Planning for spring pollen season

Spring is just around the corner. Here are some great tips from the American College of Allergy, Asthma, and Immunology:

ARLINGTON HEIGHTS, IL (February 17, 2021) – Allergic rhinitis, more commonly called “hay fever,” has been around for hundreds of years, and the misery it causes has been around just as long. Occasionally, there is new information to be passed along regarding how to manage the symptoms that come with hay fever — namely sneezing, itchy nose, runny nose, and congestion.

Recently, the American College of Allergy, Asthma and Immunology (ACAAI) took part in publishing a practice guideline for allergists and other healthcare workers about the latest developments in understanding allergic rhinitis.

“The guideline highlights the fact that cough is a common symptom of hay fever,” says allergist Luz Fonacier, MD, ACAAI president. “Many people aren’t aware of that, and especially as we face another spring with COVID-19, people should be aware that a cough isn’t necessarily a COVID-19 symptom – it can just be part of allergies.”

Additional recommendations highlighted in the guidelines included:

  • Avoid first-generation antihistamines – If you plan to take an oral medication to treat your hay fever, think twice before using first generation antihistamines such as diphenhydramine (Benadryl) and chlorpheniramine (ChlorTrimeton). They can cause drowsiness and symptoms like dry mouth, dry eyes, and constipation. Look for non-sedating treatments such as cetirizine, levocetirizine, fexofenadine, loratadine or desloratadine instead.
  • Intranasal corticosteroids are an effective treatment – Intranasal corticosteroids (fluticasone, mometasone, budesonide, triamcinolone) are the most effective treatment if you suffer from persistent allergy symptoms, especially if they are interfering with your quality of life. They may even help control the symptoms that accompany eye allergies.
  • Pseudoephedrine is effective but has side effects – Many people use the oral decongestant pseudoephedrine to clear up a stuffy nose. Unfortunately, pseudoephedrine is the main ingredient in methamphetamine – commonly called “meth.” It is only available by prescription or by specially requesting it from a pharmacist, depending on what state you are in. Pseudoephedrine has many side effects including insomnia, loss of appetite, irritability, and heart palpitations. It should also not be taken if you are pregnant.
  • No verdict on alternative treatments like acupuncture – In developing the guideline, the allergists did an extensive review of medical studies that examined the effectiveness and safety of alternative treatments such as acupuncture and herbal medications. Because there is a lack of adequate studies, they concluded that they could not currently recommend for or against the use of these treatments for hay fever.

If you are suffering with nasal allergy symptoms and your regular treatments aren’t working, it’s time to see a board-certified allergist. Please call our office at 203-259-7070 to schedule an appointment.