Don't Be Surprised to See Formularies Drop Rhinocort

The Rx-to-OTC shift of Rhinocort Allergy Spray (budesonide) will bring up questions about how to treat allergies.

Oral antihistamines (cetirizine, etc) are usually used first for mild, occasional symptoms...especially sneezing or itching. They work well "as needed"...since they start working within a couple hours.

Intranasal steroids (fluticasone, etc) are used instead for more severe or persistent symptoms.

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