Non-allergic rhinitis is characterized by sporadic or persistent perennial nasal symptoms that do not result from IgE-mediated immunopathologic events. The symptoms can be similar to allergic rhinitis, but with a less prominent nasal itch and conjunctival irritation. For patients with non-allergic rhinitis, the treatment is: Avoid environments that trigger symptoms, If a runny nose is a significant symptom, atrovent nasal spray can be used as needed, Sinus Buster Nasal Spray which is over-the-counter. This nasal spray contains the ingredient capsacin which appears to significantly relieve problems related to non-allergic rhinitis.
A cross-sectional sample of adults patients in Canada was obtained through random-digit dialing, telephone screening of households nationwide. Cooperative individuals were eligible to participate in the patient survey if they were ≥18 years old. Diagnostic tests are usually necessary to confirm etiology of rhinitis. Skin testing is the primary diagnostic method for the confirmation of environmental allergens for allergic rhinitis. Thirteen randomized controlled trials assessed the efficacy of medications for treatment of nonallergic rhinitis symptoms. Only one study examined the role of antihistamines and three studies examined the efficacy of nasal corticosteroids. Oral decongestants are effective in controlling the symptom of nasal congestion and ipratropium bromide is beneficial in the management of rhinorrhea. Overall, these treatment modalities were well tolerated and devoid of major side effects