When are intranasal steroids recommended for allergic rhinitis?

Intranasal steroids are recommended for allergic rhinitis when patients experience chronic, moderate to severe symptoms. This is because intranasal steroids are highly effective for controlling inflammation and alleviating symptoms such as congestion, sneezing, and runny nose that often accompany more severe presentations of allergic rhinitis. They help reduce nasal inflammation and provide relief for extended periods, making them suitable for managing symptoms that persist over time rather than just sporadic mild symptoms.

In cases of chronic, moderate to severe allergic rhinitis, intranasal steroids can be used continuously or on a seasonal basis to ensure optimal management of symptoms. They are beneficial because they address the underlying inflammatory process rather than just treating symptoms, offering a comprehensive approach to therapy for those affected by more significant allergic reactions.

Other options may suggest inappropriate use or misunderstanding of the severity of symptoms that warrant steroid treatment. For example, using intranasal steroids solely for mild symptoms may not be necessary, as those can frequently be managed with less potent therapies. Additionally, recommending intranasal steroids only during allergy season fails to recognize that some individuals may experience allergic symptoms year-round. Finally, while intranasal steroids are indeed considered a first-line treatment for many forms of allergic rhinitis, labeling them as first-line