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Allergic rhinitis medications include antihistamines, which cause drowsiness and have evidence of cardiac toxicity, intranasal corticosteroid sprays, which increase the risk of nasal dryness, nosebleeds, rhinitis medicamentosa, anosmia, headache, and nasal septum perforation, and decongestants, which have rebounding effects after a few days [8,9,10]

Sometimes they reflect route of administration, dose selection, or early adjustment to treatment

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