Treatment of allergic rhinitis in pregnancy

* The nasal passages can be rinsed with a saline spray or the lower sinuses can be rinsed with larger volumes using a neti pot or squeeze bottle. Refer to UpToDate content on pharmacotherapy for allergic rhinitis, discussion of nasal saline.

¶ Medications that are generally avoided in pregnancy include oral decongestants (especially in the first trimester), antihistamine nasal sprays (due to lack of human data), and herbal therapies (not regulated and thus could contain contaminants).