Domain Recommendations in protocols WHO recommendations
Clinical assessment Clear rhinorrhea, sneezing, conjunctival edema, itching, and tearingE, F,, seasonalF, sniffling and congestion 2 of rhinorrhea, sneezing, nasal obstruction, nasal pruritis
Can also be accompanied by: fever, pain in front of head and upper face, thick mucusE Persistent if >4 days/week or >4 weeks, functional impairment or impaired sleep
Pharmacological and non-pharmacological recommendations Diphenhydramine or antihistamineA,E,F Allergen avoidance
LoratadineA,F, cetirizineA Evaluation for asthma
Liquid tears, over the counter cough and cold meds (not for <2 years old)E Mild intermittent: oral antihistamine
Anti-allergics or decongestantsA Moderate/persistent: add nasal corticosteroid
Severe: high dose nasal corticosteroid, add oral steroid
Conjunctivitis: saline, oral/ocular antihistamine, ocular chromones