Allergic Rhinitis

Allergic rhinitis is an immune reaction in the nasal lining triggered by airborne allergens. The nose, eyes, and throat are most affected. In tropical and subtropical Asia, Singapore, Malaysia, Thailand, the Philippines, and Indonesia, year-round humidity fosters persistent dust-mite and mould exposure, meaning symptoms rarely follow a neat “season” the way they do in temperate climates. In Japan and South Korea, cedar and cypress pollen seasons drive sharp spikes each spring.

Medicines used to treat Allergic Rhinitis

Singulair

Montelukast

4 · 5 · 10mg

Developed to target inflammation in the airways, intended to support the management of persistent asthma and allergic rhinitis by blocking leukotrienes.

From $1.08 / tablet View

Rhinocort

Budesonide

100mcg

Developed to target inflammation in nasal passages, indicated to alleviate symptoms of allergic rhinitis.

From $41.81 / inhaler View

Periactin

Cyproheptadine

4mg

Intended to manage allergic reactions, formulated to alleviate itching and related symptoms by blocking histamine and serotonin receptors.

From $0.48 / tablet View

Ilaxten

Bilastine

20 · 40mg

Utilized to alleviate allergic rhinitis to support respiratory comfort.

From $1.09 / tablet View

Astelin

Azelastine

10ml

Designed to target nasal allergy symptoms, intended to alleviate congestion and sneezing caused by environmental triggers.

From $27.54 / spray View

What the symptoms look like

The hallmark cluster is sneezing (often in runs), a clear runny nose, nasal blockage, and itchy or watery eyes. Some people also notice an itchy palate or ears. Symptoms can be intermittent, tied to a specific exposure like a cat or a dusty room, or persistent, present on most days. Fatigue and poor sleep from nasal obstruction are common but under-recognised complaints.

Choosing the right treatment approach

Avoiding triggers where practical is the first step, but it is rarely enough on its own. For most people, treatment combines an antihistamine with a nasal corticosteroid spray.

Antihistamines such as bilastine or cyproheptadine reduce sneezing, itch, and watery discharge quickly. Nasal sprays containing fluticasone or budesonide target congestion and inflammation at the source and work best when used consistently rather than just on bad days. For people whose rhinitis is complicated by asthma or exercise-induced wheeze, montelukast addresses both airways together. Topical antihistamine sprays such as azelastine act within minutes and suit those who prefer not to take a daily tablet.

See also the respiratory health range for related conditions.

When to seek further assessment

Rhinitis is rarely dangerous, but a few patterns warrant medical attention: symptoms that persist despite treatment, one-sided nasal blockage or bloody discharge, loss of smell, or severe facial pain. These may point to structural issues or a different diagnosis rather than simple allergy.