Fig. 2 | npj Primary Care Respiratory Medicine

Fig. 2

From: An algorithm recommendation for the pharmacological management of allergic rhinitis in the UK: a consensus statement from an expert panel

Fig. 2The alternative text for this image may have been generated using AI.Fig. 2The alternative text for this image may have been generated using AI.

Treatment algorithm for allergic rhinitis in (a) primary care and (b) secondary care. AH: anti-histamine; AZE: azelastine; IgE: immunoglobulin E; INCS: intranasal corticosteroid; LTRA: leukotriene receptor antagonist; OAH: oral antihistamine; OC: oral corticosteroid; Rx: treatment; SPT: skin prick test; Sx: symptoms. (a) *You may consider the addition of an OAH to INCS. However, scientific evidence shows that adding an OAH to INCS provides no additional benefit over INCS alone.21, 45 †This consensus group does not recommend routine early use of oral corticosteroids (OC); OC use should be reserved for short-term acute severe symptoms. (b) *Evidence for the benefit of these add-ons is lacking. Adapted from BSACI Scadding 2008.1

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