Rhinitis Management Algorithm
ÎMajor decision points for the appropriate evaluation and treatment of patients with suspected rhinitis (refer to Figure 1).1
Figure 1. Treatment Algorithm1
Patient with symptoms of rhinitis
YES (see Tables 3, 4, 5, & 6)
for allergic rhinitis symptoms
Therapeutic trial (see Tables 3, 4, 5, & 6)
Therapeutic trial for non-allergic rhinitis symptoms
History suggestive of allergic rhinitis?
NO
YES
Does patient respond?
NO
Further follow-up, meets consultation criteria?
YES
Consultation with an allergist-immunologist
YES
Management of allergic rhinitis: > Avoidance/environmental control > Adjust medication > Consider immunotherapy > Patient education
Cooperative follow-up non-allergic rhinitis Management of
(history & skin test correlation)
NO
an allergic basis for rhinitis?
Does patient have
Y
FOR INTERNAL USE ONLY