What is the first-line treatment for pediatric allergic rhinitis?

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The first-line treatment for pediatric allergic rhinitis is nasal corticosteroids. These medications are considered the most effective option for managing the symptoms of allergic rhinitis in children. Nasal corticosteroids work by reducing inflammation in the nasal passages, which directly addresses one of the primary underlying issues in allergic rhinitis. They can significantly alleviate symptoms such as nasal congestion, itching, and runny nose, leading to improved quality of life for affected children.

While antihistamines, the option chosen, are commonly used and help relieve specific symptoms such as sneezing and itching, they do not address nasal congestion as effectively as nasal corticosteroids. Moreover, in many cases, using nasal corticosteroids may provide a more comprehensive control of overall allergic symptoms. Therefore, while antihistamines are useful for selective symptom relief, nasal corticosteroids are recognized as the preferred first-line treatment due to their ability to control inflammation and offer more sustained relief from the symptoms of allergic rhinitis.

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