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Diagnosis and management of perennial (non-seasonal) allergic rhinitis/conjunctivitis. For seasonal allergic rhinitis see separate guidelines
Ask about triggers (e.g. pets) if symptoms intermittent all year round (perennial).
For diagnostic algorithm see:
Consider referral to ENT. (see referral details)
Send blood for specific IgE to suspect aero-allergen (most commonly house dust mite and pets if exposed).
Consider a concomitant diagnosis of asthma and manage according to guidelines
Avoid sedating antihistamines, depot corticosteroids, and chronic use of decongestants.
Treatment failure should prompt a review of the diagnosis, compliance with therapy (regular therapy is more effective than "as required" treatment), and intranasal corticosteroid technique.
For more information see
This guideline has been signed off by South Devon and Torbay CCG.
Publication date: March 2016