Availability and costs of allergic rhinitis treatments across the world: a survey of ARIA experts

Maria Clara Urbano; Rafael José Vieira; Yi‐Kui Xiang; Sara Gil‐Mata; Anna Bedbrook; Baharudin Abdullah; Mona Al‐Ahmad; Maryam Ali Al‐Nesf; Emilio Alvarez‐Cuesta; Salma Mussagy Amade; Julijana Asllani; Kazi S Bennoor; Elena Camelia Berghea; Mario Calvo‐Gil; Luis R Caraballo; Elizabeth Castro; Lorenzo Cecchi; Deepa Choudhury; George Christoff; Derek K Chu; Ieva Cirule; Alvaro A Cruz; Dejan Dokic; Bilun Gemicioglu; Maria Antonieta Guzman; Ineta Grisle; Tari Haahtela; Elham Hossny; Wolfram Hoetzenecker; Martin Hrubisko; Tomohisa Iinuma; Zhanat Ispayeva; Juan Carlos Ivancevich; Fanny Wai San Ko; Helga Kraxner; Maciej Kupczyk; Violeta Kvedarienė; Yen Lam; Désirée E Larenas‐Linnemann; Bassam Mahboub; Padukudru A Mahesh; Mohammed Reza Masjedi; Garry McDonald; Amarilis Melendez; Florin Mihaltan; Branislava Milenkovic; Yousser Mohammad; Marek Niedoszytko; Robyn E O'Hehir; Carmen Panaitescu; Petr Panzner; Nikolaos G Papadopoulos; José Miguel Fuentes Perez; Nhân Pham‐Thi; Constantinos Pitsios; Davor Plavec; María Susana Repka‐Ramirez; Jan Romantowski; Marylin Valentin Rostan; Menachem Rottem; Hani Salim; Pongsakorn Tantilipikorn; Vesna Tomic‐Spiric; Arūnas Valiulis; Leticia de las Vecillas; Maria Teresa Ventura; Dana Wallace; Pascal Werminghaus; Sian Williams; Francisco Javier Plaza Zamora; Ludger Klimek; Torsten Zuberbier; Ana Margarida Pereira; João A Fonseca; Jean Bousquet; Bernardo Sousa‐Pinto

doi:10.1111/all.70340

Title	Availability and costs of allergic rhinitis treatments across the world: a survey of ARIA experts
Authors	Urbano, Maria Clara ; Vieira, Rafael José ; Xiang, Yi‐Kui ; Gil‐Mata, Sara ; Bedbrook, Anna ; Abdullah, Baharudin ; Al‐Ahmad, Mona ; Al‐Nesf, Maryam Ali ; Alvarez‐Cuesta, Emilio ; Amade, Salma Mussagy ; Asllani, Julijana ; Bennoor, Kazi S ; Berghea, Elena Camelia ; Calvo‐Gil, Mario ; Caraballo, Luis R ; Castro, Elizabeth ; Cecchi, Lorenzo ; Choudhury, Deepa ; Christoff, George ; Chu, Derek K ; Cirule, Ieva ; Cruz, Alvaro A ; Dokic, Dejan ; Gemicioglu, Bilun ; Guzman, Maria Antonieta ; Grisle, Ineta ; Haahtela, Tari ; Hossny, Elham ; Hoetzenecker, Wolfram ; Hrubisko, Martin ; Iinuma, Tomohisa ; Ispayeva, Zhanat ; Ivancevich, Juan Carlos ; Ko, Fanny Wai San ; Kraxner, Helga ; Kupczyk, Maciej ; Kvedarienė, Violeta ; Lam, Yen ; Larenas‐Linnemann, Désirée E ; Mahboub, Bassam ; Mahesh, Padukudru A ; Masjedi, Mohammed Reza ; McDonald, Garry ; Melendez, Amarilis ; Mihaltan, Florin ; Milenkovic, Branislava ; Mohammad, Yousser ; Niedoszytko, Marek ; O'Hehir, Robyn E ; Panaitescu, Carmen ; Panzner, Petr ; Papadopoulos, Nikolaos G ; Perez, José Miguel Fuentes ; Pham‐Thi, Nhân ; Pitsios, Constantinos ; Plavec, Davor ; Repka‐Ramirez, María Susana ; Romantowski, Jan ; Rostan, Marylin Valentin ; Rottem, Menachem ; Salim, Hani ; Tantilipikorn, Pongsakorn ; Tomic‐Spiric, Vesna ; Valiulis, Arūnas ; Vecillas, Leticia de las ; Ventura, Maria Teresa ; Wallace, Dana ; Werminghaus, Pascal ; Williams, Sian ; Zamora, Francisco Javier Plaza ; Klimek, Ludger ; Zuberbier, Torsten ; Pereira, Ana Margarida ; Fonseca, João A ; Bousquet, Jean ; Sousa‐Pinto, Bernardo
DOI	10.1111/all.70340
Full Text
Is Part of	Allergy.. Hoboken : Wiley. 2026, Early Access, p. [1-10].. ISSN 0105-4538. eISSN 1398-9995
Keywords [eng]	allergic rhinitis ; health economics ; intranasal corticosteroids ; oral antihistamines ; survey
Abstract [eng]	Introduction: Medication availability and costs can be highly variable across countries and in different time periods. We aimed to conduct a survey among local experts to obtain information on the availability and costs of allergic rhinitis medications in different countries. Methods: We sent a survey to members of the Allergic Rhinitis and its Impact on Asthma (ARIA) group, asking for the availability and the lowest cost of specific allergic rhinitis medications in their respective countries. Data in local currencies were converted to 2024 US Dollars adjusted for Purchasing Power Parity (PPP). We compared the costs of different medication classes, assuming, for each class, the least expensive drug in each country, as well as full treatment adherence. Results: We received responses from ARIA experts in 51 different countries. Intranasal corticosteroids (INCS) and oral antihistamines (OAH) were available in all countries, but this was not observed for intranasal antihistamines (INAH) or for INAH+INCS. In most countries, OAH was the least costly drug class, while INAH+INCS was the most expensive. Among INCS, beclomethasone was the medication most frequently identified as the cheapest, while cetirizine and loratadine were the OAH most frequently reported as the least expensive. Among INAH+INCS, azelastine-fluticasone was more frequently identified as less costly than olopatadine-mometasone. Conclusion: There is an important across-country and across-class variability in terms of costs of allergic rhinitis medications.The results of this study will inform the ARIA-EAACI2024–2025 guidelines.
Published	Hoboken : Wiley
Type	Journal article
Language	English
Publication date	2026
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„Availability and costs of allergic rhinitis treatments across the world: a survey of ARIA experts“