Non-pharmacological treatment of allergic rhinitis : a systematic review

Abstract

Background: Allergic rhinitis is an upper airway inflammatory disease and affects millions of people worldwide. The use of non-pharmacological treatment in allergic rhinitis is extensive but has long been criticized for lacking systematic evidence. Methods: Relevant clinical trials were identified by systematic search in PubMed from 2015 to 10th April 2015. The effectiveness of different non-pharmacological were evaluated, their methodology were evaluated using international guidelines. Result: Forty three (43) clinical trials were identified. The non-pharmacological treatments examined included acupuncture, herb, nasal irrigation, physical method, probiotic, and others (miscellaneous). In general, the studies showed improvement in nasal symptoms and QoL, providing evidence-based alternative treatment to AR patients. Discussion: Different non-pharmacological treatments were identified and recommended. This study provides alternative methods to those AR patients whom wish to improve their nasal symptoms and quality of life.