What is the best medication for managing allergic rhinitis?

Question

Hello doctor,

I am currently using a combination of Fluticasone propionate and Azelastine nasal spray, along with a tablet combination of Levocetirizine and Montelukast for allergic rhinitis. I am experiencing a mild fever after taking the medication. Is it safe to use Fluticasone propionate and Azelastine? Can I take Paracetamol for the fever while using these medications? Is there any alternative to these medications without steroids?

Please advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

The combination of Azelastine hydrochloride and Fluticasone propionate is a topical corticosteroid and is safe to use. Yes, you can take Paracetamol for the fever. For allergic rhinitis, topical steroids are recommended. An alternative treatment is to avoid the potential allergens you suspect. Nasal sprays containing Mometasone are another option.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

There are generally no significant side effects with topical corticosteroids when used properly. You can start using Mometasone, one puff in each nostril, in the morning after breakfast. If the spray reaches your throat, do not swallow it—just spit it out. The key is to use it correctly: use your left hand to spray into your right nostril, and vice versa. With proper usage, side effects are unlikely to occur.

You can also try Ayurveda, but be aware that the results may take longer and are not always guaranteed. In allopathy, you can typically see results within three weeks, allowing you to adjust your treatment as needed.

Ultimately, the best way to manage allergies is to avoid potential allergens. Try to stay away from dust, smoke, and other triggers such as cold exposure or certain food products.

Thanks for using icliniq, and have a nice day.