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Topical steroids are better than leukotriene receptor antagonists at relieving nasal symptoms of seasonal allergic rhinitis

BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.333.7561.0-e (Published 27 July 2006) Cite this as: BMJ 2006;333:0-e

Research question What is the role of oral leukotriene antagonists in the treatment of seasonal allergic rhinitis?

Answer They work better than a placebo, and as well as antihistamines. But intranasal steroids work best for nasal congestion

Why did the authors do the study? Oral antihistamines and intranasal steroids are traditional treatments for seasonal allergic rhinitis. Oral leukotriene receptor antagonists such as montelukast are also effective, but the relative roles of these three treatments are not yet established. These authors wanted to review all the randomised evidence relating to oral leukotriene receptor antagonists to find out where they fit in …

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