NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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What is the first line treatment for chronic, moderate-to-severe allergy symptoms?

Intranasal steroids
First generation antihistamines
Second generation oral antihistamines
Decongestants

The correct answer is: Intranasal steroids

The first line treatment for chronic, moderate-to-severe allergy symptoms is intranasal steroids. This is because these medications are most effective in reducing inflammation and relieving congestion within the nasal passages. While first generation antihistamines and decongestants may provide some relief, they can also cause drowsiness and have a shorter duration of action. Second generation oral antihistamines are also effective, but they do not address congestion as well as intranasal steroids. Overall, intranasal steroids are the most recommended and effective treatment for chronic, moderate-to-severe allergy symptoms.