Monitoring
Specialist Referral
Referral to an immunology or allergy specialist is
recommended if further allergy testing and interpretation are needed to confirm
the diagnosis and facilitate allergen avoidance. Other indications for referral
include severe or inadequately controlled allergic rhinitis despite optimized
therapy and avoidance measures, patients having intolerable adverse effects to
the therapeutic agents, allergen immunotherapy is being considered, and other
atopic comorbidities requiring management.