Pharmacists are trusted health care professionals. Many patients use over-the-counter (OTC) medications and are seen by pharmacists who are the initial point of contact for allergic rhinitis management in most countries. The role of pharmacists in integrated care pathways (ICPs) for allergic diseases is important. This paper builds on existing studies and provides tools intended to help pharmacists provide optimal advice/interventions/strategies to patients with rhinitis. The Allergic Rhinitis and its Impact on Asthma (ARIA)-pharmacy ICP includes a diagnostic questionnaire specifically focusing attention on key symptoms and markers of the disease, a systematic Diagnosis Guide (including differential diagnoses), and a simple flowchart with proposed treatment for rhinitis and asthma multimorbidity. Key prompts for referral within the ICP are included. The use of technology is critical to enhance the management of allergic rhinitis. However, the ARIA-pharmacy ICP should be adapted to local healthcare environments/situations as regional (national) differences exist in pharmacy care.

Allergology Department Centre de l'Asthme et des Allergies Hôpital d'Enfants Armand Trousseau Sorbonne Universités UPMC Univ Paris 06 UMR_S 1136 Institut Pierre Louis d'Epidémiologie et de Santé Publique Equipe EPAR Paris France

Allergy and Asthma Associates of Southern California Mission Viejo California

Allergy and Clinical Immunology Department Centro Médico Docente la Trinidad Caracas Trinidad

Allergy Center CUF Descobertas Hospital Lisbon Portugal

Allergy Department 2nd Pediatric Clinic Athens General Children's Hospital P and A Kyriakou University of Athens Athens Greece

Allergy Diagnostic and Clinical Research Unit University of Cape Town Lung Institute Cape Town South Africa

Allergy Section Department of Internal Medicine Hospital Vall 'dHebron and ARADyAL Research Network Barcelona Spain

Association of Finnish Pharmacies Helsinki Finland

Biomax Informatics AG Munich Germany

Center for Rhinology and Allergology Wiesbaden Germany

Center of Excellence in Asthma and Allergy Médica Sur Clinical Foundation and Hospital México City Mexico

Centre for Clinical Research Sörmland Uppsala University Eskilstuna Sweden

Centre for Empowering Patients and Communities Faulkland Somerset UK

Children's Hospital Srebrnjak Zagreb School of Medicine University J J Strossmayer Osijek Croatia

CIBER Epidemiología y Salud Pública Barcelona Spain

CINTESIS Center for Research in Health Technologies and Information Systems Faculdade de Medicina da Universidade do Porto Porto Portugal

CIRFF Federico 2 University Naples Italy

Clinic of Children's Diseases and Institute of Health Sciences Department of Public Health Vilnius University Institute of Clinical Medicine Vilnius Lithuania

Clínica El Avila Altamira Caracas Venezuela

CRI Clinical Research International Ltd Hamburg Germany

Cyprus International Institute for Environmenta and Public Health in Association with Harvard School of Public Health Cyprus University of Technology Limassol Cyprus

Danish Committee for Health Education Copenhagen East Denmark

Department of Allergy and Clinical Immunology Ajou University School of Medicine Suwon South Korea

Department of Allergy and Immunology Hospital Quirón Bizkaia Erandio Spain

Department of Allergy Immunology and Respiratory Medicine Alfred Hospital and Central Clinical School Monash University Melbourne Victoria Australia

Department of Biochemistry and Clinical Chemistry Faculty of Pharmacy with the Division of Laboratory Medicine Warsaw Medical University Warsaw Poland

Department of Clinical Pharmacy of Lithuanian University of Health Sciences Kaunas Lithuania

Department of Dermatology and Allergy Centre Odense University Hospital Odense Research Center for Anaphylaxis Odense Denmark

Department of Dermatology and Allergy Charité Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin Humboldt Universität zu Berlin Berlin Institute of Health Comprehensive Allergy Center A member of GA2LEN Berlin Germany

Department of ENT Medical University of Graz Graz Austria

Department of Health Research Methods Evidence and Impact Division of Immunology and Allergy Department of Medicine McMaster University Hamilton Ontario Canada

Department of Immunology and Allergology Faculty of Medicine and Faculty Hospital in Pilsen Charles University Prague Pilsen Czech Republic

Department of Immunology and Allergy Healthy Ageing Research Center Medical University of Lodz Lodz Poland

Department of Immunology Monash University Melbourne Victoria Australia

Department of Internal Medicine Medical University of Graz Graz Austria

Department of Lung Diseases and Clinical Immunology University of Turku and Terveystalo allergy clinic Turku Finland

Department of Medicine Bon Secours Hospital Glasnevin Dublin Ireland

Department of Medicine Clinical Immunology and Allergy McMaster University Hamilton Ontario Canada

Department of Medicine Surgery and Dentistry Scuola Medica Salernitana University of Salerno Salerno Italy

Department of Nephrology and Endocrinology Karolinska University Hospital Stockholm Sweden

Department of Otolaryngology Head and Neck Surgery Beijing TongRen Hospital Beijing Institute of Otolaryngology Beijing China

Department of Otolaryngology Nippon Medical School Tokyo Japan

Department of Otorhinolaryngology Academic Medical Centre Amsterdam The Netherlands

Department of Otorhinolaryngology Chiba University Hospital Chiba Japan

Department of Otorhinolaryngology Head and Neck Surgery Section for Rhinology and Allergy University Hospital Marburg Philipps Universität Marburg Marburg Germany

Department of Otorhinolaryngology Universitätsklinikum Düsseldorf Dusseldorf Germany

Department of Otorhinolaryngology University of Crete School of Medicine Heraklion Greece

Department of Paediatrics and Child Health Red Cross Children's Hospital and MRC Unit on Child and Adolescent Health University of Cape Town Cape Town South Africa

Department of Paediatrics Oslo University Hospital Oslo Norway

Department of Pediatrics Hospital Archbishop Makarios 3 Nicosia Cyprus

Department of Pediatrics Nippon Medical School Tokyo Japan

Department of Pharmacy of University of Naples Federico 2 Naples Italy

Department of Prevention of Environmental Hazards and Allergology Medical University of Warsaw Warsaw Poland

Department of Public Health and Primary Care Leiden University Medical Center Leiden The Netherlands

Department of Pulmonary Medicine Rashid Hospital Dubai UAE

Department of Pulmonology Celal Bayar University Manisa Turkey

Department of Respiratory Diseases Montpellier University Hospital Montpellier France

DG for Health and Social Care Scottish Government Edinburgh UK

Division for Health Innovation Campania Region and Federico 2 University Hospital Naples Naples Italy

Division of Allergy Asthma and Clinical Immunology Emek Medical Center Afula Israel

Division of Allergy Immunology University of South Florida Tampa Florida

Division of Infection Immunity and Respiratory Medicine Royal Manchester Children's Hospital University of Manchester Manchester UK

Division of Internal Medicine Asthma and Allergy Barlicki University Hospital Medical University of Lodz Lodz Poland

EFA European Federation of Allergy and Airways Diseases Patients' Associations Brussels Belgium

EIP AHA Reference Site Coimbra Portugal

ENT Department University Hospital of Kinshasa Kinshasa Congo

Epidemiology of Allergic and Respiratory Diseases Department Institute Pierre Louis of Epidemiology and Public Health Medical School Saint Antoine INSERM and UPMC Sorbonne Université Paris France

ERS President 2017 2018 Athens Chest Hospital 7th Resp Med Department and Asthma Center Athens Greece

Eshelman School of Pharmacy University of North Carolina Chapel Hill North Carolina

Euforea Brussels Belgium

European Academy of Paediatrics Brussels Belgium

European Health Futures Forum Isle of Wright UK

Faculty of Health Sciences and CICS UBI Health Sciences Research Centre University of Beira Interior Covilhã Portugal

Faculty of Medicine Coimbra Institute for Clinical and Biomedical Research University of Coimbra Coimbra Portugal

Faculty of Medicine Institute of Clinical Medicine University of Oslo Oslo Norway

Faculty of Medicine University of Coimbra Coimbra Portugal

Faculty of Medicine Vilnius University Vilnius Lithuania

Farmacias Holon Lisbon Portugal

Farmacie Dei Golfi Group Massa Lubrense Italy

GARD Chairman Geneva Switzerland

Honorary Clinical Research Fellow Allergy and Respiratory Research Group The University of Edinburgh Past President SLAAI FACAAI Edinburgh UK

Hospital of the Hospitaller Brothers in Buda Budapest Hungary

ICVS 3B's PT Government Associate Laboratory Braga Guimarães Portugal

IMIM Barcelona Spain

Immunology and Allergy Division Clinical Hospital University of Chile Santiago Chile

Imunoalergologia Centro Hospitalar Universitário de Coimbra Coimbra Portugal

INSERM U 1168 VIMA Ageing and chronic diseases Epidemiological and public health approaches Villejuif France

Institute for Clinical Epidemiology and Biometry University of Wuerzburg Wuerzburg Germany

Institute of Medical Statistics and Computational Biology Medical Faculty University of Cologne Cologne Germany

Institute of Social Medicine Epidemiology and Health Economics Charité Universitätsmedizin Berlin Berlin Germany

iQ4U Consultants Ltd London UK

ISGlobAL Centre for Research in Environmental Epidemiology Barcelona Spain

Johns Hopkins School of Medicine Baltimore Maryland

KYomed INNOV Montpellier France

Laboratoire de Pharmacologie Respiratoire UPRES EA220 Hôpital Foch Suresnes Université Versailles Saint Quentin Université Paris Saclay Saclay France

Laboratory of Clinical Immunology Department of Microbiology and Immunology KU Leuven Leuven Belgium

Life and Health Sciences Research Institute School of Medicine University of Minho Braga Portugal

MACVIA France Fondation Partenariale FMC VIA LR Montpellier France

Medical Consulting Czarlewski Levallois France

MEDIDA Lda Porto Portugal

MedScript Ltd Dundalk Co Louth Ireland

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National Research Center Institute of Immunology Federal Medicobiological Agency Laboratory of Molecular immunology Moscow Russian Federation

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Pediatric Allergy and Immunology Unit Children's Hospital Ain Shams University Cairo Egypt

Personalized Medicine Clinic Asthma and Allergy Humanitas Research Hospital Humanitas University Rozzano Milan Italy

Pharmacist Municipality Pharmacy Sarno Italy

Pneumology and Allergy Department CIBERES and Clinical and Experimental Respiratory Immunoallergy IDIBAPS University of Barcelona Barcelona Spain

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Rhinology Unit and Smell Clinic ENT Department Hospital Clínic Clinical and Experimental Respiratory Immunoallergy IDIBAPS CIBERES University of Barcelona Barcelona Spain

RiRL Oakington Cambridge UK

Scientific Centre of Children's Health under the MoH Russia Russian National Research Medical University named Pirogov Moscow Russia

Section of Allergy and Immunology Saint Louis University School of Medicine Saint Louis Missouri

Servicio de Alergia e Immunologia Clinica Santa Isabel Buenos Aires Argentina

Skin and Allergy Hospital Helsinki University Hospital Helsinki Finland

Sociedad Paraguaya de Alergia Asma e Inmunologie Asuncion Paraguay

The Allergy and Asthma Institute Islamabad Pakistan

The Hospital for Sick Children Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada

The Usher Institute of Population Health Sciences and Informatics The University of Edinburgh Edinburgh UK

Transylvania University Brasov Brasov Romania

UCIBIO REQUIMTE Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto University of Porto Porto Portugal

Ukrainian Medical Stomatological Academy Poltava Ukraine

Unit of Geriatric Immunoallergology University of Bari Medical School Bari Italy

Universidad Católica de Córdoba Córdoba Argentina

Universitat Pompeu Fabra Barcelona Spain

Université Versailles St Quentin en Yvelines UMR S 1168 Montigny le Bretonneux France

University Clinic of Respiratory and Allergic Diseases Golnik Slovenia

University Hospital 'Sv Ivan Rilski' Sofia Bulgaria

University Hospital Montpellier France

University of Helsinki Helsinki Finland

University of Medicine and Pharmacy Hochiminh City Vietnam

Upper Airways Research Laboratory ENT Department Ghent University Hospital Ghent Belgium

WHO GARD Planning Group Brasilia Brazil

Woolcock Institute of Medical Research University of Sydney and Sydney Local Health District Glebe New South Wales Australia

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