What is the standard approach for patients with moderate-severe allergic rhinitis symptoms?

The standard approach for managing moderate to severe allergic rhinitis symptoms includes initiating intranasal steroids. This treatment is recognized as the most effective first-line therapy for controlling the inflammation associated with allergic rhinitis. Intranasal steroids work by reducing nasal inflammation, thereby alleviating symptoms such as congestion, sneezing, and runny nose more effectively than other medications.

Starting intranasal steroid therapy early helps in controlling symptoms and can improve the quality of life for affected individuals. In many cases, patients may experience significant relief within a few days of initiating treatment. For those with persistent symptoms, intranasal steroids can be utilized safely for extended periods, reinforcing their status as a critical component of therapy for more severe cases.

While antihistamines can help relieve itching and sneezing, they may not adequately address nasal congestion, which is a significant component of moderate to severe allergic rhinitis. Nasal irrigation can provide symptomatic relief and help clear allergens, but it is not a standalone treatment for more severe symptoms. Finally, delaying treatment until symptoms worsen is not advisable, as early intervention is crucial in managing allergic rhinitis effectively and preventing further complications or exacerbations of symptoms.