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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Allergic Rhinitis Be Treated?

I was diagnosed by my doctor, on Jan. 18th, that I was having an allergy reaction to a large burning wax scented candle in our office. My nose constantly runs and either drips/runs out my right nostril or down the back of my throat if I tip my head back. I have use Rx Claritin and Zyrtec and Rx Flonaze. Nothing seems to make a difference. I did get 2 sinus infections during this time and that is now cleared up. I don t believe that I have a pollup in my nose since the doctor checked. Why is my nose still running almost 2 months after is started on 1/6/17? What is my next step?
Sat, 28 Jul 2018
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Pulmonologist,  's  Response
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

In my opinion, you should start montelukast (anti allergic) along with Claritin and Zyrtec. Instead of plain fluticasone (Flonase) intranasal spray, you should take combination of azelastin and fluticasone. This combination works well for symptomatic relief. Oral steroids can also be given in some cases. Also get done detailed allergy testing to identify causative allergens in you. It is quite possible that you might have allergy to things Other than wax.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Allergic Rhinitis Be Treated?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion, you should start montelukast (anti allergic) along with Claritin and Zyrtec. Instead of plain fluticasone (Flonase) intranasal spray, you should take combination of azelastin and fluticasone. This combination works well for symptomatic relief. Oral steroids can also be given in some cases. Also get done detailed allergy testing to identify causative allergens in you. It is quite possible that you might have allergy to things Other than wax. Hope I have answered your query. Let me know if I can assist you further.