What is the best medicine for allergic rhinitis and nasal congestion in children?

Pediatric allergic rhinitis nasal congestion commonly used drugs for antihistamines, leukotriene receptor antagonists, nasal glucocorticoids, nasal mucosal vasoconstrictors, etc., due to the large individual differences in patients, the use of medication does not exist in the absolute best, should be under the guidance of the doctor fully combined with the individual situation, choose the right drug.
1. Antihistamines: Oral medications generally include cetirizine hydrochloride and loratadine. Antihistamines can generally be used as the first choice of therapeutic drugs for mild allergic rhinitis in children, which are characterized by good safety and few adverse reactions.
2. Leukotriene receptor antagonists: Leukotriene receptor antagonists, including montelukast and other drugs, are the first-line therapeutic drugs for the treatment of allergic rhinitis in children, improving symptoms such as nasal congestion, sneezing and runny nose, and may have adverse reactions such as mild headache and dry mouth.
3. Nasal glucocorticosteroids: Nasal glucocorticosteroids generally include fluticasone propionate, budesonide, mometasone furoate and other drugs, which have obvious local anti-inflammatory effects and are commonly used for moderate persistent allergic rhinitis in children, and may have adverse reactions such as dryness of the nasal cavity, irritation and pharyngitis.
4. Nasal mucosal vasoconstrictor: commonly used drugs include ephedrine nasal drops, etc., which can constrict the nasal mucosal blood vessels and improve the symptoms of nasal congestion.
Pediatric allergic rhinitis nasal congestion should follow the doctor’s instructions to standardize the use of drugs, do not change the dosage of drugs.