Some patients with allergic rhinitis experience symptoms that are both severe and persistent — occurring more than four days per week and more than four weeks per year, with impact on sleep, daily function, sports participation, or asthma control. This protocol addresses that specific clinical situation.
Severity is defined by symptoms that impair quality of life — including interference with asthma control, sleep, sports participation, or school and work performance. Persistence means symptoms occur more than four days per week and for more than four weeks per year. This protocol applies when both criteria are met.
The foundation of management includes allergen avoidance and patient education. Pharmacological therapy is added, and for patients with severe or persistent symptoms, a combination approach may be warranted — the structured regimen details the specific options and how they are sequenced.
The aim is resolution of allergic rhinitis symptoms, including nasal congestion, rhinorrhea, sneezing, nasal pruritus, and ocular symptoms.