Hay fever
Discussion in 'All Categories' started by Kshitij - Jun 10th, 2024 11:21 am.
Kshitij
Kshitij
I am suffering from hey fever. What medications are available to treat hay fever and Are there any over-the-counter options that you recommend?
re: Hay fever by Dr. B. S. Bhalla - Jun 10th, 2024 11:23 am
#1
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Hay fever, also known as allergic rhinitis, can be managed with several types of medications. These medications help alleviate symptoms such as sneezing, itching, runny or stuffy nose, and watery eyes. Here are some commonly used medications:

Over-the-Counter (OTC) Options:

Antihistamines:

Oral Antihistamines: These are effective for relieving sneezing, itching, and runny nose. Examples include:

Cetirizine (Zyrtec)
Loratadine (Claritin)
Fexofenadine (Allegra)
Diphenhydramine (Benadryl) (Note: can cause drowsiness)
Antihistamine Nasal Sprays:
Azelastine (Astelin)
Olopatadine (Patanase)

Decongestants:

Oral Decongestants: These help reduce nasal congestion. Examples include:

Pseudoephedrine (Sudafed)

Decongestant Nasal Sprays: These should be used for no more than a few days to avoid rebound congestion. Examples include:


Oxymetazoline (Afrin)
Phenylephrine (Neo-Synephrine)
Nasal Corticosteroids:

These are highly effective for reducing inflammation and treating nasal symptoms. Examples include:

Fluticasone (Flonase)
Triamcinolone (Nasacort)
Budesonide (Rhinocort)
Nasal Saline Irrigation:

Saline sprays or nasal irrigation devices like neti pots can help flush out allergens and mucus from the nasal passages.

Prescription Options:

Leukotriene Receptor Antagonists:

Montelukast (Singulair) can help relieve allergy symptoms by blocking leukotrienes, which cause allergic reactions.

Combination Medications:

Some nasal sprays combine antihistamines and corticosteroids, such as Dymista (azelastine and fluticasone).
Immunotherapy:

Allergy sh-ots or sublingual tablets (placed under the tongue) can help reduce sensitivity to allergens over time. This is typically used for severe or persistent hay fever.


Recommendations:

Start with Antihistamines: OTC antihistamines like cetirizine (Zyrtec) or loratadine (Claritin) are a good first choice as they are effective and generally well-tolerated.

Add a Nasal Corticosteroid if Needed: If symptoms persist, adding a nasal corticosteroid like fluticasone (Flonase) can provide additional relief.

Use Decongestants Sparingly: Decongestants can be helpful for short-term relief of nasal congestion but should not be used long-term due to the risk of rebound congestion.

Non-Medication Strategies:

Avoid Allergens: Try to minimize exposure to the allergens causing your hay fever. This may include staying indoors on high pollen days, using air purifiers, and keeping windows closed.
Nasal Irrigation: Regular use of saline nasal sprays or irrigation can help keep nasal passages clear.
re: Hay fever by Chaitanya - Nov 2nd, 2024 4:51 am
#2
Chaitanya
Chaitanya
During hey fever are there lifestyle changes or environmental adjustments that can help reduce my symptoms?
re: Hay fever by Dr. Vishal - Nov 2nd, 2024 4:54 am
#3
Dr. Vishal
Dr. Vishal
Yes, there are several lifestyle changes and environmental adjustments that can help you manage hay fever symptoms. Here are some strategies:

1. Limit Outdoor Exposure:

Stay indoors during peak pollen times (usually mid-morning and early evening) and on windy days.
Keep windows closed in your home and car, especially during high pollen days, to prevent allergens from coming indoors.

2. Improve Indoor Air Quality:

Use a HEPA filter in your air purifier to trap allergens in your home.

Vacuum regularly with a vacuum cleaner that has a HEPA filter to capture pollen, dust, and pet dander.
Consider using a dehumidifier if your environment is humid, as it can reduce mold and dust mites that exacerbate allergies.

3. Personal Hygiene Adjustments:

Shower and change clothes after being outdoors to remove pollen from your skin and hair.

Wash your face and hands frequently to remove any allergens that may stick to your skin.

4. Modify Outdoor Habits:

Wear sunglasses and a wide-brimmed hat when outside to help keep pollen out of your eyes and off your hair.

Avoid drying clothes outdoors, as pollen can stick to the fabric.

5. Stay Hydrated and Eat Anti-inflammatory Foods:

Drink plenty of water, as staying hydrated helps keep mucous membranes moist.

Include anti-inflammatory foods in your diet, such as leafy greens, berries, and foods rich in omega-3 fatty acids (like salmon and chia seeds) to help reduce inflammation.

6. Use Saline Nasal Rinses:

Regularly rinse your nasal passages with a saline solution to flush out pollen and other irritants.

7. Track Pollen Counts:

Use a weather app or website to track pollen counts and adjust your activities accordingly.

8. Consider Natural Remedies:

Some people find relief from butterbur extract (an herbal supplement) or quercetin (an antioxidant found in onions, apples, and berries), but consult with your doctor first, especially if you have other health conditions.

9. Medication as a Backup:

Over-the-counter antihistamines or nasal sprays may provide relief if your symptoms persist despite lifestyle adjustments. Always follow your doctor’s recommendations when using these.
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