to another daily routine so you don’t forget.Because of how these medicines work, they are not very helpful for one off or occasional allergen exposure. For example, if you’re allergic to animal dander, this type of treatment won’t give quick relief when visiting someone who has pets. Antihistamines would be more appropriate in this case.Corticosteroid sprays are safe to use in the long term. Some people can experience side effects like irritation, nose bleeding or nasal dryness. However, a correct spraying technique can prevent most of the discomfort. Learn how to use your nasal spray the right way. This helps it work better and reduces the chance of side effects. Some 70 % of AR sufferers referred to a tertiary centre were satisfied with their nasal corticosteroid treatment once that had been shown how to use it correctly and did so regularly in the long term.The different types of sprays differ with regard to the frequency of doses, the spray device used, and the cost, but all are similarly effective for treating all of the symptoms of allergic rhinitis.It is best to use those that need once daily application with least corticosteroid absorption i.e.: fluticasone propionate and furoate, mometasone furoate and ciclesonide- especially in children, in long term use and in patients with asthma or eczema who may be using corticosteroid elsewhere. Download the guide Download the guide Download the guide https://youtu.be/f9w38AVhS7s Nasal antihistamines (examples: azelastine, olopatadine) Antihistamine nasal sprays can be used twice every day or only when you need them, such as during occasional exposure to allergens. They start working within minutes. While they help relieve symptoms like a runny nose, nasal itch, and sneezing, they are less effective at relieving nasal congestion. Nasal antihistamine sprays are more effective than antihistamine tablets, work within 15 minutes and very safe when used as directed. The most common side effect is an unpleasant taste, which can usually be avoided by using the correct nasal spray technique. Gargling some ten minutes after use can help. Combination nasal sprays (azelastine/fluticasone, olopatadine/mometasone,) Nasal sprays that combine a corticosteroid with an antihistamine often relieve allergic‑rhinitis symptoms better than using either type of spray on its own. They are usually considered a second‑line treatment, meaning they are used when a single medicine does not provide enough symptom control. These combination sprays are more expensive and depending on where you live,