Hay fever; Nasal allergies

The best treatment is to avoid what causes your allergic symptoms in the first place. It may be impossible to completely avoid all your triggers, but you can often take steps to reduce exposure.

There are many different medications available to treat allergic rhinitis. Which one your doctor prescribes depends on the type and severity of your symptoms, your age, and whether you have other medical conditions (such as asthma).

For mild allergic rhinitis, a nasal wash can be helpful for removing mucus from the nose. You can purchase a saline solution at a drug store or make one at home using one cup of warm water, half a teaspoon of salt, and pinch of baking soda.

Treatments for allergic rhinitis include:

ANTIHISTAMINES

Antihistamines work well for treating allergy symptoms, especially when symptoms do not happen very often or do not last very long.

• Antihistamines taken by mouth can relieve mild to moderate symptoms, but many can cause sleepiness. Some may be bought over the counter, without a prescription. Talk to your doctor before giving these medicines to a child, as they may affect learning.
• Newer antihistamines cause little or no sleepiness. Some are available over the counter. They usually do not interfere with learning. These medications include loratidine (Claritin) and cetirizine (Zyrtec). Other antihistamines are available by prescription.
• Azelastine (Astelin) is a antihistamine nasal spray that is used to treat allergic rhinitis.

CORTICOSTEROIDS

• Nasal corticosteroid sprays are the most effective treatment for allergic rhinitis.
• They work best when used nonstop, but they can also be helpful when used for shorter periods of time.
• Many brands are available. You will need a prescription from your doctor. They are safe for children and adults.

DECONGESTANTS

• Decongestants may also be helpful in reducing symptoms such as nasal congestion.
• Nasal spray decongestants should not be used for more than 3 days.
• Be careful when using over-the-counter saline nasal sprays that contain benzalkonium chloride. These may actually worsen symptoms and cause infection.

OTHER TREATMENTS

• The leukotriene inhibitor Singulair is a prescription medicine approved to help control asthma and to help relieve the symptoms of seasonal allergies.

Specific illnesses that are caused by allergies (such as asthma and eczema) may require other treatments.

Images

Recognizing invader

Allergy symptoms

Allergic rhinitis

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Review Date: 06/29/2010
Reviewed By: Paula J. Busse, MD, Assistant Professor of Medicine, Division of Clinical Immunology, Mount Sinai School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)