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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.
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