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New Therapies for Allergic Rhinitis

  • RHINITIS (JJ OPPENHEIMER AND J CORREN, SECTION EDITORS)
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Abstract

Because of its burden on patient’s lives and its impact on asthma, allergic rhinitis must be treated properly with more effective and safer treatments. According to guidelines by Allergic Rhinitis and Its Impact on Asthma (ARIA), the classification, pathogenesis, and treatment of allergic rhinitis are well defined. Currently, second-generation antihistamines and inhaled steroids are considered the cornerstone of first-line therapy. However, new formulations of available drugs (e.g., loratadine and rupatadine oral solution, ebastine fast-dissolving tablets, and the combination of intranasal fluticasone propionate and azelastine hydrochloride), recently discovered molecules (e.g., ciclesonide, bilastine, and phosphodiesterase-4 inhibitors), immunologic targets (e.g., omalizumab), and unconventional treatments (e.g., homeopathic treatments) are currently under investigation and represent a new frontier in modern medicine and in allergic rhinitis management. The aim of this review is to provide an update on allergic rhinitis treatment, paying particular attention to clinical trials published within the past 20 months that assessed the efficacy and safety of new formulations of available drugs or new molecules.

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Acknowledgments

The study was supported by ARMIA (Associazione Ricerca Malattie Immunologiche e Allergiche).

The authors thank ASPADIRES (Associazione Pazienti Disturbi Respiratori nel Sonno) and acknowledge Dr. Marianna Bruzzone for linguistic assistance with the manuscript.

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Fulvio Braido, F. Sclifò, M. Ferrando, and G.W. Canonica declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Fulvio Braido.

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F. Sclifò and M. Ferrando contributed equally to the paper

This article is part of the Topical Collection on Rhinitis

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Braido, F., Sclifò, F., Ferrando, M. et al. New Therapies for Allergic Rhinitis. Curr Allergy Asthma Rep 14, 422 (2014). https://doi.org/10.1007/s11882-014-0422-z

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