Homeopathy
Although few studies have examined the effectiveness of specific homeopathic therapies, professional homeopaths may consider the following remedies for the treatment of allergic rhinitis symptoms based on their knowledge and experience. Before prescribing a remedy, homeopaths take into account a person's constitutional type -- your physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for each individual.
- Nux vomica -- for stuffiness with nasal discharge, dry, ticklish, and scraping nasal sensations with watery nasal discharge and a lot of sneezing; an appropriate person for this remedy is irritable and impatient.
- Arsenicum album -- for stuffiness with copious, burning nasal discharge and violent sneezing; an appropriate candidate for Arsenicum feels restless, anxious, and exhausted.
- Allium cepa -- for frequent sneezing, a lot of irritating nasal discharge and tearing eyes; this person tends to feel thirsty.
- Euphrasia -- for bland nasal discharge, with stinging, irritating tears; a suitable person for this remedy has worse nasal symptoms when lying down.
Medications
Depending on the type of allergic rhinitis you have, your doctor may recommend medication. Perennial allergic rhinitis may require daily medication, and if you have seasonal allergic rhinitis (hay fever) you may start medications a few weeks before the pollen season.
Nasal corticosteroids
These prescription sprays reduce inflammation of the nose and help relieve sneezing, itching, and runny nose. They are most effective at reducing symptoms, although you may not see improvement for a few days to a week after you start using them.
- Beclomethasone (Beconase)
- Fluticasone (Flonase)
- Mometasone (Nasonex)
- Triacinolone (Nasacort)
Antihistamines
Antihistamines are available in both oral and nasal spray forms, and as prescription drugs and over-the-counter remedies. Over-the-counter antihistamines are short-acting and can relieve mild-to-moderate symptoms. All work by blocking the release of histamine in your body.
- Over-the-counter antihistamines -- Include diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton), clemastine (Tavist). These older antihistamines can cause sleepiness. Loratadine (Claritin) does not cause drowsiness.
- Prescription antihistamines -- These medications are longer-acting than over-the-counter antihistamines and are usually taken once a day. They include fexofenadine (Allegra) and cetrizine (Zyrtec).
Decongestants
Many over-the-counter and prescription decongestants are available in tablet or nasal spray form. They are often used with antihistamines.
- Oral and nasal decongestants -- Include Sudafed, Actifed, Afrin, Neo-Synephrin. Some decongestants may contain pseudoephedrine, which can raise blood pressure. People with high blood pressure or enlarged prostate should not take drugs containing pseudoephedrine. Nasal decongestants can cause "rebound congestion," where the nasal passages swell. Avoid using nasal decongestants for more than 3 days in a row, unless specifically instructed by your doctor, and do not use them if you have emphysema or chronic bronchitis.