Treatment Guideline Chart
Nonallergic rhinitis is the inflammation of the nasal lining membranes without any immunoglobulin E mediation, as documented by allergen skin testing.
Major signs and symptoms include nasal itching, watery rhinorrhea, nasal obstruction/congestion, sneezing and postnasal drainage.
Symptoms can reverse spontaneously with or without treatment.

Rhinitis%20-%20nonallergic Signs and Symptoms


  • Rhinitis is the inflammation of nasal lining membranes
  • Allergic rhinitis (AR) is a symptomatic disorder of the nose secondary to immunoglobulin E (IgE)-mediated inflammation of the nasal membranes induced after exposure to allergens
    • Also known as hay fever or allergic rhinosinusitis
    • Please see Rhinitis - Allergic disease management chart for further information
  •  Nonallergic rhinitis (NAR) is differentiated from AR by the lack of a known allergic cause or the absence of IgE-mediated hypersensitivity

Signs and Symptoms

Major Signs and Symptoms (presence of ≥1):
  • Nasal obstruction/congestion 
  • Nasal itching
  • Sneezing 
  • Watery rhinorrhea
  • Postnasal drainage
Other Signs and Symptoms:
  • Headache
  • Conjunctival symptoms, eye pruritus
  • Impaired smell
  • Morning cough
Symptoms can reverse spontaneously with or without treatment
Editor's Recommendations
Special Reports