4.4 Article

Approach to Patients with Allergic Rhinitis Testing and Treatment

Journal

MEDICAL CLINICS OF NORTH AMERICA
Volume 104, Issue 1, Pages 77-+

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.mcna.2019.09.001

Keywords

Allergen immunotherapy; Sublingual immunotherapy; Pharmacoeconomics; Allergic rhinitis; Subcutaneous immunotherapy; Standard drug treatment; Antihistamines; Nasal corticosteroids

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This article evaluates the role of allergen immunotherapy (AIT) in the treatment of allergic rhinitis (AR). AIT has been shown to be effective in treating AR symptoms with resultant improvements in overall quality of life, comorbid illnesses, and medication requirements. Persistent clinical benefits have been shown years after AIT treatment discontinuation. AIT may prevent the progression of AR to asthma. AIT may more cost-effective than pharmacotherapy. Multiple individual studies and systematic reviews provide strong evidence for the clinical effectiveness of AIT in the treatment of AR. Cost-effectiveness and disease modification of AIT compared with standard drug treatment are additional advantages.

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