Ask for a short oral steroid course only for severe flares

What to Do

For severe allergic rhinitis flares that are debilitating despite maximal other therapy, ask your doctor about a short course of oral prednisone (20-40mg/day for 5-7 days). This is a rescue measure, not a regular treatment.

Why It Works

Oral corticosteroids powerfully suppress the entire allergic cascade. They provide dramatic relief within 24-48 hours for severe flares. However, even short courses carry real risks: insomnia, mood changes, appetite increase, blood sugar elevation, and a measurable increase in serious complications.

Tips

• Most allergists limit oral steroids to 1-2 short bursts per year maximum
• Avoid long-acting steroid injections (Kenalog) due to prolonged systemic exposure
• Courses beyond 1 week require tapering to avoid adrenal suppression
• This is a last resort, not a shortcut past daily nasal sprays and antihistamines