Question

A patient with severe persistent allergic rhinitis has not responded to oral antihistamines and an intranasal corticosteroid spray. According to NICE CKS, what is a suitable next step to consider?

Accepted Answer

Addition of a leukotriene receptor antagonist

Answer

A short course of oral corticosteroids

Answer

Referral for immunotherapy

Answer

Addition of an intranasal decongestant for long-term use

Answer

Trial of a different oral antihistamine

Practice question

A patient with severe persistent allergic rhinitis has not responded to oral antihistamines and an intranasal corticosteroid spray. According to NICE CKS, what is a suitable next step to consider?