If Zyrtec and Flonase aren't working for severe allergic
rhinitis, what should I try?    • Q: I have severe allergic
rhinitis. Zyrtec and Flonase aren't working. What should I try?
• A: Allergic rhinitis is the result of exposure to allergens in
the environment. The exposure causes a response from the immune
system releasing chemicals like histamine. This release can lead
to the itching, watery eyes, and running nose typically
associated with allergic rhinitis. Alternative antihistamines,
such as Allegra (fexofenadine) or Claritin (loratadine), make
work better for some patients than Zyrtec. Likewise, besides
Flonase, other nasal cortisteroids like Rhinocort (budesonide)
or Nasonex (mometasone) are available to blunt the immune system
response. It is important to remember that, while these
medications are similar, some patients have more success with
some drugs over other ones. When recommended treatments fail to
relieve the symptoms, the best option to consult a physician.
Allergen testing is possible to f