Comparative clinical evaluation of effect of topical verses systemic anti -allergic drug in allergic rhinitis: a prospective study


  • Sunil Kumar Singh Bhadouriya Department of ENT, 1UPUMS, Saifai, Etawah, Uttar Pradesh, India
  • Mohit Srivastava Department of ENT, Rama Medical College, Hapur, Ghaziabad, Uttar Pradesh, India
  • Rohit Saxena Department of ENT, SMS&R, Greater Noida, Uttar Pradesh, India
  • Abhinav Srivastava Department of ENT, Santosh Medical College, Ghaziabad, Uttar Pradesh, India



Rhinitis, Allergy, Antihistamines, Levocetrizine, Azelastine


Background: Nasal passages form one of the chief sources of contact of the human with his environment. Hence, it is natural that the mucosa of the area is the victim of assault with multitudes of potential allergens. Allergic rhinitis is an inflammatory disease with worldwide prevalence of 10-40%. Allergic rhinitis is a disease with low mortality but significantly lowers the quality of life and functioning. Both oral and intranasal antihistamines are approved for the first-line treatment of allergic rhinitis and both formulations result in a reduction in symptoms and an improvement in quality of life.

Methods: The following study was designed to assess the efficacy and safety of the azelastine nasal spray in comparison to levocetrizine in patients with allergic rhinitis. Out of the 68 patients, 34 cases were treated with topical azelastine (group A), while remaining 34 with systemic levocetrizine (group B). The effects of anti-allergic drugs have been studied on the basis of relief of symptoms and change in histopathology.  

Results: The effect of levocetrizine has been studied on the basis of relief of symptoms and change in histopathology and found to have complete response in 58% and fair response in 23.5% patients of allergic rhinitis. The effect of topical azelastine nasal spray have complete response in 70.5% and fair response in 23.5% patients of allergic rhinitis.

Conclusions: Comparing the post therapy clinical and histopathological results in this study, azelastine nasal spray was found to be more effective and safe in the treatment of allergic rhinitis than levocetrizine.


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