What are the first-line treatment options for allergic rhinitis in adults according to current UK guidelines?

The first-line treatment options for allergic rhinitis in adults, according to current UK guidelines, are intranasal corticosteroids and antihistamines (intranasal or non-sedating oral antihistamines), used either alone or in combination ¹.

Intranasal corticosteroids are considered the most effective treatment for allergic rhinitis ¹.

Options include intranasal mometasone furoate, fluticasone furoate, or fluticasone propionate, which have minimal systemic absorption ¹.

For mild, intermittent allergic rhinitis, an antihistamine (intranasal or oral non-sedating antihistamine) is suggested, especially in children, while any first-line treatment may be offered to adolescents and adults ¹.

In cases of moderate to severe or persistent allergic rhinitis, an intranasal corticosteroid or a combination of intranasal corticosteroid with an intranasal antihistamine is recommended ¹.