dander, cigarette smoke, and cleaning supplies may be beneficial. Antihistamines are particularly useful for allergic rhinitis, and it may be beneficial in some cases of non-allergic rhinitis. First-generation antihistamines such as chlorpheniramine and clemastine are more potent but have greater sedatory effects; later-generation antihistamines may be used to reduce these effects. Azelastine, a topical antihistamine, is approved for both allergic and non-allergic rhinitis due to its unique anti-inflammatory effects separate from its histamine receptor antagonism. Intranasal steroids may also be beneficial in patients who do not respond to antihistamines. In one meta-analysis, intranasal steroids were shown to improve symptoms of non-allergic rhinitis at four weeks better than a placebo. Decongestants such as pseudoephedrine can tighten blood vessels of the nasal mucosa and result in a decrease in mucus production. Anticholinergics such as ipratropium bromide can help reduce secretions by blocking parasympathetic effects on the nasal mucosa. Other methods, such as drinking warm fluids and using saline nasal irrigation, may be useful for managing symptoms of PND but its exact efficacy is unclear in medical literature. Epidemiology Because PND is often characterized as a "symptom" rather than a separate condition, the exact incidence is unknown and varies by its etiology. Chronic rhinitis, which includes allergic and non-allergic rhinitis, can affect 30-40% of the population. Non-allergic rhinitis is more common in females than in males. References External links Medline Plus article on Nasal Discharge Nose disorders Syndromes