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The role of antileukotriene therapy in seasonal allergic rhinitis: a systematic review of randomized trials
Abstract
Objective To evaluate the effect of oral leukotriene receptor antagonists as monotherapy or combined with other drugs in the treatment of seasonal allergic rhinitis. Data sources The MEDLINE, EMBASE, CINAHL (Cumulative Index to Nursing and Allied Health), and Cochrane databases; review articles; and references of included trials. Study selection Published (1966-2005) randomized controlled trials with nasal and eye symptoms and quality-of-life scores as primary outcomes. Results Seventeen studies including 6,231 adults with seasonal allergic rhinitis were selected. Oral leukotriene antagonists significantly reduced daytime nasal symptoms (standardized mean difference [SMD], -0.24; 95% confidence interval [CI], -0.33 to -0.16), nighttime nasal symptoms (SMD, -0.23; 95% CI, -0.30 to -0.16), and eye symptoms and significantly improved quality of life compared with placebo. There were no significant differences between oral leukotriene antagonists and oral histamine H1 antagonists on nasal and eye symptoms and quality-of-life overall score. We also found that leukotriene receptor antagonists were inferior to intranasal corticosteroids for decreasing daytime (SMD, 0.41; 95% CI, 0.27 to 0.56) and nighttime nasal symptoms. The combination of leukotriene receptor antagonists plus histamine H1 antagonists produced greater relief of eye symptoms compared with histamine H1 antagonists alone. Finally, intranasal corticosteroids significantly reduced nasal congestion compared with leukotri…
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“The effect on NO in monotherapy is weaker than that obtained with INCs; therefore, it is not advised [151,152].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [151]
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Metadata
- Authors
- Rodrigo, G. J., & Yañez, A.
- Affiliations
- Hospital Central de las Fuerzas Armadas (UY)
- Corresponding author
- Rodrigo, Gustavo J.
- ORCID
- Rodrigo, Gustavo J.
- Venue
- Annals of Allergy, Asthma & Immunology
- Publisher
- Elsevier BV
- Published
- 2006-06
- Volume
- 96
- Issue
- 6
- Pages
- 779-786
- ISSN
- 1081-1206 (ISSN-L)
- OpenAlex
- W2004515342
- Cited by
- 102
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 19 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 9 · 2017: 1 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 5 · 2012: 6
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Allergy Asthma & Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
- Keywords
- allergic rhinitis, leukotriene receptor antagonists, antileukotriene therapy, histamine H1 receptor antagonists, intranasal corticosteroids, combination therapy, nasal symptoms, ocular symptoms, quality of life, nasal congestion
- MeSH terms
- Administration, Intranasal, Administration, Oral, Adrenal Cortex Hormones, Rhinitis, Allergic, Seasonal, Histamine H1 Antagonists, Humans, Meta-Analysis as Topic, Randomized Controlled Trials as Topic, Leukotriene Antagonists
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