Allergic rhinitis
Clinical basis & sources
- Primary source
- OCP Minor Ailments Prescribing
Sources used
- Minor Ailments: Drug Classes and Specified DrugsOntario College of Pharmacists · 2026
- Updated Questions and Answers for Funding for Minor Ailment Services in Ontario PharmaciesGovernment of Ontario · 2024-01-04
- Clinical Practice Guideline: Allergic RhinitisAmerican Academy of Otolaryngology-Head and Neck Surgery · 2015
- AAO-HNSF Releases Guideline on Allergic RhinitisAmerican Family Physician · 2015
- ARIA-EAACI Guidelines 2024-2025 Revision: Part I - Guidelines on Intranasal TreatmentsAllergy / PubMed · 2025-12-01
- Ontario Regulation 256/24: GeneralGovernment of Ontario · 2026
- Executive Officer Notice: Update to Funding for Minor Ailment Services in Ontario Pharmacies (Effective July 1, 2026)Government of Ontario · 2026-05-19
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Allowable drugs under Schedule 4 (15)
Drugs an Ontario pharmacist may prescribe for Allergic rhinitis under O. Reg. 256/24, Schedule 4. Choice still depends on the assessment, contraindications, allergies, and product availability — this is the eligible list, not a recommendation.
- Azelastine
- Beclomethasone
- Bilastine
- Budesonide
- Cetirizine
- Ciclesonide
- Cyproheptadine
- Desloratadine
- Fexofenadine
- Fluticasone
- Loratadine
- Mometasone
- Olopatadine
- Rupatadine
- Triamcinolone
Symptoms this assessment screens
- Nasal congestion
- Runny nose
- Sneezing
- Itchy nose
- Watery, itchy, or red eyes
- Seasonal, environmental, pet, dust, or trigger pattern
- Sleep, school, work, or daily activity affected
Red flags — any positive means refer
- Patient is under 2 years old
- Diagnosis is uncertain or symptoms do not fit allergic rhinitis
- Fever, severe facial pain, worsening illness, or suspected infection
- Eye pain, light sensitivity, vision change, or marked eye redness
- Shortness of breath, wheeze, or uncontrolled asthma symptoms
- Appropriate initial treatment failed or symptoms keep recurring
- Pregnancy, lactation, frailty, significant comorbidity, or complex drug interactions
- A specific allergen must be identified to guide treatment
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