Common Specialities
Common Issues
Common Treatments


Last Updated: Sep 09, 2019
Change Language

Allergic Rhinitis: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Also known as hay fever, allergic rhinitis symptoms include sneezing, watery eyes, stuffy itchy nose, and a sore, scratchy throat. People also show symptoms like eczema,that is dry itchy skin that can blister and weep.Pollen mainly triggers this allergic reaction and causes the body to overreact and become sensitized. Other possible allergens may include grass, dust mites, cockroaches, cigarette smoke, and perfume.

Hay fever is caused by histamine, a natural chemical which is secreted when our body comes into contact with an allergen. Histamine helps to defend our body from allergens and can cause hay fever.

There are two types of allergic rhinitis- seasonal and perennial. Seasonal fever occurs during spring or fall and is mainly caused by pollens. Perennial prevails throughout the year in response to indoor allergens.

Treatment of allergic rhinitis can be categorized under 3 major heads. These are- (1) environmental control measures and allergen avoidance, (2) pharmacological management, and (3) immunotherapy.

Environmental control measures and allergen avoidance

Environmental and allergen avoidance can be possible if one restricts going out to much in seasons when these can be more harmful. One can take a shower after outdoor exposure as that helps to remove the pollens or allergens from the body. environmental control measures and allergen avoidance Bed linens, carpets and rugs should be washed thoroughly. Carpeting should be removed.

Pharmacological management

Pharmacotherapy of allergic rhinitis include intranasal corticosteroids, oral and topical antihistamines, decongestants, intranasal cromolyn (Nasalcrom), intranasal anticholinergics, and leukotriene receptor antagonists. Intranasal corticosteroid treatment is recommended alone for mild to moderate disease as an initiating therapy.Moderate to severe diseases should be treated with the other mentioned procedures. Patients with severe diseases who do not respond to oral or topical treatments should be referred for immunotherapy.


It consists of a small amount of allergen extract placed sublingually or subcutaneously over the course of a few years, with maintenance periods typically lasting between three to five years. Sublingual immunotherapy (SLIT) involves placing a tablet containing a mixture of several allergens under our tongue and is an effective way to treat severe cases of allergic rhinitis. However, side effects may cause anaphylaxis.

Other treatments include acupuncture,nasal saline irrigation,butterbur supplements,honey(raw, organic varieties),probiotics.

How is the treatment done?

For mild and moderate treatment, Intranasal corticosteroids alone is recommended. This treatment includes several categories like Beclomethasone (Beconase), Budesonide (Rhinocort) Ciclesonide (Omnaris) Flunisolide etc. All these treatments require a minimum age of 6 years. It inhibits the influx of inflammatory cells and starts action in less than 30 minutes. These should be taken one or twice daily for a week/month./ year according to doctor’s advice.

For moderate to severe rhinitis treatment, antihistamines are used along with decongestants, intranasal cromolyn (Nasalcrom), intranasal anticholinergics, and leukotriene receptor antagonists.Oral and intranasal antihistamines like cetirizine Desloratadine Levocetirizine help to bocks the H1 receptors and starts action within 15 to 30 minutes. These usually occur in the form of sprays and tablets. Oral decongestants like pseudoephedrine acts by vasoconstriction and requires a minimum age of 12 years. Intranasal cromolyn that is Cromolyn (Nasalcrom) inhibits histamine release and thus prevents the occurrence of rose fever. Mechanism of Intranasal anticholinergics like Ipratropium (Atrovent) include blocking acetylcholine receptors and that of Leukotriene receptor antagonists (Montelukast) include inhibiting leukotriene receptors.

Immunotherapy is applied only when the disease attains a chronic stage and is resistant to the previous cures. Here a small amount of allergen extract is given to the patient sublingually or subcutaneously over the course of a few years to treat allergens. Recombinant DNA technology and Omalizumab (Xolair), an anti-immunoglobulin E antibody are also effective in the treatment of hay fever and have shown positive results.

Who is eligible for the treatment? (When is the treatment done?)

Different treatment procedures of allergic rhinitis or hay fever have different minimum age criterion. However, patients till the age of 56-60 can be eligible for the treatment. Leukotriene receptor antagonists treatment can be started right from the age of 6 months while Fluticasone propionate under Intranasal corticosteroids treatment requires a minimum age of 12 years.

Who is not eligible for the treatment?

Pregnant women are prone to risks for treatment. Women specially under category C that is risk not rukes out should avoid allergic rhinitis treatment during the prenancy months. New born babies are not eligible as they might develop severe sid effects.

Are there any side effects?

Although allergic rhinitis is not an extremely serious condition, it can interfere with many important aspects of life. Possible side effects of undergoing rose fever treatement include itching in the mouth or ear and throat irritation. In rare cases, SLIT treatments can cause anaphylaxis. Patients often feel tired, miserable, or irritable.

What are the post-treatment guidelines?

Athough allergic rhinitis keeps recurring even after treatment, it is best for people to avoid exposure to cigarette smoke, pets, and allergens to which they have a known sensitivity. People should prefer staying indoors during times when pollens are abundant in the air, keep the doors and windows shut during allergy season. Mouth and nose should be covered with masks to prevent inhaling the dust particles and associated allergens. Keeping clean and being precautioned to avoid further complications in allergies must be noted by patients.

How long does it take to recover?

If the symptoms last for less than 6 weeks, then the treatment of rhinitis takes a shorter time period. Medication helps cure the acute disorders and helps restore normalcy. However, if symptoms last more than 6 months then it is termed chronic rhinitis and cure of this is a time taking process. It takes the entire year for the patient to get better. In worse cases, patients continue taking medicines lifelong.

What is the price of the treatment in India?

The cost incurred in the treatment of allergic rhinitis vary from person to person. Medicines as cheap as less than Rs. 5 to more than Rs 100 is available. Fexofenadine (Rs 123.56) is the costliest and Levocetirizine is the cheapest (Rs 2.5). However, the total cost depends on the respective doctors and the duration of treatment depending on the degree of allergy.

Are the results of the treatment permanent?

Allergic rhinitis can be cured permanently by undertaking homeopathy treatment for two to three sessions. Allergies are tough to get rid of. Enhancing body immunity to resist such reactions can help to prevent rhinitis permanently. Treatments help to suppress the symptoms and the root cause and can thus help in permanent resolving of the problem if individuals take proper care endlessly.

What are the alternatives to the treatment?

Minute allergic rhinitis can be brought under contol without medical treatment by using natural alternative methods. To reduce allergy symptoms, a low fat, high carbohydrate diet with lots of water is advised. Vegetable and vitamin intake will help the body improve upon its immunity. Acupuncture is a useful and prevalent way of treating those suffering from allergic rhinitis. herbs like butterbur,stinging nettle, tinospora cordifolia and astragalus help in natural cure of the disease. Also, patients may resort to homeopathy and ayurvedic cure of the disease.

Popular Questions & Answers

Hello doctor i’m having acne pimples from almost 6 months which is becoming worst day by day I used episoft gel and aziderm cream but it has worsened my face kindly help me with the issue.

Dermatologist, Chennai
No. Treatment depends on the severity grade. Acne or pimples. Due to hormonal changes. Oily skin causes it. Common in adolescent age. May occur in adults also. Food like oily foods, ice cream, chocolate and sweets increase it. Treatment depends on...

My daughter, aged 43, is allergic to 1. Norflox tz, ornidazole, tinidazole group, 2. Sulpha drugs, 3. Lamitrogin, and grapes (anger fruit ). Should she take covid vaccine?

General Physician, Ooty
If she is allergic to any vaccines taken in the past, she should absolutely avoid the vaccine. With these allergies she can go ahead. However she has to mention at the centre that she is allergic to these medications and foods. They will have to b...

Hi doc i'm 23 year old guy I am facing hair loss problems from my 12th age and now I came to know about finasteride 1 mg and I wanted to take it for further prevention of hair fall and I masturbate a lot but now for 1 month I am not doing it and I have no food allergies but have sebhorric dermatitis is it safe for me to use finasteride 1 mg please reply.

DNB (Dermatology), MBBS, Diploma in Trichology - Cosmetology
Dermatologist, Hyderabad
Hello Lybrate-user! hair loss can be due to various reasons, genetic, hormonal, nutritional, dandruff, stress ,pollution etc. We have to examine the scalp to know the reason for hair loss. If dandruff is present, it should be checked and be contro...

My body is itching and giving me spots and itching continuously. My eyes also itch when I take and sweet drink or alcohol. My doctor gave my doxycycline tablets but it seems not to be working because the itching has continued and new my legs are itching so badly.

DNB (Dermatology), MBBS, Diploma in Trichology - Cosmetology
Dermatologist, Hyderabad
Hi! itching is a very generic symptom in dermatology. It is due to various reasons depending on the age, sex, skin type ,environmental changes like air ,water ,internal health issues etc. Sometimes scabies, allergies etc also can be the causes .on...

Popular Health Tips

Eczema - How You Can Prevent Its Flare-ups?

MBBS, Diploma in Venerology & Dermatology (DVD), DDV, MD - Dermatology , Venereology & Leprosy
Dermatologist, Pune
Eczema - How You Can Prevent Its Flare-ups?
Are you experiencing skin itchiness and development of dry, scaly rashes on your skin? This indicates you have eczema, which is a group of skin diseases occurring due to the inflammation and irritation of skin. Atopic dermatitis is the most common...
8323 people found this helpful

Botox Versus Derma Fillers - Which One Is Best For You?

Dermatologist, Jaipur
Botox Versus Derma Fillers - Which One Is Best For You?
There are several treatment options for wrinkles. These options are longer-lasting options. Among all of these options, Dermal fillers and Botulinum toxin type A (Botox) are popular. Both of these techniques can be used to treat wrinkles. However,...
1514 people found this helpful

Dust Allergy - Risks, Diagnosis & Treatment Of It!

DNB (Oto Rhino Laryngology), MBBS
ENT Specialist, Pune
Dust Allergy - Risks, Diagnosis & Treatment Of It!
In reality, dust allergy is precipitated by dust mites, a kind of microorganisms that thrive in dust. They acquire their food from dead skin cells and absorb water from the environment and thrive. Moist and warm environments are ideal for them to ...
2755 people found this helpful

Pityriasis Rosea - How To Track It?

MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In Dermatology & Venerology And Leprosy (DDVL)
Dermatologist, Hyderabad
Pityriasis Rosea - How To Track It?
Pityriasis rosea is a rash that appears on your skin most commonly between the ages of 10 and 35. It is usually harmless and a pretty common condition. It is also worth noting that pityriasis rosea does not spread from person to person. Causes - T...
5444 people found this helpful

Early Signs Of ASD In Toddlers!

MBBS, DNB (Pediatrics), Certification Course In Sick Newborn Care, POST GRADUATE PROGRAMME IN PEDIATRIC NUTRITION
Pediatrician, Delhi
Early Signs Of ASD In Toddlers!
Autism Spectrum Disorder or ASD is a condition associated with brain development. ASD affects the way an individual perceives others and socializes with a group of people. This disorder shows up in early childhood; it includes repetitive and limit...
3746 people found this helpful
Content Details
Written By
Doctor of Medicine,MD - Consultant Physician,MD
General Physician
Play video
PRP Treatment For Hair Growth
Hello everybody, I am Dr. Sumit Agrawal. Today, I would be discussing PRP treatment for hair growth, PRP or platelet-rich plasma is now one of the most common non-surgical procedures for hair growth. Although PRP has been used as a treatment by or...
Play video
Benefits Of PRP Therapy
Hi, I am Dr. Madhur Mahna, Orthopedist. Today I will talk about the benefits of PRP therapy. It is used to treat the number of conditions not only in orthopedics but in various treatment modalities. In this, we take the blood of the patient and we...
Play video
Hi! I am Dr. Arpit Sharma. I did my MBBS & MS from B J Medical College, Ahmedabad and I recently did my diploma in allergy & asthma from CMC Vellore. My main interest is in allergies and allergies are presented with various symptoms like stuffy no...
Play video
Conjunctivitis And Its Types
Good Morning friends! I am Dr. Harshavardhan Ghorpade. Today I am going to speak to you about a very common condition that we all encounter and that is Conjunctivitis. Conjunctivitis is of two types, Infectious and Allergic. Infectious can be of t...
Play video
Allergen Immunotherapy
Good morning everybody! I m Dr. P.C.Kathuria, senior consultant at National Allergy Center and BLK Super Speciality Hospital. Today we will discuss on Allergic Immunotherapy which we do in our practice. Why there is consistent and persistent incre...
Having issues? Consult a doctor for medical advice