What is the first treatment tried for allergic rhinitis?

Allergic rhinitis is inflammation inside the nose after exposure to an allergen such as pollen, dust mites, mould, or animal dander. It can cause sneezing, an itchy or blocked nose, a runny nose, and post-nasal drip. Symptoms may be seasonal or present throughout the year.

A steroid nasal spray can reduce inflammation, while an antihistamine may ease sneezing and itching. Saline rinsing may clear mucus and allergens. A [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) can help match treatment to your symptoms and other health conditions.

Use a prescribed or recommended nasal spray regularly and follow its technique instructions; aim the nozzle slightly away from the middle wall of the nose. Wash hands after outdoor exposure, keep bedding clean, and ventilate rooms appropriately. Avoid known triggers where practical rather than relying only on symptom relief.

If treatment is not controlling symptoms, a clinician may adjust the medicine or consider [Allergy Medication](/treatments/medical-management/allergy-medication/). [Allergy Testing](/treatments/diagnostics-and-screening/allergy-testing/) can be considered when identifying the trigger would change management.

Arrange medical advice if nasal blockage is severe, symptoms disturb sleep despite treatment, or you have recurrent nosebleeds, facial pain, fever, or thick discharge. Seek urgent help for swelling of the lips or tongue, throat tightness, wheezing, or difficulty breathing, which can signal a serious allergic reaction.

Which nasal spray or tablet suits my symptoms? Can you check my spray technique? Could asthma, sinus disease, or another problem be contributing? Would testing change how I avoid triggers?