When to Refer Pediatric Allergic Rhinitis From Primary Care

For children with allergic rhinitis , access to over-the-counter (OTC) treatments has never been broader — or more effective. From nonsedating oral antihistamines to intranasal corticosteroids, families now can begin allergy management at home, often without stepping foot in a clinic.

Although access has improved, clinicians still play a critical role in guiding families through treatment choices, addressing hesitations, and identifying when it's time for referral.

“At least 90% of patients I see have used OTC antihistamines and/or nasal steroids,” said Angela Hogan, MD, chair of the asthma committee for the American College of Allergy, Asthma , and Immunology and professor of pediatrics at Macon and Joan Brock Virginia Health Sciences at Old Dominion University in Norfolk, Virgini