Which medication would be most appropriate for Sarah, age 25, with allergic rhinitis and nasal congestion?

A decongestant nasal spray is the most suitable option for Sarah, who is experiencing allergic rhinitis and nasal congestion. Decongestant nasal sprays, such as oxymetazoline or phenylephrine, work quickly to reduce nasal congestion by constricting blood vessels in the nasal passages, leading to a decrease in swelling and mucus production. This rapid relief can be particularly beneficial for individuals suffering from symptoms that interfere with their daily activities or quality of life.

When managing allergic rhinitis, it’s essential to address both the allergy symptoms and the resultant congestion effectively. While antihistamine nasal sprays can help relieve symptoms related to allergies such as sneezing and runny nose, they may not provide the immediate relief from congestion that Sarah is experiencing. Similarly, ipratropium bromide is typically used for the treatment of a runny nose rather than congestion. Omalizumab is a monoclonal antibody treatment that is used for more severe allergic asthma and allergies, and it is not suitable for addressing immediate nasal congestion symptoms.

Given the urgency associated with nasal congestion and the specificity of decongestant nasal sprays in treating this symptom, this option is the most appropriate choice for Sarah’s situation.