Tuesday, 13 January 2015

Hay fever

Evidence Based Reports

Omalizumab for the treatment of inadequately controlled allergic rhinitis: a systematic review and meta-analysis of randomized clinical trials (2014)[DARE] NEW

A systematic review and economic evaluation of subcutaneous and sublingual allergen immunotherapy in adults and children with seasonal allergic rhinitis. (2013) [HTA]

Helminth therapy (worms) for allergic rhinitis. (2012) [Cochrane Library]

Sublingual immunotherapy for allergic rhinitis (2010)[Cochrane Library]

Inferior turbinate surgery for nasal obstruction in allergic rhinitis after failed medical treatment (2010)[Cochrane Library]

Antihistamines used in addition to topical nasal steroids for intermittent and persistent allergic rhinitis in children(2010)[Cochrane Library]

Capsaicin for allergic rhinitis in adults (2010)[Cochrane Library]

Economic evaluation of quality-of-life improvement with second-generation antihistamines and montelukast in patients with allergic rhinitis (2009)[NHS Economic Evaluation Database]

Hay fever in adolescents and adults (2009)[Clinical Evidence] subscription required

Clinical Guidelines

Allergic rhinitis (2014) [CKS] updated

BSACI guidelines for the management of allergic and non-allergic rhinitis (2008)[National Library of Guidelines (UK]

Recent articles in core journals

Oxymetazoline adds to the effectiveness of fluticasone furoate in the treatment of perennial allergic rhinitis. (2011) [Evidence Updates]

Combination therapy with azelastine hydrochloride nasal spray and fluticasone propionate nasal spray in the treatment of patients with seasonal allergic rhinitis. (2008)[EvidenceUpdates]

Intranasal noninhaled carbon dioxide for the symptomatic treatment of seasonal allergic rhinitis (2008)[EvidenceUpdates]

Acupuncture in patients with allergic rhinitis: a pragmatic randomized trial (2008)[EvidenceUpdates]

Effect of once-daily fluticasone furoate nasal spray on nasal symptoms in adults and adolescents with perennial allergic rhinitis (2008)[EvidenceUpdates]

Herbal medicines for the treatment of allergic rhinitis: a systematic review. (2008)[EvidenceUpdates]


Allergic rhinitis (2014)[eMedicine] updated

Pediatric Allergic Rhinitis (2014)[eMedicine] updated

Allergic rhinitis (2012)[Mentor]

Clinical Queries

Which medicines can be used to treat intermittent allergic rhinitis during pregnancy? (2014)[UKMI] NEW

What is the role of Kenalog in the management of allergic rhinitis resistant to treatment? How often can it be repeated? (2013) [ATTRACT]

Is there any evidence that phototherapy nasal devices work in allergic rhinitis/ hay fever? (2009)[ATTRACT]

I have a 39 year old patient in the second trimester of her pregnancy. She has terrible hayfever and wants to use a non sedating antihistamine. Is loratadine safe? (2009)[ATTRACT]

How effective is butterbur for hayfever? What dose is recomended? Are there any interactions or side effects? (2009)[TRIPAnswers]

What is the current thinking on the use of the depot Kenalog in moderately severe hay fever not controlled by oral antihistamines and topical therapies? (2008)[ATTRACT]

What is the current clinical guidelines on the use of steroid injections for management of seasonal allergic rhinitis in UK? (2008)[TRIPAnswers]

What evidence is there of immunotherapy in patients with uncontrolled allergic rhinitis? (2008)[TRIPAnswers]

Patient Information

Seasonal allergic rhinits (2009)[NHS Choices] updated

Hay fever (seasonal allergic rhinitis) (2013) [BUPA]

Hayfever (2012) [PatientUK]


1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.

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