An adolescent who has a history of severe allergic rhinitis asks for a recommendation of a medication to try. What is the first-line agent for this condition? Pseudoephedrine (Sudafed) 120 mg orally bid. Azelastine (Astelin) nasal spray, 2 sprays in each nostril bid Fexofenadine (Allegra) 180 mg orally daily. Fluticasone (Flonase) nasal spray, 2 sprays in each nostril daily.
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