Materiały źródłowe

• #1 Management of Rhinitis: Allergic and Non-Allergic

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3121056/

  Nonallergic rhinitis (NAR) is generally described as chronic nasal symptoms, such as obstruction and rhinorrhea that occur in relation to nonallergic, noninfectious triggers such as change in the weather, exposure to caustic odors or cigarette smoke, barometric pressure differences, etc. There is a lack of concomitant allergic disease, determined by negative skin prick test for relevant allergens and/or negative allergen-specific antibody tests. […] Avoidance of environmental triggers such as strong odors (perfumes, soaps, paint, etc.) and air pollutants (smoke fumes, tobacco smoke) that are respiratory irritants is recommended in those who find these worsen their rhinitis symptoms. […] Intranasal corticosteroids have been found to be effective in nonallergic rhinitis, especially in vasomotor rhinitis and NARES. Fluticasone propionate and beclomethasone are the only topical corticosteroids approved by the FDA in the US for the treatment of NAR.

• #2 AAIR :: Allergy, Asthma & Immunology Research

  https://e-aair.org/DOIx.php?id=10.4168/aair.2011.3.3.148

  Nonallergic rhinitis (NAR) is generally described as chronic nasal symptoms, such as obstruction and rhinorrhea that occur in relation to nonallergic, noninfectious triggers such as change in the weather, exposure to caustic odors or cigarette smoke, barometric pressure differences, etc. […] Avoidance of environmental triggers such as strong odors (perfumes, soaps, paint, etc.) and air pollutants (smoke fumes, tobacco smoke) that are respiratory irritants is recommended in those who find these worsen their rhinitis symptoms. […] Oral second generation antihistamines are not as effective in the treatment of NAR, though first generation oral antihistamines may have some benefit due to anticholinergic activity. […] Intranasal corticosteroids have been found to be effective in nonallergic rhinitis, especially in vasomotor rhinitis and NARES.

• #3 Vasomotor Rhinitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17950-nonallergic-rhinitis

  Theres no way to prevent vasomotor rhinitis. You can lower your risk by avoiding triggers known to cause rhinitis.

• #4 Nonallergic Rhinitis: Types, Symptoms, Causes, and More

  https://www.verywellhealth.com/nonallergic-rhinitis-7562108

  Theres little you can do to prevent nonallergic rhinitis. However, once you identify your triggers like spicy food or dry air you can try to avoid them in order to reduce your symptoms.

• #5 Nonallergic rhinitis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767

  If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: […] Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers. […] Don’t use decongestant nose sprays or drops for too long. Using these medicines for more than a few days at a time can make your symptoms worse. […] Get treatment that works. If you’ve tried a medicine that doesn’t help enough, talk to your health care provider. A change to your treatment plan may be needed to prevent or ease your symptoms.

• #6 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] NONALLERGIC RHINITIS TREATMENT […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] Trigger avoidance — Exposure to tobacco smoke can be reduced if household members stop smoking or smoke only outside of the home. It is also important to avoid smoke exposure in the workplace. […] Exposure to pollutants and irritants can be reduced by avoiding wood-burning stoves and fireplaces; properly venting other stoves and heaters; and avoiding cleaning agents and household sprays that trigger symptoms. […] Nasal rinsing and irrigation — Simply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions. Nasal rinsing is particularly useful for symptoms of postnasal drainage. Nasal rinsing can be done before use of nasal medication so that the lining is freshly cleansed when the medication is applied.

• #7 Nonallergic (Vasomotor) Rhinitis: Symptoms, Causes and Treatment

  https://www.webmd.com/allergies/nonallergic-rhinitis

  If you have nonallergic rhinitis, you cant always stop your symptoms, but there are steps you can take to make them less likely to happen: […] Stay away from your triggers: If you know what things set off your symptoms, you can feel your best by avoiding them. […] Ease up on using nasal decongestants: You might be tempted to go to them for relief, but if you use nasal decongestant sprays for longer than a few days, your symptoms will come back even worse than before. […] Talk to your doctor: If your current treatment isnt working, your doctor can find a new treatment plan that will help.

• #8 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print

  Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] Trigger avoidance — Exposure to tobacco smoke can be reduced if household members stop smoking or smoke only outside of the home. It is also important to avoid smoke exposure in the workplace. […] Exposure to pollutants and irritants can be reduced by avoiding wood-burning stoves and fireplaces; properly venting other stoves and heaters; and avoiding cleaning agents and household sprays that trigger symptoms. […] Nasal rinsing and irrigation — Simply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions.

• #9 Management of Rhinitis: Allergic and Non-Allergic

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3121056/

  Nonallergic rhinitis (NAR) is generally described as chronic nasal symptoms, such as obstruction and rhinorrhea that occur in relation to nonallergic, noninfectious triggers such as change in the weather, exposure to caustic odors or cigarette smoke, barometric pressure differences, etc. There is a lack of concomitant allergic disease, determined by negative skin prick test for relevant allergens and/or negative allergen-specific antibody tests. […] Avoidance of environmental triggers such as strong odors (perfumes, soaps, paint, etc.) and air pollutants (smoke fumes, tobacco smoke) that are respiratory irritants is recommended in those who find these worsen their rhinitis symptoms. […] Intranasal corticosteroids have been found to be effective in nonallergic rhinitis, especially in vasomotor rhinitis and NARES. Fluticasone propionate and beclomethasone are the only topical corticosteroids approved by the FDA in the US for the treatment of NAR.

• #10 Rhinitis (non-allergic) — BC Society of Allergy and Immunology

  https://www.bcsai.ca/rhinitis-allergic-nonallergic

  Trigger avoidance […] Ensure household members stop smoking or smoke only outside of the home […] Avoid wood-burning stoves and fireplaces […] Avoid using strong perfumes and encourage coworkers, family or friends to do the same […] Nasal saline rinses […] Rinsing nose with salt water once or multiple times a day may be helpful […] This may be helpful for postnasal drip […] This can be done before using other nasal medications […] You may talk to your pharmacist who may recommend a nasal irrigation kit […] Medications that may help your symptoms […] Intranasal corticosteroids: please see allergic rhinitis section for more information […] Combination intranasal corticosteroid and antihistamine nasal spray: please see allergic rhinitis section for more information […] Nasal ipratropium: this can be used when there is profuse, watery discharge from the nose (rhinorrhea). Especially useful for gustatory rhinitis (see below)

• #11 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print

  Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] Trigger avoidance — Exposure to tobacco smoke can be reduced if household members stop smoking or smoke only outside of the home. It is also important to avoid smoke exposure in the workplace. […] Exposure to pollutants and irritants can be reduced by avoiding wood-burning stoves and fireplaces; properly venting other stoves and heaters; and avoiding cleaning agents and household sprays that trigger symptoms. […] Nasal rinsing and irrigation — Simply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions.

• #12 Nonallergic rhinitis – Wikipedia

  https://en.wikipedia.org/wiki/Nonallergic_rhinitis

  The avoidance of inciting factors such as sudden changes in temperature, humidity, or blasts of air or dust is helpful where possible. […] Intranasal application of antihistamines, corticosteroids, or anticholinergics may be used to treat vasomotor rhinitis. […] A Cochrane review concluded that it is unclear whether intranasal corticosteroids, when compared with a placebo, reduce patient-reported disease severity in people with nonallergic/vasomotor rhinitis, due to the low certainty of the evidence available from clinical trials. […] However, intranasal corticosteroids probably increase risk of nosebleeds. […] Astelin (azelastine) „is indicated for symptomatic treatment of vasomotor rhinitis including rhinorrhea, nasal congestion, and post nasal drip in adults and children 12 years of age and older.” […] Reduction of hypertrophied turbinates, correction of nasal septum deviation, removal of polyps, sectioning of the parasympathetic secretomotor fiber to nose (vidian neurectomy) for controlling refractory excessive rhinorrhea.

• #13 Rhinitis (non-allergic) — BC Society of Allergy and Immunology

  https://www.bcsai.ca/rhinitis-allergic-nonallergic

  Trigger avoidance […] Ensure household members stop smoking or smoke only outside of the home […] Avoid wood-burning stoves and fireplaces […] Avoid using strong perfumes and encourage coworkers, family or friends to do the same […] Nasal saline rinses […] Rinsing nose with salt water once or multiple times a day may be helpful […] This may be helpful for postnasal drip […] This can be done before using other nasal medications […] You may talk to your pharmacist who may recommend a nasal irrigation kit […] Medications that may help your symptoms […] Intranasal corticosteroids: please see allergic rhinitis section for more information […] Combination intranasal corticosteroid and antihistamine nasal spray: please see allergic rhinitis section for more information […] Nasal ipratropium: this can be used when there is profuse, watery discharge from the nose (rhinorrhea). Especially useful for gustatory rhinitis (see below)

• #14

  https://www.wyndly.com/blogs/learn/vasomotor-rhinitis?srsltid=AfmBOoq5Q1LrigTBgYRWCPXL2HFY5LeTIpeBLHcTvi-DRthgsfeQtLjg

  Avoid Spicy Foods […] Reduce your intake of hot peppers, mustard, and other spicy ingredients as they can act as dietary triggers for vasomotor rhinitis. If you find yourself particularly sensitive to these foods, try swapping them out completely with milder alternatives like garlic, oregano, and basil. […] Wear a Mask […] Wearing a mask can be an effective way of protecting yourself from certain irritants. This is especially useful if you have to go outdoors on windy or cold days, or if you’re exposed to certain chemicals or smoke. Make sure the mask fits properly and is made of a material that won’t irritate your skin. […] Stay Hydrated […] Staying hydrated is also important in preventing or reducing the symptoms of vasomotor rhinitis. Drinking plenty of water helps keep your nasal passages moist, which can help reduce inflammation and irritation. Aim to drink at least 8-10 glasses of water a day if possible.

• #15 Understanding Vasomotor Rhinitis: Causes & Relief Options

  https://enticare.com/2023/04/28/understanding-vasomotor-rhinitis-causes-relief/

  While there is no surefire way to prevent vasomotor rhinitis, there are several things you can do to reduce your risk of developing the condition. These include: […] Avoiding triggers: If you know what triggers your symptoms, try to avoid exposure to these triggers as much as possible. Nasal obstruction can be a significant reason to avoid known triggers. […] Maintaining good indoor air quality: Keep the air inside your home clean and free of irritants such as smoke and pollution. […] Managing stress: Stress can trigger symptoms of vasomotor rhinitis, so it is essential to find ways to manage stress and anxiety. […] Using a humidifier: Using a humidifier can help to keep the air moist, which can reduce symptoms of.

• #16 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235

  Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms. These include: […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis. For example, growths in the nose called polyps may need to be removed. Surgery also can fix a problem where the thin wall between the passages in the nose is off-center or crooked. This is called a deviated septum. […] Try these tips to ease the symptoms of nonallergic rhinitis: […] Flushing out the nose with saline or a homemade saltwater mixture can help. It works best when you do it daily. […] If the air in your home or office is dry, set up a humidifier device where you work or sleep.

• #17 Nonallergic rhinitis | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/con-20155767/

  Add moisture to the air. If the air in your home or office is dry, set up a humidifier device where you work or sleep. […] Some small studies of nonallergic rhinitis have looked into the substance that gives hot peppers their heat, called capsaicin. These studies suggest that using capsaicin inside the nose can ease congestion.

• #18 Understanding Vasomotor Rhinitis: Causes & Relief Options

  https://enticare.com/2023/04/28/understanding-vasomotor-rhinitis-causes-relief/

  While there is no surefire way to prevent vasomotor rhinitis, there are several things you can do to reduce your risk of developing the condition. These include: […] Avoiding triggers: If you know what triggers your symptoms, try to avoid exposure to these triggers as much as possible. Nasal obstruction can be a significant reason to avoid known triggers. […] Maintaining good indoor air quality: Keep the air inside your home clean and free of irritants such as smoke and pollution. […] Managing stress: Stress can trigger symptoms of vasomotor rhinitis, so it is essential to find ways to manage stress and anxiety. […] Using a humidifier: Using a humidifier can help to keep the air moist, which can reduce symptoms of.

• #19 Rhinitis, Nasal Allergy, Hayfever

  https://aafa.org/allergies/allergy-symptoms/rhinitis-nasal-allergy-hayfever/

  The first and best option is to avoid contact with allergens. Other prevention tips are: […] If you have a nasal allergy, you can reduce allergens in your home with a Certified Asthma Allergy Friendly vacuum.

• #20 Nonallergic Rhinitis: causes and treatment – myDr.com.au

  https://mydr.com.au/symptoms/nonallergic-rhinitis-causes-and-treatment/

  Nonallergic rhinitis can be prevented by reducing exposure to irritants and by drinking plenty of fluids. […] Strategies to lower immune triggering risks include using hypoallergic pillow covers to prevent dust, reduce clutter, regularly clean your home, and live with fewer carpets or upholstered furniture. […] Use of nasal decongestants for more than a few days can worsen your symptoms.

• #21 Nonallergic Rhinitis: causes and treatment – myDr.com.au

  https://mydr.com.au/symptoms/nonallergic-rhinitis-causes-and-treatment/

  Nonallergic rhinitis can be prevented by reducing exposure to irritants and by drinking plenty of fluids. […] Strategies to lower immune triggering risks include using hypoallergic pillow covers to prevent dust, reduce clutter, regularly clean your home, and live with fewer carpets or upholstered furniture. […] Use of nasal decongestants for more than a few days can worsen your symptoms.

• #22 Nonallergic rhinitis: Types, symptoms, and risk factors

  https://www.medicalnewstoday.com/articles/177085

  Nonallergic rhinitis is not preventable, but patients who are diagnosed with it are advised to avoid the things that trigger symptoms, if they are known. […] In cases of atrophic rhinitis, routine nasal lavage and lubrication can prevent the formation of crusts and help to keep the nasal lining moist. […] Daily irrigation of the nasal passages is good preventive practice.

• #23 Chronic Nonallergic Rhinitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html

  Intranasal ipratropium has been proven effective in decreasing rhinorrhea and is a reasonable monotherapy for patients who have rhinorrhea as a predominant symptom, particularly those with gustatory nonallergic rhinitis or weather-induced nonallergic rhinitis. […] Nasal irrigation with saline or hypertonic saline may be helpful in the treatment of nonallergic rhinitis. […] Further investigation is needed for irrigation and intranasal capsaicin in the treatment of nonallergic rhinitis.

• #24 Nonallergic Rhinitis | The Children’s Hospital at Montefiore

  https://www.cham.org/health-library/article?id=abs1066

  You can take simple measures to help relieve your symptoms of nonallergic rhinitis. […] Try to avoid things that trigger your symptoms. […] Use saline (salt water) to rinse your nasal passages once or twice a day. Then blow your nose. […] Use a prescription or over-the-counter nasal medicine, as recommended by your doctor. Different types that might be helpful include antihistamine, corticosteroid, decongestant, and capsaicin nasal sprays. […] If your doctor recommends medicine to relieve symptoms, make sure to take it exactly as prescribed. For example, take a decongestant spray for no more than 3 or 4 days. Longer use can make symptoms worse. Call your doctor if you think you are having a problem with your medicine.

• #25 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] NONALLERGIC RHINITIS TREATMENT […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] Trigger avoidance — Exposure to tobacco smoke can be reduced if household members stop smoking or smoke only outside of the home. It is also important to avoid smoke exposure in the workplace. […] Exposure to pollutants and irritants can be reduced by avoiding wood-burning stoves and fireplaces; properly venting other stoves and heaters; and avoiding cleaning agents and household sprays that trigger symptoms. […] Nasal rinsing and irrigation — Simply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions. Nasal rinsing is particularly useful for symptoms of postnasal drainage. Nasal rinsing can be done before use of nasal medication so that the lining is freshly cleansed when the medication is applied.

• #26 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print

  Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] Trigger avoidance — Exposure to tobacco smoke can be reduced if household members stop smoking or smoke only outside of the home. It is also important to avoid smoke exposure in the workplace. […] Exposure to pollutants and irritants can be reduced by avoiding wood-burning stoves and fireplaces; properly venting other stoves and heaters; and avoiding cleaning agents and household sprays that trigger symptoms. […] Nasal rinsing and irrigation — Simply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions.

• #27 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] NONALLERGIC RHINITIS TREATMENT […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] Trigger avoidance — Exposure to tobacco smoke can be reduced if household members stop smoking or smoke only outside of the home. It is also important to avoid smoke exposure in the workplace. […] Exposure to pollutants and irritants can be reduced by avoiding wood-burning stoves and fireplaces; properly venting other stoves and heaters; and avoiding cleaning agents and household sprays that trigger symptoms. […] Nasal rinsing and irrigation — Simply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions. Nasal rinsing is particularly useful for symptoms of postnasal drainage. Nasal rinsing can be done before use of nasal medication so that the lining is freshly cleansed when the medication is applied.

• #28 Nonallergic rhinitis: Types, symptoms, and risk factors

  https://www.medicalnewstoday.com/articles/177085

  Nonallergic rhinitis is not preventable, but patients who are diagnosed with it are advised to avoid the things that trigger symptoms, if they are known. […] In cases of atrophic rhinitis, routine nasal lavage and lubrication can prevent the formation of crusts and help to keep the nasal lining moist. […] Daily irrigation of the nasal passages is good preventive practice.

• #29 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print

  A variety of devices, including syringes, Neti pots, and bottle sprayers, may be used to perform nasal irrigation. […] Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. […] Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] Nasal ipratropium (Atrovent nasal spray) — A runny nose with profuse, watery discharge from the nose (rhinorrhea) can be treated with ipratropium nasal spray. […] Nasal sprays work best when they are used properly and the medication remains in the nose, rather than draining down the back of the throat. […] Oral decongestant medications (like pseudoephedrine or phenylephrine) help to relieve symptoms of congestion (stuffiness) in some people. However, this treatment is not usually recommended unless nasal antihistamines and nasal glucocorticoids (steroids) do not improve symptoms. […] The dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.

• #30 Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis Clinical Importance, Differential Diagnosis, and Effective Treatment Recommendations | World Allergy Organization Journal | Full Text

  https://waojournal.biomedcentral.com/articles/10.1097/WAO.0b013e318196ca1e

  Nonallergic rhinitis (NAR) is not a single disease with 1 underlying mechanism but is instead a collection of multiple distinct conditions that cause similar nasal symptoms. […] Understanding and recognizing the presence of NAR in a patient is essential for the correct selection of medications and for successful treatment outcomes. […] Nonallergic rhinitis denotes a group of heterogeneous syndromes with distinct underlying pathophysiologies. […] Nonallergic rhinitis tends to require chronic medical management, and use of topical NCCSs and nasal antihistamines, used alone or in combination, is very effective in most patients. […] Thus, recognizing that the combination of both NCCSs and nasal antihistamines effectively treat AR, VMR, and mixed rhinitis, this combination of medications seems to be a useful first-line treatment for the overwhelming majority of rhinitis patients.

• #31 Chronic Nonallergic Rhinitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html

  Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. […] Patients should avoid known triggers when possible. […] First-line therapies include intranasal corticosteroids, intranasal antihistamines, and intranasal ipratropium. […] Combination therapy with decongestants and first-generation antihistamines can be considered if monotherapy does not adequately control symptoms. […] Nasal irrigation may be used for nonallergic rhinitis. […] Treatment is symptom-driven, and patients should be advised to avoid any identifiable triggers when possible. […] Intranasal corticosteroids are first-line therapy for nonallergic rhinitis. […] Subgroups of patients with nonallergic rhinitis may not respond to intranasal corticosteroids, such as those with symptoms triggered predominantly by weather and temperature changes.

• #32 Management of Rhinitis: Allergic and Non-Allergic

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3121056/

  Nonallergic rhinitis (NAR) is generally described as chronic nasal symptoms, such as obstruction and rhinorrhea that occur in relation to nonallergic, noninfectious triggers such as change in the weather, exposure to caustic odors or cigarette smoke, barometric pressure differences, etc. There is a lack of concomitant allergic disease, determined by negative skin prick test for relevant allergens and/or negative allergen-specific antibody tests. […] Avoidance of environmental triggers such as strong odors (perfumes, soaps, paint, etc.) and air pollutants (smoke fumes, tobacco smoke) that are respiratory irritants is recommended in those who find these worsen their rhinitis symptoms. […] Intranasal corticosteroids have been found to be effective in nonallergic rhinitis, especially in vasomotor rhinitis and NARES. Fluticasone propionate and beclomethasone are the only topical corticosteroids approved by the FDA in the US for the treatment of NAR.

• #33 AAIR :: Allergy, Asthma & Immunology Research

  https://e-aair.org/DOIx.php?id=10.4168/aair.2011.3.3.148

  Nonallergic rhinitis (NAR) is generally described as chronic nasal symptoms, such as obstruction and rhinorrhea that occur in relation to nonallergic, noninfectious triggers such as change in the weather, exposure to caustic odors or cigarette smoke, barometric pressure differences, etc. […] Avoidance of environmental triggers such as strong odors (perfumes, soaps, paint, etc.) and air pollutants (smoke fumes, tobacco smoke) that are respiratory irritants is recommended in those who find these worsen their rhinitis symptoms. […] Oral second generation antihistamines are not as effective in the treatment of NAR, though first generation oral antihistamines may have some benefit due to anticholinergic activity. […] Intranasal corticosteroids have been found to be effective in nonallergic rhinitis, especially in vasomotor rhinitis and NARES.

• #34 Management of Rhinitis: Allergic and Non-Allergic

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3121056/

  Nonallergic rhinitis (NAR) is generally described as chronic nasal symptoms, such as obstruction and rhinorrhea that occur in relation to nonallergic, noninfectious triggers such as change in the weather, exposure to caustic odors or cigarette smoke, barometric pressure differences, etc. There is a lack of concomitant allergic disease, determined by negative skin prick test for relevant allergens and/or negative allergen-specific antibody tests. […] Avoidance of environmental triggers such as strong odors (perfumes, soaps, paint, etc.) and air pollutants (smoke fumes, tobacco smoke) that are respiratory irritants is recommended in those who find these worsen their rhinitis symptoms. […] Intranasal corticosteroids have been found to be effective in nonallergic rhinitis, especially in vasomotor rhinitis and NARES. Fluticasone propionate and beclomethasone are the only topical corticosteroids approved by the FDA in the US for the treatment of NAR.

• #35 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Medications that may help symptoms — Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. These medications may be used alone or in combination. […] Nasal antihistamines — A prescription nasal antihistamine spray, such as azelastine (eg, Astelin, Astepro) or Patanase, can relieve symptoms of postnasal drip, congestion, and sneezing. These sprays start to work within minutes after use and can be used to treat symptoms after they develop. However, they are most effective when used on a regular basis. […] Nasal glucocorticoids (steroids) — Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States (sample brand names: Flonase Allergy Relief, Flonase Sensimist, Rhinocort Allergy, Nasacort).

• #36 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print

  A variety of devices, including syringes, Neti pots, and bottle sprayers, may be used to perform nasal irrigation. […] Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. […] Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] Nasal ipratropium (Atrovent nasal spray) — A runny nose with profuse, watery discharge from the nose (rhinorrhea) can be treated with ipratropium nasal spray. […] Nasal sprays work best when they are used properly and the medication remains in the nose, rather than draining down the back of the throat. […] Oral decongestant medications (like pseudoephedrine or phenylephrine) help to relieve symptoms of congestion (stuffiness) in some people. However, this treatment is not usually recommended unless nasal antihistamines and nasal glucocorticoids (steroids) do not improve symptoms. […] The dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.

• #37 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Medications that may help symptoms — Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. These medications may be used alone or in combination. […] Nasal antihistamines — A prescription nasal antihistamine spray, such as azelastine (eg, Astelin, Astepro) or Patanase, can relieve symptoms of postnasal drip, congestion, and sneezing. These sprays start to work within minutes after use and can be used to treat symptoms after they develop. However, they are most effective when used on a regular basis. […] Nasal glucocorticoids (steroids) — Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States (sample brand names: Flonase Allergy Relief, Flonase Sensimist, Rhinocort Allergy, Nasacort).

• #38 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Medications that may help symptoms — Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. These medications may be used alone or in combination. […] Nasal antihistamines — A prescription nasal antihistamine spray, such as azelastine (eg, Astelin, Astepro) or Patanase, can relieve symptoms of postnasal drip, congestion, and sneezing. These sprays start to work within minutes after use and can be used to treat symptoms after they develop. However, they are most effective when used on a regular basis. […] Nasal glucocorticoids (steroids) — Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States (sample brand names: Flonase Allergy Relief, Flonase Sensimist, Rhinocort Allergy, Nasacort).

• #39 Nonallergic rhinitis – Wikipedia

  https://en.wikipedia.org/wiki/Nonallergic_rhinitis

  The avoidance of inciting factors such as sudden changes in temperature, humidity, or blasts of air or dust is helpful where possible. […] Intranasal application of antihistamines, corticosteroids, or anticholinergics may be used to treat vasomotor rhinitis. […] A Cochrane review concluded that it is unclear whether intranasal corticosteroids, when compared with a placebo, reduce patient-reported disease severity in people with nonallergic/vasomotor rhinitis, due to the low certainty of the evidence available from clinical trials. […] However, intranasal corticosteroids probably increase risk of nosebleeds. […] Astelin (azelastine) „is indicated for symptomatic treatment of vasomotor rhinitis including rhinorrhea, nasal congestion, and post nasal drip in adults and children 12 years of age and older.” […] Reduction of hypertrophied turbinates, correction of nasal septum deviation, removal of polyps, sectioning of the parasympathetic secretomotor fiber to nose (vidian neurectomy) for controlling refractory excessive rhinorrhea.

• #40 AAIR :: Allergy, Asthma & Immunology Research

  https://e-aair.org/DOIx.php?id=10.4168/aair.2011.3.3.148

  Nonallergic rhinitis (NAR) is generally described as chronic nasal symptoms, such as obstruction and rhinorrhea that occur in relation to nonallergic, noninfectious triggers such as change in the weather, exposure to caustic odors or cigarette smoke, barometric pressure differences, etc. […] Avoidance of environmental triggers such as strong odors (perfumes, soaps, paint, etc.) and air pollutants (smoke fumes, tobacco smoke) that are respiratory irritants is recommended in those who find these worsen their rhinitis symptoms. […] Oral second generation antihistamines are not as effective in the treatment of NAR, though first generation oral antihistamines may have some benefit due to anticholinergic activity. […] Intranasal corticosteroids have been found to be effective in nonallergic rhinitis, especially in vasomotor rhinitis and NARES.

• #41 Management of Rhinitis: Allergic and Non-Allergic

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3121056/

  The only topical anticholinergic medication approved in the United States for topical application is ipratropium bromide. Ipratropium bromide (0.03%) nasal spray is recommended when rhinorrhea is the predominant or only symptom, as in the case of gustatory rhinitis. […] Nasal lavage with saline solution has also been found to be a helpful alone or as an adjuvant therapy in patients with chronic rhinorrhea and rhinosinusitis. […] After 6-12 months of failed medical therapy (intranasal corticosteroid with azelastine and/or decongestants and/or ipratropium bromide) then surgical options may be considered.

• #42 AAIR :: Allergy, Asthma & Immunology Research

  https://e-aair.org/DOIx.php?id=10.4168/aair.2011.3.3.148

  The only topical anticholinergic medication approved in the United States for topical application is ipratropium bromide. Ipratropium bromide (0.03%) nasal spray is recommended when rhinorrhea is the predominant or only symptom, as in the case of gustatory rhinitis. […] Nasal lavage with saline solution has also been found to be a helpful alone or as an adjuvant therapy in patients with chronic rhinorrhea and rhinosinusitis. […] After 6-12 months of failed medical therapy (intranasal corticosteroid with azelastine and/or decongestants and/or ipratropium bromide) then surgical options may be considered.

• #43 AAIR :: Allergy, Asthma & Immunology Research

  https://e-aair.org/DOIx.php?id=10.4168/aair.2011.3.3.148

  The only topical anticholinergic medication approved in the United States for topical application is ipratropium bromide. Ipratropium bromide (0.03%) nasal spray is recommended when rhinorrhea is the predominant or only symptom, as in the case of gustatory rhinitis. […] Nasal lavage with saline solution has also been found to be a helpful alone or as an adjuvant therapy in patients with chronic rhinorrhea and rhinosinusitis. […] After 6-12 months of failed medical therapy (intranasal corticosteroid with azelastine and/or decongestants and/or ipratropium bromide) then surgical options may be considered.

• #44 Chronic Nonallergic Rhinitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html

  Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. […] Patients should avoid known triggers when possible. […] First-line therapies include intranasal corticosteroids, intranasal antihistamines, and intranasal ipratropium. […] Combination therapy with decongestants and first-generation antihistamines can be considered if monotherapy does not adequately control symptoms. […] Nasal irrigation may be used for nonallergic rhinitis. […] Treatment is symptom-driven, and patients should be advised to avoid any identifiable triggers when possible. […] Intranasal corticosteroids are first-line therapy for nonallergic rhinitis. […] Subgroups of patients with nonallergic rhinitis may not respond to intranasal corticosteroids, such as those with symptoms triggered predominantly by weather and temperature changes.

• #45 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Medications that may help symptoms — Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. These medications may be used alone or in combination. […] Nasal antihistamines — A prescription nasal antihistamine spray, such as azelastine (eg, Astelin, Astepro) or Patanase, can relieve symptoms of postnasal drip, congestion, and sneezing. These sprays start to work within minutes after use and can be used to treat symptoms after they develop. However, they are most effective when used on a regular basis. […] Nasal glucocorticoids (steroids) — Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States (sample brand names: Flonase Allergy Relief, Flonase Sensimist, Rhinocort Allergy, Nasacort).

• #46 Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis Clinical Importance, Differential Diagnosis, and Effective Treatment Recommendations | World Allergy Organization Journal | Full Text

  https://waojournal.biomedcentral.com/articles/10.1097/WAO.0b013e318196ca1e

  Nonallergic rhinitis (NAR) is not a single disease with 1 underlying mechanism but is instead a collection of multiple distinct conditions that cause similar nasal symptoms. […] Understanding and recognizing the presence of NAR in a patient is essential for the correct selection of medications and for successful treatment outcomes. […] Nonallergic rhinitis denotes a group of heterogeneous syndromes with distinct underlying pathophysiologies. […] Nonallergic rhinitis tends to require chronic medical management, and use of topical NCCSs and nasal antihistamines, used alone or in combination, is very effective in most patients. […] Thus, recognizing that the combination of both NCCSs and nasal antihistamines effectively treat AR, VMR, and mixed rhinitis, this combination of medications seems to be a useful first-line treatment for the overwhelming majority of rhinitis patients.

• #47 Chronic Nonallergic Rhinitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html

  Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. […] Patients should avoid known triggers when possible. […] First-line therapies include intranasal corticosteroids, intranasal antihistamines, and intranasal ipratropium. […] Combination therapy with decongestants and first-generation antihistamines can be considered if monotherapy does not adequately control symptoms. […] Nasal irrigation may be used for nonallergic rhinitis. […] Treatment is symptom-driven, and patients should be advised to avoid any identifiable triggers when possible. […] Intranasal corticosteroids are first-line therapy for nonallergic rhinitis. […] Subgroups of patients with nonallergic rhinitis may not respond to intranasal corticosteroids, such as those with symptoms triggered predominantly by weather and temperature changes.

• #48 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Decongestants — Oral decongestant medications (like pseudoephedrine or phenylephrine) help to relieve symptoms of congestion (stuffiness) in some people. However, this treatment is not usually recommended unless nasal antihistamines and nasal glucocorticoids (steroids) do not improve symptoms. […] How long will I need treatment? — The dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.

• #49 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print

  A variety of devices, including syringes, Neti pots, and bottle sprayers, may be used to perform nasal irrigation. […] Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. […] Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] Nasal ipratropium (Atrovent nasal spray) — A runny nose with profuse, watery discharge from the nose (rhinorrhea) can be treated with ipratropium nasal spray. […] Nasal sprays work best when they are used properly and the medication remains in the nose, rather than draining down the back of the throat. […] Oral decongestant medications (like pseudoephedrine or phenylephrine) help to relieve symptoms of congestion (stuffiness) in some people. However, this treatment is not usually recommended unless nasal antihistamines and nasal glucocorticoids (steroids) do not improve symptoms. […] The dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.

• #50 Nonallergic rhinitis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767

  If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: […] Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers. […] Don’t use decongestant nose sprays or drops for too long. Using these medicines for more than a few days at a time can make your symptoms worse. […] Get treatment that works. If you’ve tried a medicine that doesn’t help enough, talk to your health care provider. A change to your treatment plan may be needed to prevent or ease your symptoms.

• #51 Vasomotor Rhinitis: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/vasomotor-rhinitis

  Prevention of vasomotor rhinitis may be difficult if you dont know whats causing your symptoms. If youre able to identify the causes, it may be possible to avoid them. […] You should also avoid overusing nasal decongestants such as oxymetazoline (Afrin). Even though these medications can provide short-term relief for your symptoms, using them for more than three or four days can worsen your symptoms.

• #52 Nonallergic Rhinitis | The Children’s Hospital at Montefiore

  https://www.cham.org/health-library/article?id=abs1066

  You can take simple measures to help relieve your symptoms of nonallergic rhinitis. […] Try to avoid things that trigger your symptoms. […] Use saline (salt water) to rinse your nasal passages once or twice a day. Then blow your nose. […] Use a prescription or over-the-counter nasal medicine, as recommended by your doctor. Different types that might be helpful include antihistamine, corticosteroid, decongestant, and capsaicin nasal sprays. […] If your doctor recommends medicine to relieve symptoms, make sure to take it exactly as prescribed. For example, take a decongestant spray for no more than 3 or 4 days. Longer use can make symptoms worse. Call your doctor if you think you are having a problem with your medicine.

• #53 Nonallergic Rhinitis – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/nose-and-paranasal-sinus-disorders/nonallergic-rhinitis

  Vasomotor rhinitis, also called nonallergic rhinitis, is a chronic condition in which intermittent vascular engorgement of the nasal mucous membrane leads to watery rhinorrhea and sneezing. Etiology is uncertain, and no allergy can be identified. A dry atmosphere seems to aggravate the condition. […] Treatment of vasomotor rhinitis is by trial and error and is not always satisfactory. Patients benefit from humidified air, which may be provided by a humidified central heating system or a vaporizer in the workroom or bedroom. Topical corticosteroids (eg, mometasone 2 sprays twice a day) and nasal antihistamines can be of some benefit. Systemic sympathomimetic amines (eg, for adults, pseudoephedrine 30 mg orally every 4 to 6 hours as needed) relieve symptoms but are not recommended for long-term use because they thicken the mucus and may cause tachycardia and nervousness. Topical vasoconstrictors are avoided because they cause the vasculature of the nasal mucous membrane to lose its sensitivity to other vasoconstrictive stimuli, eg, the humidity and temperature of inspired air. Rebound congestion can result after 3 days of continuous use; chronic use and dependence is known as rhinitis medicamentosa.

• #54 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235

  Some small studies of nonallergic rhinitis have looked into the substance that gives hot peppers their heat, called capsaicin. These studies suggest that using capsaicin inside the nose can ease congestion. […] Some studies also have looked at an alternative treatment in which thin, sterile needles are placed in the body. This is called acupuncture. It’s been used to ease pain and other problems. But some experts recommend not using acupuncture for nonallergic rhinitis.

• #55 Nonallergic rhinitis | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/con-20155767/

  Add moisture to the air. If the air in your home or office is dry, set up a humidifier device where you work or sleep. […] Some small studies of nonallergic rhinitis have looked into the substance that gives hot peppers their heat, called capsaicin. These studies suggest that using capsaicin inside the nose can ease congestion.

• #56 Frontiers | Multifaceted Treatment Options for Nonallergic Rhinitis

  https://www.frontiersin.org/research-topics/68159/multifaceted-treatment-options-for-nonallergic-rhinitisundefined

  An adjunctive treatment option, Decongestants, offers immediate relief from nasal stuffiness, though they must be used judiciously to avoid the risk of rebound congestion. […] Capsaicin Sprays, though unconventional, have demonstrated their worth by desensitizing nasal nerves and decreasing congestion and runny nose symptoms with regular use. […] Understanding that NAR often co-exists with other conditions like respiratory infections or hormonal imbalances, it becomes essential to adopt a holistic approach in its management. […] This involves recognizing and addressing potential exacerbating factors such as environmental irritants or lifestyle choices. […] Given the heterogeneity of Nonallergic Rhinitis and its impact on quality of life, there is a continuous need for tailored, multi-modal treatment strategies that cater not only to symptom relief but also to the nuanced needs of individual patients.

• #57 Recurrent Acute Rhinosinusitis Prevention by Azithromycin in Children with Nonallergic Rhinitis – PubMed

  https://pubmed.ncbi.nlm.nih.gov/28438539/

  Recurrent acute rhinosinusitis (RARS) is characterized by multiple episodes of acute rhinosinusitis between which symptoms and signs resolve completely. The role of antibiotic prophylaxis to prevent RARS in children with nonallergic rhinitis (NAR) has not been investigated. […] To evaluate the effect of azithromycin to prevent RARS in children with NAR. […] Azithromycin prophylaxis can reduce the number of rhinosinusitis episodes and medication score, and improve nasal symptoms in NAR children with RARS.

• #58 Management of Rhinitis: Allergic and Non-Allergic

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3121056/

  The only topical anticholinergic medication approved in the United States for topical application is ipratropium bromide. Ipratropium bromide (0.03%) nasal spray is recommended when rhinorrhea is the predominant or only symptom, as in the case of gustatory rhinitis. […] Nasal lavage with saline solution has also been found to be a helpful alone or as an adjuvant therapy in patients with chronic rhinorrhea and rhinosinusitis. […] After 6-12 months of failed medical therapy (intranasal corticosteroid with azelastine and/or decongestants and/or ipratropium bromide) then surgical options may be considered.

• #59 AAIR :: Allergy, Asthma & Immunology Research

  https://e-aair.org/DOIx.php?id=10.4168/aair.2011.3.3.148

  The only topical anticholinergic medication approved in the United States for topical application is ipratropium bromide. Ipratropium bromide (0.03%) nasal spray is recommended when rhinorrhea is the predominant or only symptom, as in the case of gustatory rhinitis. […] Nasal lavage with saline solution has also been found to be a helpful alone or as an adjuvant therapy in patients with chronic rhinorrhea and rhinosinusitis. […] After 6-12 months of failed medical therapy (intranasal corticosteroid with azelastine and/or decongestants and/or ipratropium bromide) then surgical options may be considered.

• #60 Non-Allergic Rhinitis (aka Vasomotor Rhinitis)

  https://www.fauquierent.net/nonallergicrhinitis

  In many individuals with non-allergic rhinitis, the nasal inferior turbinates are quite large. Surgically reducing the large turbinates may provide improvement in symptoms, but not cure. […] Though patients with non-allergic rhinitis may come back negative to allergies on initial testing, over the next 3-5 years, at least a quarter of patients will eventually develop allergies with positive testing.

• #61 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235

  Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms. These include: […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis. For example, growths in the nose called polyps may need to be removed. Surgery also can fix a problem where the thin wall between the passages in the nose is off-center or crooked. This is called a deviated septum. […] Try these tips to ease the symptoms of nonallergic rhinitis: […] Flushing out the nose with saline or a homemade saltwater mixture can help. It works best when you do it daily. […] If the air in your home or office is dry, set up a humidifier device where you work or sleep.

• #62 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235

  Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms. These include: […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis. For example, growths in the nose called polyps may need to be removed. Surgery also can fix a problem where the thin wall between the passages in the nose is off-center or crooked. This is called a deviated septum. […] Try these tips to ease the symptoms of nonallergic rhinitis: […] Flushing out the nose with saline or a homemade saltwater mixture can help. It works best when you do it daily. […] If the air in your home or office is dry, set up a humidifier device where you work or sleep.

• #63 Nonallergic rhinitis – Wikipedia

  https://en.wikipedia.org/wiki/Nonallergic_rhinitis

  The avoidance of inciting factors such as sudden changes in temperature, humidity, or blasts of air or dust is helpful where possible. […] Intranasal application of antihistamines, corticosteroids, or anticholinergics may be used to treat vasomotor rhinitis. […] A Cochrane review concluded that it is unclear whether intranasal corticosteroids, when compared with a placebo, reduce patient-reported disease severity in people with nonallergic/vasomotor rhinitis, due to the low certainty of the evidence available from clinical trials. […] However, intranasal corticosteroids probably increase risk of nosebleeds. […] Astelin (azelastine) „is indicated for symptomatic treatment of vasomotor rhinitis including rhinorrhea, nasal congestion, and post nasal drip in adults and children 12 years of age and older.” […] Reduction of hypertrophied turbinates, correction of nasal septum deviation, removal of polyps, sectioning of the parasympathetic secretomotor fiber to nose (vidian neurectomy) for controlling refractory excessive rhinorrhea.

• #64 Rhinitis – La Crosse, Wisconsin – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/locations/la-crosse/services-and-treatments/otorhinolaryngology/nose-conditions-and-treatment/rhinitis

  Nonallergic rhinitis occurs when no obvious irritant or allergen is present and can seem to start with no apparent cause. […] Treatment of nonallergic rhinitis depends on how much it bothers you. For mild cases, home treatment and avoiding triggers may be enough. For more-bothersome symptoms, certain medications may provide relief including nasal sprays and decongestants. […] Cryotherapy, or cold therapy, is an innovative, minimally invasive treatment for rhinitis. Cryotherapy uses an endoscope and cryotherapy device to freeze nerves in your nasal passages. When the cold temperature hits the nerves, the nerve signals are interrupted and no longer tell the nose to swell, drip and run. The interruption of the nerve signals provides long-lasting relief from runny or stuffy nasal symptoms. Cryotherapy can provide patients with symptom relief for up to a year or longer.

• #65 CHRONIC RHINITIS REQUIRES COMPREHENSIVE TREATMENT

  https://rhinaer.com/hcp/

  RhinAer is the only non-invasive, in-office solution that targets the multiple sources of chronic rhinitis, offering lasting relief from runny nose, post-nasal drip, and congestion for both allergic and non-allergic patients. […] Treatment of the PNN using RhinAer has been shown to be an effective, patient-friendly option to treat both chronic allergic and non-allergic rhinitis. Its exciting that otolaryngologists have a safe, non-invasive treatment option that can be performed in the clinic under local anesthesia and that provides long-term benefits for our patients.

• #66 Allergic and Non-Allergic Rhinitis Houston The Woodlands TX

  https://premiersinus.com/services/allergic-non-allergic-rhinitis/

  Acute non-allergic rhinitis is usually caused by an infection, such as the common cold. Chronic non-allergic rhinitis can have a number of causes and people who suffer with it often have difficulty obtaining an accurate diagnosis which is why it is important to see a qualified Rhinologist like Dr. Allen. Non-allergic rhinitis symptoms may result from a physical abnormality, such as nasal polyps or a deviated septum. They can also be caused by smoking, chemical/fume exposures, pollution, or overuse of certain medications or nose sprays like oxymetazoline (Afrin). […] When patients come to Dr. Allen for ongoing rhinitis symptoms, they have typically already tried front-line treatments such as over-the-counter decongestants, antihistamines, and nasal sprays. Dr. Allen may prescribe corticosteroid medication, which is effective in many cases. For chronic allergic rhinitis, he may recommend immunotherapy (allergy shots or drops). For cases that do not respond to medication, and for cases in which the nasal passages are physically blocked, he may recommend endoscopic nasal or sinus surgery or a non-surgical treatment for rhinitis such as posterior nasal nerve ablation (Clarifix).

• #67

  https://www.wyndly.com/blogs/learn/vasomotor-rhinitis?srsltid=AfmBOoq5Q1LrigTBgYRWCPXL2HFY5LeTIpeBLHcTvi-DRthgsfeQtLjg

  The most effective way of taking precautions against any type of rhinitis is by avoiding exposure to known irritants. The challenge, in this case, is that the irritants that cause vasomotor rhinitis can vary greatly from person to person, making it difficult to predict what will affect you. […] Consider the best practices below to reduce your risk of developing symptoms: […] Avoid Environmental Triggers […] Take the time to identify any environmental factors that could be affecting your symptoms. Pay special attention to changes in temperature or humidity, dust or smoke in the air, and even perfumes or chemicals. Keeping your home clean and free of dust is a useful preventive measure, as is investing in an air purifier to help filter the air. […] Quit Smoking […] If you’re a smoker, consider quitting. Smoking has been linked to worsening symptoms of vasomotor rhinitis. Reducing your smoking habit can still have a positive effect on your symptoms.

• #68

  https://www.wyndly.com/blogs/learn/vasomotor-rhinitis?srsltid=AfmBOoq5Q1LrigTBgYRWCPXL2HFY5LeTIpeBLHcTvi-DRthgsfeQtLjg

  Avoid Spicy Foods […] Reduce your intake of hot peppers, mustard, and other spicy ingredients as they can act as dietary triggers for vasomotor rhinitis. If you find yourself particularly sensitive to these foods, try swapping them out completely with milder alternatives like garlic, oregano, and basil. […] Wear a Mask […] Wearing a mask can be an effective way of protecting yourself from certain irritants. This is especially useful if you have to go outdoors on windy or cold days, or if you’re exposed to certain chemicals or smoke. Make sure the mask fits properly and is made of a material that won’t irritate your skin. […] Stay Hydrated […] Staying hydrated is also important in preventing or reducing the symptoms of vasomotor rhinitis. Drinking plenty of water helps keep your nasal passages moist, which can help reduce inflammation and irritation. Aim to drink at least 8-10 glasses of water a day if possible.

• #69 Rhinitis Treatments | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/ent-ear-nose-throat/rhinitis/treatments

  Avoiding things that trigger symptoms, including smoke, pets, strong cleaning products, scented products and plants […] Using a neti pot to rinse the nasal cavity […] Using bottled saline spray in the nose […] Quitting smoking […] Using the air conditioning rather than having windows open during the allergy season […] Taking over-the-counter decongestants and antihistamines (both oral and nasal) Note: Decongestant nasal sprays shouldnt be used for more than two to three days at a time because they can cause rebound congestion.

• #70

  https://www.wyndly.com/blogs/learn/vasomotor-rhinitis?srsltid=AfmBOoq5Q1LrigTBgYRWCPXL2HFY5LeTIpeBLHcTvi-DRthgsfeQtLjg

  Manage Stress […] Stress can be a major contributing factor to vasomotor rhinitis. Stress hormones, such as cortisol and epinephrine, have the potential to make the symptoms worse. Therefore, it’s important to find ways to manage your stress and anxiety. […] It’s also just as important to make sure you get enough sleep and practice healthy lifestyle habits.

• #71 Understanding Vasomotor Rhinitis: Causes & Relief Options

  https://enticare.com/2023/04/28/understanding-vasomotor-rhinitis-causes-relief/

  While there is no surefire way to prevent vasomotor rhinitis, there are several things you can do to reduce your risk of developing the condition. These include: […] Avoiding triggers: If you know what triggers your symptoms, try to avoid exposure to these triggers as much as possible. Nasal obstruction can be a significant reason to avoid known triggers. […] Maintaining good indoor air quality: Keep the air inside your home clean and free of irritants such as smoke and pollution. […] Managing stress: Stress can trigger symptoms of vasomotor rhinitis, so it is essential to find ways to manage stress and anxiety. […] Using a humidifier: Using a humidifier can help to keep the air moist, which can reduce symptoms of.

• #72

  https://www.wyndly.com/blogs/learn/vasomotor-rhinitis?srsltid=AfmBOoq5Q1LrigTBgYRWCPXL2HFY5LeTIpeBLHcTvi-DRthgsfeQtLjg

  Avoid Spicy Foods […] Reduce your intake of hot peppers, mustard, and other spicy ingredients as they can act as dietary triggers for vasomotor rhinitis. If you find yourself particularly sensitive to these foods, try swapping them out completely with milder alternatives like garlic, oregano, and basil. […] Wear a Mask […] Wearing a mask can be an effective way of protecting yourself from certain irritants. This is especially useful if you have to go outdoors on windy or cold days, or if you’re exposed to certain chemicals or smoke. Make sure the mask fits properly and is made of a material that won’t irritate your skin. […] Stay Hydrated […] Staying hydrated is also important in preventing or reducing the symptoms of vasomotor rhinitis. Drinking plenty of water helps keep your nasal passages moist, which can help reduce inflammation and irritation. Aim to drink at least 8-10 glasses of water a day if possible.

• #73 Nonallergic Rhinitis: causes and treatment – myDr.com.au

  https://mydr.com.au/symptoms/nonallergic-rhinitis-causes-and-treatment/

  Nonallergic rhinitis can be prevented by reducing exposure to irritants and by drinking plenty of fluids. […] Strategies to lower immune triggering risks include using hypoallergic pillow covers to prevent dust, reduce clutter, regularly clean your home, and live with fewer carpets or upholstered furniture. […] Use of nasal decongestants for more than a few days can worsen your symptoms.

• #74

  https://www.wyndly.com/blogs/learn/vasomotor-rhinitis?srsltid=AfmBOoq5Q1LrigTBgYRWCPXL2HFY5LeTIpeBLHcTvi-DRthgsfeQtLjg

  Avoid Spicy Foods […] Reduce your intake of hot peppers, mustard, and other spicy ingredients as they can act as dietary triggers for vasomotor rhinitis. If you find yourself particularly sensitive to these foods, try swapping them out completely with milder alternatives like garlic, oregano, and basil. […] Wear a Mask […] Wearing a mask can be an effective way of protecting yourself from certain irritants. This is especially useful if you have to go outdoors on windy or cold days, or if you’re exposed to certain chemicals or smoke. Make sure the mask fits properly and is made of a material that won’t irritate your skin. […] Stay Hydrated […] Staying hydrated is also important in preventing or reducing the symptoms of vasomotor rhinitis. Drinking plenty of water helps keep your nasal passages moist, which can help reduce inflammation and irritation. Aim to drink at least 8-10 glasses of water a day if possible.

• #75 Nonallergic rhinitis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767

  If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: […] Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers. […] Don’t use decongestant nose sprays or drops for too long. Using these medicines for more than a few days at a time can make your symptoms worse. […] Get treatment that works. If you’ve tried a medicine that doesn’t help enough, talk to your health care provider. A change to your treatment plan may be needed to prevent or ease your symptoms.

• #76 Nonallergic rhinitis

  https://www.mymlc.com/health-information/diseases-and-conditions/n/nonallergic-rhinitis/

  If you already have nonallergic rhinitis, you can take steps to reduce your symptoms and prevent flare-ups: […] Avoid your triggers. If you can identify what causes or worsen your symptoms, avoiding your triggers can make a big difference. […] Don’t overuse nasal decongestants. Using these medications for more than a few days at a time can worsen your symptoms. […] Get treatment that works. If treatment isn’t working, see your doctor. Your doctor can make changes that do a better job preventing or reducing your symptoms.

• #77 Nonallergic (Vasomotor) Rhinitis: Symptoms, Causes and Treatment

  https://www.webmd.com/allergies/nonallergic-rhinitis

  If you have nonallergic rhinitis, you cant always stop your symptoms, but there are steps you can take to make them less likely to happen: […] Stay away from your triggers: If you know what things set off your symptoms, you can feel your best by avoiding them. […] Ease up on using nasal decongestants: You might be tempted to go to them for relief, but if you use nasal decongestant sprays for longer than a few days, your symptoms will come back even worse than before. […] Talk to your doctor: If your current treatment isnt working, your doctor can find a new treatment plan that will help.

• #78 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics

  Decongestants — Oral decongestant medications (like pseudoephedrine or phenylephrine) help to relieve symptoms of congestion (stuffiness) in some people. However, this treatment is not usually recommended unless nasal antihistamines and nasal glucocorticoids (steroids) do not improve symptoms. […] How long will I need treatment? — The dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.

• #79 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print

  A variety of devices, including syringes, Neti pots, and bottle sprayers, may be used to perform nasal irrigation. […] Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. […] Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] Nasal ipratropium (Atrovent nasal spray) — A runny nose with profuse, watery discharge from the nose (rhinorrhea) can be treated with ipratropium nasal spray. […] Nasal sprays work best when they are used properly and the medication remains in the nose, rather than draining down the back of the throat. […] Oral decongestant medications (like pseudoephedrine or phenylephrine) help to relieve symptoms of congestion (stuffiness) in some people. However, this treatment is not usually recommended unless nasal antihistamines and nasal glucocorticoids (steroids) do not improve symptoms. […] The dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.

• #80 Rhinitis (non-allergic) — BC Society of Allergy and Immunology

  https://www.bcsai.ca/rhinitis-allergic-nonallergic

  Nasal capsaicin: capsaicin is an active ingredient found in chili peppers. It is an over-the-counter spray […] Decongestants: can relieve symptoms of congestion, but should only be used if nasal corticosteroids do not work […] Medications that may worsen your symptoms […] Birth control pills […] Some blood pressure medications (alpha-blockers, beta-blockers) […] Antidepressants […] Medications for erectile dysfunction […] Some medications for prostate enlargement […] Although decongestant sprays may relieve nasal congestion, the effects lessen as they are used more regularly. Over time, decongestants may actually worsen your symptoms, and cause the nose to swell unless the spray is used. It may become difficult to discontinue the spray and your doctor will need to assist you to discontinue it.

• #81 Non-Allergic Rhinitis: Symptoms, Causes and Treatment | Ada

  https://ada.com/conditions/non-allergic-rhinitis/

  Prevention of non-allergic rhinitis includes identifying and avoiding things that make the rhinitis worse. Practicing good hygiene by washing hands regularly and covering the mouth and nose when coughing and sneezing, can be helpful in preventing the spread of viral infections and non-allergic rhinitis. […] If a medication is found to the cause, this may be able to be stopped or replaced with a medication which does not have this side effect.

• #82 Non-Allergic Rhinitis (aka Vasomotor Rhinitis)

  https://www.fauquierent.net/nonallergicrhinitis

  Non-allergic rhinitis is an extremely frustrating sino-nasal disorder that is characterized by all the same symptoms of sinusitis and allergies, but NOT due to sinusitis or allergies. […] Patients often have tried numerous courses of antibiotics, allergy medications, and nasal sprays with nominal or only transient relief. […] In order to understand treatment, it is helpful to revisit the poison ivy analogy… For patients with non-allergic rhinitis, the treatment is essentially the same: Avoid environments that trigger symptoms […] Use a barrier nasal emollient to prevent the airborne irritants from coming into contact with the nasal lining in the first place. […] Regular saline flushes to keep the nose and sinuses clean. […] The only FDA-approved medication to treat non-allergic rhinitis is the prescription nasal spray Astelin which is an anti-histamine nasal spray.

• #83 Nonallergic Rhinitis – Vasomotor Defined

  https://www.aaaai.org/tools-for-the-public/allergy,-asthma-immunology-glossary/nonallergic-rhinitis-vasomotor-defined

  Nonallergic rhinitis cannot be cured, but many people find relief by avoiding triggers, using a saline rinse solution or by taking over-the-counter or prescription medications. […] It is important to have an accurate diagnosis so you can manage your condition appropriately.

• #84 Nonallergic rhinitis – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/nonallergic-rhinitis/

  Nonallergic rhinitis (NAR) is an acute or chronic rhinitis that is not immune mediated. Management includes avoidance of triggers and topical pharmacological treatment with intranasal antihistamines (INAH) and/or intranasal corticosteroids (INCS). […] Initial treatment of VMR [1] includes avoiding triggers, if feasible, and starting monotherapy with INAH or INCS. […] Atrophic rhinitis is managed differently from other types of NAR. Refer to an ENT specialist for management. […] Avoid triggers when possible; see Types of NAR.

• #85 Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis Clinical Importance, Differential Diagnosis, and Effective Treatment Recommendations | World Allergy Organization Journal | Full Text

  https://waojournal.biomedcentral.com/articles/10.1097/WAO.0b013e318196ca1e

  Nonallergic rhinitis (NAR) is not a single disease with 1 underlying mechanism but is instead a collection of multiple distinct conditions that cause similar nasal symptoms. […] Understanding and recognizing the presence of NAR in a patient is essential for the correct selection of medications and for successful treatment outcomes. […] Nonallergic rhinitis denotes a group of heterogeneous syndromes with distinct underlying pathophysiologies. […] Nonallergic rhinitis tends to require chronic medical management, and use of topical NCCSs and nasal antihistamines, used alone or in combination, is very effective in most patients. […] Thus, recognizing that the combination of both NCCSs and nasal antihistamines effectively treat AR, VMR, and mixed rhinitis, this combination of medications seems to be a useful first-line treatment for the overwhelming majority of rhinitis patients.

• #86 Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis Clinical Importance, Differential Diagnosis, and Effective Treatment Recommendations | World Allergy Organization Journal | Full Text

  https://waojournal.biomedcentral.com/articles/10.1097/WAO.0b013e318196ca1e

  Nonallergic rhinitis (NAR) is not a single disease with 1 underlying mechanism but is instead a collection of multiple distinct conditions that cause similar nasal symptoms. […] Understanding and recognizing the presence of NAR in a patient is essential for the correct selection of medications and for successful treatment outcomes. […] Nonallergic rhinitis denotes a group of heterogeneous syndromes with distinct underlying pathophysiologies. […] Nonallergic rhinitis tends to require chronic medical management, and use of topical NCCSs and nasal antihistamines, used alone or in combination, is very effective in most patients. […] Thus, recognizing that the combination of both NCCSs and nasal antihistamines effectively treat AR, VMR, and mixed rhinitis, this combination of medications seems to be a useful first-line treatment for the overwhelming majority of rhinitis patients.

• #87 Nonallergic Rhinitis: Causes, Symptoms And Treatment

  https://breathefreely.com/nonallergic-rhinitis/

  Nonallergic rhinitis triggers are notoriously difficult to determine because they can be almost anything. […] Allergists consider nonallergic rhinitis a suspect only after all other tests have failed to find the culprit. […] The worst part about nonallergic rhinitis is that there’s no surefire way to treat it. Sometimes saline or corticosteroid nasal sprays will do the trick. Other times, you need in-office procedures, such as radiofrequency turbinate reduction, to alleviate symptoms. […] Although there’s no known cure, you can control it in a few ways: Taking OTC or prescription medication, using nonallergic rhinitis treatment natural remedies, such as nasal irrigation and humidifiers, avoiding known triggers. […] Left untreated, these symptoms can lead to ear infections or sinusitis. It can also lead to structural conditions, such as nasal polyps or enlarged air-regulating structures in the nose called turbinates. […] The sooner you seek treatment, the better.

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