Nasal sprays
For rhinorrhea, a nasal spray of cromolyn sodium (Nasalcrom) or a steroid nasal spray, such as flunisolide (Nasalide), beclomethasone dipropionate (Beconase, Vancenase), triamcinolone acetonide (Nasacort), and fluticasone (Flonase), may work so well that additional antihistamines or decongestants are unnecessary. It is important to remember that improvement may not occur for one to two weeks after starting therapy with steroid nasal sprays. Short courses of oral corticosteroids may usually be indicated when severe nasal symptoms prevent the adequate delivery of topical agents.

Immunotherapy (Allergy shots)
Immunotherapy involves giving gradually increasing doses of the substance (or allergen) to which the person is allergic. This works by making the immune system less sensitive to that substance, probably by causing production of a particular "blocking" antibody, which reduces the symptoms of allergy when the substance is encountered in the future.
Before starting treatment, the physician and patient try to identify trigger factors for allergic symptoms. Skin or sometimes blood tests are performed to confirm the specific allergens to which the person has antibodies.
Immunotherapy may be indicated for patients who are:

  • Unresponsive to medical therapy

  • Have side effects from medications

  • Have recurrent sinusitis or otitis (an ear infection)

  • Are unwilling or unable to use medication

  • Prefer not to use medication on a long-term basis



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