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Diagnosis and management of seasonal (spring/summer) allergic rhinitis/conjunctivitis. For seasonal allergic rhinitis see separate guidelines. For perennial/non-seasonal allergic rhinitis see separate guidelines.
For diagnostic algorithm see
Consider referral to ENT (see referral details)
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.
Experience from Peninsula Immunology and Allergy Service suggests that 70% of patients referred with severe symptoms achieve satisfactory symptom control using non-sedating antihistamines and regular intranasal corticosteroids alone.
For more information see
This guideline has been signed off by the Eastern Locality on behalf of NEW Devon CCG.
Publication date: March 2016