All information is correct at time of printing and is subject to change without notice. The Devon Formulary and Referral Website is not in any way liable for the accuracy of any information printed and stored by users. For the most up-to-date information, please refer to the website.
Diagnosis and management of perennial (non-seasonal) allergic rhinitis/conjunctivitis. For
seasonal allergic rhinitis see separate guidelines
Ask about triggers (e.g. pets) if symptoms intermittent all year round (perennial).
Consider referral to ENT. (see referral details)
Send blood for specific IgE to suspect aero-allergen (most commonly house dust mite and pets if exposed).
Consider a concomitant diagnosis of asthma and manage according to guidelines
Avoid sedating antihistamines, depot corticosteroids, and chronic use of decongestants.
Treatment failure should prompt a review of the diagnosis, compliance with therapy (regular therapy is more effective than "as required" treatment), and intranasal corticosteroid technique.
For more information see
North and East Devon Formulary: Allergic rhinitis
BSACI - Rhinitis management guidelines
Onlinelibrary.wiley - guidelines for the management of allergic and non-allergic rhinitis
e-Referrals Selection
e-Referrals Selection
Onlinelibrary.wiley - guidelines for the management of allergic and non-allergic rhinitis
This guideline has been signed off on behalf of NHS Devon.
Publication date: March 2016
Updated: September 2023