The Explosion of OTC Management of Allergic Rhinitis: Costs and Risks

Purpose of the ReviewTo review self-medication and the increasing use of over-the-counter (OTC) medications in the treatment of allergic rhinitis in the last years.Recent FindingsThanks to recent research and the use of mHealth tools, the preferences of patients, the role of primary care physicians, pharmacists, and specialists in the management of this prevalent condition have been known.SummarySuccessful self-management of AR requires that patients be fully informed about the available treatment options, the proper use of nasal spray devices, the need for therapy based on prevention, and avoidance of allergens. The use of OTC medications facilitates access to treatment and lowers health costs, but requires education of patients, and advice from the pharmacist, the primary care physician and, occasionally, the specialist to ensure its effectiveness and avoid under-diagnosis, multimorbidities, sub-treatment, and adverse events.