Effective Vasomotor Rhinitis Treatment: Understanding Non-Allergic Rhinitis Symptoms

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Classification of NON-ALLERGIC RHINITIS
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Non-Allergic Rhinitis with Eosinophilia
Patients of Non-Allergic Rhinitis with
eosinophilia (NARE) have perennial symptoms with
episodes of watery discharge, itching, sneezing,
and epiphora. They have negative or irrelevant
reports by skin or in vitro allergy testing. The
specific allergy triggers are absent, but
aggravating factors usually include weather
changes and exposure to chemical irritants. The
nasal smear shows marked eosinophilia.
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Drug-Induced Rhinitis
Several ANTI-HYPERTENSIVE DRUGS, such as beta-
blockers, alpha-blockers, angiotensin-converting
enzyme (ACE) inhibitors, and vasodilators, can
result in nasal congestion and stuffiness. The
ANTICHOLINESTERASE DRUG (Neostigmine) used in
myasthenia gravis have acetylcholine-like action,
which may affect the nasal mucosa. ASPIRIN and
NSAID are well known to cause sinusitis and
asthma. Contraceptive pills (Estrogen) can cause
nasal obstruction.
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Rhinitis medicamentosa
The long-term use of topical nasal decongestants
such as Oxymetazoline (Otrivin), Xylometazoline
(Nasivion), etc., causes rebound congestion in
the nose and leads to rhinitis medicamentosa.
It usually affects people who use these sprays
for 7-to-10 days or longer.
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Emotional rhinitis
Nose mucosa may react to several emotional
conditions, such as anxiety, tension, hostility,
humiliation, resentment, and grief.
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