Katar sienny
Leczenie

Katar sienny (allergic rhinitis) to przewlekłe schorzenie alergiczne charakteryzujące się objawami takimi jak kichanie, przekrwienie błony śluzowej nosa, świąd i łzawienie oczu. Leczenie opiera się na kompleksowej terapii obejmującej unikanie alergenów, farmakoterapię (leki przeciwhistaminowe, donosowe kortykosteroidy takie jak mometazon, flutikazon, beklometazon, budezonid, triamcynolon), immunoterapię alergenową (SCIT lub SLIT) oraz płukanie nosa roztworem soli fizjologicznej. Kortykosteroidy donosowe są najskuteczniejszymi lekami, działającymi przeciwzapalnie i wymagającymi regularnego stosowania, często rozpoczynanym nawet 6 tygodni przed sezonem pylenia. Leki przeciwhistaminowe drugiej generacji (loratadyna, feksofendyna, cetyryzyna) łagodzą kichanie, świąd i wyciek z nosa, ale mają ograniczony wpływ na przekrwienie. Dekongestanty donosowe stosuje się krótkotrwale (do 5 dni) ze względu na ryzyko efektu z odbicia.

Katar sienny – Leczenie i terapia

Katar sienny (allergic rhinitis) to schorzenie alergiczne, które powoduje szereg charakterystycznych objawów, takich jak kichanie, przekrwienie błony śluzowej nosa, swędzenie i łzawienie oczu. Chociaż aktualnie nie istnieje całkowita metoda wyleczenia kataru siennego, dostępnych jest wiele skutecznych opcji terapeutycznych, które mogą znacząco złagodzić objawy i poprawić jakość życia pacjentów12.

Strategie leczenia kataru siennego

Efektywne leczenie kataru siennego zazwyczaj wymaga zastosowania kilku różnych podejść terapeutycznych. Kompleksowa terapia obejmuje12:

Wielu pacjentów uzyskuje najlepsze efekty dopiero po zastosowaniu kombinacji różnych metod leczenia. Czasem konieczne jest wypróbowanie kilku opcji terapeutycznych, zanim znajdzie się najskuteczniejszą1.

Farmakoterapia w leczeniu kataru siennego

W przypadku łagodnych objawów kataru siennego często wystarczające są leki dostępne bez recepty. Przy cięższym przebiegu mogą być konieczne preparaty przepisywane przez lekarza12.

Donosowe kortykosteroidy

Kortykosteroidy donosowe są uważane za najbardziej skuteczne leki w leczeniu kataru siennego23. Działają poprzez zmniejszenie stanu zapalnego w błonie śluzowej nosa, co prowadzi do złagodzenia objawów takich jak12:

  • Zatkanie nosa
  • Kichanie
  • Wyciek wydzieliny z nosa
  • Świąd

Do najczęściej stosowanych kortykosteroidów donosowych należą: mometazon, flutikazon, beklometazon, budezonid i triamcynolon1. Są one bezpieczne do długotrwałego stosowania dla większości pacjentów1.

Kortykosteroidy donosowe działają najlepiej, gdy są stosowane regularnie. Mogą potrzebować kilku dni do osiągnięcia pełnego efektu terapeutycznego1. W przypadku stosowania tylko w sezonie pylenia, zaleca się rozpoczęcie leczenia nawet 6 tygodni przed przewidywanym kontaktem z alergenem1.

Leki przeciwhistaminowe

Leki przeciwhistaminowe działają poprzez blokowanie histaminy, substancji uwalnianej w organizmie podczas reakcji alergicznej1. Są skuteczne w łagodzeniu objawów takich jak1:

  • Kichanie
  • Świąd
  • Wyciek wydzieliny z nosa

Mają jednak mniejszy wpływ na przekrwienie błony śluzowej nosa1. Leki przeciwhistaminowe są dostępne w postaci tabletek, syropów, kropli do oczu oraz sprayów donosowych12.

Nowsze, tzw. „nieuspokajające” lub „drugiej generacji” leki przeciwhistaminowe, takie jak loratadyna (Claritin), feksofendyna (Allegra) czy cetyryzyna (Zyrtec), rzadziej powodują senność w porównaniu do starszych preparatów1.

Leki zmniejszające obrzęk błony śluzowej (dekongestanty)

Dekongestanty zmniejszają przekrwienie błony śluzowej nosa i uczucie zatkania poprzez zwężenie naczyń krwionośnych. Są dostępne w postaci doustnej lub jako spraye donosowe1.

Donosowe preparaty zmniejszające przekrwienie nie powinny być stosowane dłużej niż przez pięć dni bez konsultacji z lekarzem, gdyż mogą powodować tzw. „efekt z odbicia” – nasilenie objawów po zakończeniu leczenia1.

Inne leki stosowane w leczeniu kataru siennego

W terapii kataru siennego stosowane są również inne grupy leków12:

  • Kromoglikan sodowy – pomaga złagodzić objawy kataru siennego poprzez zapobieganie uwalnianiu histaminy1
  • Antagoniści receptora leukotrienowego – takie jak montelukast (Singulair), blokują działanie leukotrienów – substancji biorących udział w reakcji alergicznej12
  • Stabilizatory komórek tucznych – zapobiegają uwalnianiu histaminy przez komórki tuczne1

Immunoterapia alergenowa (odczulanie)

Immunoterapia alergenowa, znana również jako odczulanie, to metoda leczenia, która może przynieść długotrwałą ulgę w objawach kataru siennego1. Jest zalecana w przypadkach, gdy1:

  • Objawy są umiarkowane do ciężkich i nie reagują na standardowe leczenie
  • Pacjent nie toleruje standardowych terapii lub chce uniknąć długotrwałego stosowania leków
  • Współistnieje astma alergiczna

Immunoterapia polega na podawaniu pacjentowi stopniowo zwiększanych dawek alergenu, co z czasem prowadzi do zmniejszenia wrażliwości układu immunologicznego i osłabienia reakcji alergicznej1.

Istnieją dwa główne rodzaje immunoterapii1:

  • Immunoterapia podskórna (SCIT) – polega na serii zastrzyków podawanych pod nadzorem lekarza
  • Immunoterapia podjęzykowa (SLIT) – obejmuje przyjmowanie małych dawek alergenu w postaci tabletek lub kropli, które rozpuszczają się pod językiem

Pełna terapia immunologiczna trwa zwykle od 3 do 5 lat1. Badania wykazały, że trzyletni kurs leczenia jest konieczny do osiągnięcia długotrwałych korzyści1.

W przeciwieństwie do innych metod leczenia kataru siennego, immunoterapia może1:

  • Zapobiec rozwinięciu się alergii na inne substancje
  • Zapobiec progresji do astmy
  • Zapewnić długotrwałe korzyści po zakończeniu leczenia

Badania sugerują, że zastrzyki mogą przynosić nieco lepsze efekty niż metoda podjęzykowa1.

Metody niefarmakologiczne

Oprócz farmakoterapii i immunoterapii, w łagodzeniu objawów kataru siennego pomocne mogą być także metody niefarmakologiczne1:

Płukanie nosa roztworem soli fizjologicznej

Spraye z solą fizjologiczną mogą nawilżać suche błony śluzowe nosa i rozrzedzać wydzielinę1. Płukanie nosa roztworem soli (irygacja) jest szybką i skuteczną metodą łagodzenia przekrwienia błony śluzowej12.

Unikanie alergenów

Unikanie znanych alergenów jest najlepszym sposobem na kontrolowanie objawów kataru siennego1. Chociaż całkowite unikanie pyłków unoszących się w powietrzu może być niemożliwe, można podjąć kroki zmniejszające ekspozycję1.

Terapie skojarzone

W przypadku ciężkich lub uporczywych objawów kataru siennego, lekarze mogą zalecić terapię skojarzoną1. Jednak większość badań wykazała, że kombinacja leku przeciwhistaminowego doustnego z donosowym kortykosteroidem nie jest bardziej skuteczna niż sam kortykosteroid donosowy1.

Istnieją również spraye donosowe, które zawierają zarówno lek przeciwhistaminowy, jak i kortykosteroid. Ta kombinacja oferuje połączone korzyści obu leków12.

Optymalizacja leczenia kataru siennego

Większość leków na katar sienny działa najlepiej, jeśli zostanie zastosowana przed pojawieniem się pyłków w powietrzu i rozwinięciem objawów alergicznych1. Dlatego ważne jest, aby rozpocząć leczenie odpowiednio wcześnie przed spodziewanym sezonem pylenia1.

W przypadku kataru siennego całorocznego, terapia powinna być prowadzona przez cały rok1.

Leczenie kataru siennego w specjalnych grupach pacjentów

Katar sienny u pacjentów z astmą

Katar sienny może wywoływać ataki astmy lub zaostrzać ich przebieg, utrudniając oddychanie1. U pacjentów z astmą, skuteczne leczenie kataru siennego może zmniejszyć ryzyko ciężkich ataków astmatycznych i poprawić funkcję płuc1.

Katar sienny u dzieci

W leczeniu kataru siennego u dzieci stosuje się podobne metody jak u dorosłych, ale z uwzględnieniem odpowiednich dawek i ograniczeń wiekowych dla poszczególnych leków12.

Najczęściej stosowane leki przeciwhistaminowe u dzieci to chlorfenamina, loratadyna i cetyryzyna1. Nie wszystkie rodzaje sprayów donosowych są odpowiednie dla dzieci, chociaż lekarze mogą przepisywać niektóre steroidy donosowe dzieciom od 4. roku życia1.

Katar sienny w ciąży

W leczeniu kataru siennego w ciąży zaleca się początkowo stosowanie metod niefarmakologicznych. Jeśli są one niewystarczające, można rozważyć leki miejscowe lub doustne leki przeciwhistaminowe1.

Loratadyna i cetyryzyna są preferowanymi lekami przeciwhistaminowymi dla kobiet w ciąży. Chlorfenamina może być stosowana, jeśli potrzebny jest lek przeciwhistaminowy o działaniu uspokajającym1.

Nowe metody leczenia kataru siennego

Trwają badania nad nowymi metodami leczenia kataru siennego11:

  • Terapia z użyciem toksyny botulinowej – wstrzykiwana do nosa może zmniejszyć nasilenie objawów kataru siennego przez kilka miesięcy1
  • Terapia laserem o niskiej mocy (LLLT) – bezbolesna metoda wykorzystująca światło laserowe o niskim natężeniu do zmniejszenia stanu zapalnego1
  • Przeciwciała monoklonalne – takie jak dupilumab, które blokują specyficzne przekaźniki alergii w sposób wysoce ukierunkowany1

Kompleksowe podejście do leczenia kataru siennego

Skuteczne leczenie kataru siennego zazwyczaj wymaga indywidualnego podejścia i może obejmować kombinację różnych metod terapeutycznych1. Kluczowe znaczenie ma konsultacja z lekarzem, który pomoże opracować optymalny plan leczenia dostosowany do nasilenia objawów, rodzaju alergii i indywidualnych potrzeb pacjenta1.

Chociaż katar sienny nie zagraża życiu, może znacząco obniżać jego jakość. Przy odpowiednim leczeniu większość pacjentów może skutecznie kontrolować objawy, oddychać swobodniej i cieszyć się lepszym samopoczuciem1.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Hay fever
    https://www.nhs.uk/conditions/hay-fever/
    Hay fever can last for weeks or months, unlike a cold, which usually goes away after 1 to 2 weeks. […] There’s currently no cure for hay fever and you cannot prevent it. But you can do things to ease your symptoms when the pollen count is high. […] Speak to a pharmacist if you have hay fever. they can give you advice and suggest the best treatments to help with symptoms, such as: antihistamine drops, tablets or nasal sprays, steroid nasal sprays. […] The GP might prescribe a steroid treatment if you have hay fever. […] If steroids and other hay fever treatments do not work, the GP may refer you for immunotherapy. […] This means you’ll be given small amounts of pollen as an injection or tablet to slowly build up your immunity to pollen. […] Immunotherapy is a specialist service that may not be available everywhere.
  • #1 Hay fever – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hay-fever/diagnosis-treatment/drc-20373045
    Once someone knows their allergy triggers, a healthcare professional can help develop a treatment plan to reduce or get rid of hay fever symptoms. […] Treatments for hay fever may include medicines, immunotherapy and nasal saline rinses. […] Many people get the best relief from a combination of allergy medicines. Sometimes, a few different options need to be tried before finding what works best. […] If hay fever isn’t too severe, nonprescription medicines may be enough to relieve symptoms. For worse symptoms, prescription medicines may be needed. […] Nasal corticosteroids are a safe, long-term treatment for most people. […] Antihistamines work by blocking histamine. These medicines can help with itching, sneezing and a runny nose but have less of an effect on congestion. […] Decongestants reduce nasal stuffiness and pressure from swelling.
  • #1 Allergic rhinitis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000813.htm
    Treatments for allergic rhinitis include: […] Medicines called antihistamines work well for treating allergy symptoms. […] Nasal corticosteroid sprays are the most effective treatment for allergic rhinitis. […] Allergy shots (immunotherapy) are sometimes recommended if you cannot avoid the pollen and your symptoms are hard to control. […] Instead of shots, medicine put under the tongue may help for grass and ragweed allergies. […] Most symptoms of allergic rhinitis can be treated with medicines. More severe cases need allergy shots. […] You can sometimes prevent symptoms by avoiding the pollen you are allergic to.
  • #1 Hay Fever: Causes, Symptoms, and Treatments
    https://patient.info/allergies-blood-immune/hay-fever-leaflet
    A steroid nasal spray usually works well to clear all the nasal symptoms (itch, sneezing, watering and congestion). It works by reducing inflammation in the nose. […] Commonly used steroid nasal sprays and drops include: Mometasone, Fluticasone, Betamethasone, Beclometasone, Budesonide, Triamcinolone. […] These medicines block the effect of chemicals called leukotrienes which trigger hay fever symptoms. […] Immunotherapy is normally supervised by a specialist after careful assessment. It is not suitable for everyone. […] Note: immunotherapy is unlikely to cure hay fever totally but will often greatly reduce the severity of symptoms.
  • #1 Hay Fever – Asthma Australia
    https://asthma.org.au/medicines-treatment/hay-fever/
    Corticosteroid nasal sprays can take a few days to start to work fully. They work best if used every day. […] For people who only need to treat their hay fever during high-risk seasons, starting treatment 6 weeks before exposure is recommended. […] Allergen Immunotherapy can switch off your body’s reaction to certain allergic triggers. […] The aim of this treatment is to desensitise the immune system to the known allergen so that it no longer overreacts to that allergen. […] Allergen immunotherapy may be recommended for treatment of hay fever due to pollen or dust mite allergy if your symptoms are severe. […] Speak to your doctor for more information about immunotherapy or desensitisation.
  • #1 Allergic Rhinitis (Hay Fever): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8622-allergic-rhinitis-hay-fever
    Allergic rhinitis, also called hay fever, is an allergic reaction that causes sneezing, congestion, itchy nose and watery eyes. […] Hay fever can make you feel awful, but you can find relief with lifestyle changes, allergy medications and immunotherapy (allergy shots). […] Several allergy medications can improve symptoms and help you live with hay fever. These treatments come in many forms, including liquids, pills, eye drops, nasal sprays and injections. […] Antihistamine medications are available with a prescription or over the counter (OTC). They work by blocking the histamine that your body releases during an allergic response. […] Decongestants relieve congestion in your nose and sinuses. […] Corticosteroid nasal sprays reduce inflammation and relieve symptoms of hay fever. […] This treatment works by helping your body learn to tolerate allergens. Your provider gives you a series of injections (allergy shots or subcutaneous immunotherapy) with a small amount of the allergen. […] Hay fever can make you feel miserable, but it generally doesn’t cause serious health problems. Most people with hay fever manage symptoms with lifestyle changes and over-the-counter medication. […] Talk to your provider about steps you can take to relieve symptoms, breathe easier and feel better.
  • #1 Hay Fever – Asthma Australia
    https://asthma.org.au/medicines-treatment/hay-fever/
    Antihistamine tablets, syrups, nasal sprays, and eye-drops are the most common choice for people with mild or occasional hay fever. They help to relieve a runny nose, sneezing, itching and eye symptoms. […] Antihistamines treat the symptoms of hay fever but not the cause the underlying sensitivity in the nose. To treat the underlying cause ask your doctor or pharmacist if a corticosteroid nasal spray is right for you. […] Corticosteroid nasal sprays are the best-practice treatment if your hay fever is persistent you get symptoms nearly every day (e.g. during the pollen season) or moderate to severe in severity, even if it doesn’t occur every day. […] They work to reduce the underlying swelling and sensitivity in your nose (just like your asthma preventer medications reduce the swelling and redness in your lungs).
  • #1 Hay Fever Symptoms, Treatment, Causes, Medicine, Contagious
    https://www.medicinenet.com/hay_fever/article.htm
    The first-generation antihistamines, such as diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton), dimenhydrinate (Dramamine), brompheniramine (Dimetapp and others), clemastine fumarate (Tavist, Allerhist), and dexbrompheniramine (Drixoral) frequently cause mouth dryness and sleepiness as side effects. […] Newer, so-called „non-sedating” or second-generation antihistamines are also available. These include loratadine (Claritin), fexofenadine (Allegra), cetirizine (Zyrtec), desloratadine (Clarinex), levocitirizine (Xyzal) and azelastine (Astelin Nasal Spray). In general, this group of antihistamines is slightly more expensive, has a slower onset of action, is longer acting, and induces less sleepiness. These medications are available over the counter. […] Other antihistamine side effects can occasionally occur, for example, urine retention in males, fast heart rate, and others. Always discuss the potential side effects of any medication with a physician and/or pharmacist.
  • #1 Hay Fever Symptoms, Treatment, Causes, Medicine, Contagious
    https://www.medicinenet.com/hay_fever/article.htm
    Decongestants help control allergy symptoms but not their causes. Decongestants shrink the swollen membranes in the nose and make it easier to breathe. Decongestants can be taken orally or by nasal spray. Decongestant nasal sprays should not be used for more than five days without a doctor’s advice, and if so, usually only when accompanied by a nasal steroid. Decongestant nasal sprays often cause a so-called „rebound effect” if taken for too long. A rebound effect is the worsening of symptoms when a drug is discontinued. This is a result of a tissue dependence on the medication. […] Some people with allergies need specialized prescription medications such as corticosteroids, cromolyn, and ipratropium (Atrovent) nasal sprays. These nasal sprays do not cause the rebound effect noticed with decongestant nasal sprays. Cortisone nasal sprays are very effective in reducing the inflammation that causes swelling, sneezing, and a runny nose. Cortisone can also decrease the formation of many chemicals involved in the allergic response. Many cortisone nasal sprays are on the market through prescription only. Intranasal steroids are typically the first-line medications for patients suffering from persistent allergies. Fluticasone (Flonase) is one medication available over the counter.
  • #1 Hay fever: Learn More – Which medications can relieve hay fever? – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279486/
    If someone has allergic rhinitis, the following medications are typically considered: Antihistamines, Steroids (corticosteroids), Leukotriene receptor antagonists, Chromones (mast cell stabilizers), Decongestant nasal drops and sprays. […] Steroid sprays or newer generation antihistamines are usually the treatments of first choice. […] Antihistamines suppress this effect. When treating allergic rhinitis, antihistamines can be used in the form of tablets or nasal sprays. […] Corticosteroids are steroid drugs that contain an anti-inflammatory steroid hormone. Steroid nasal sprays reduce swelling in the mucous membranes and relieve symptoms like a runny or stuffy nose. […] Some nasal sprays contain both an antihistamine and a steroid. This combination is more effective than a treatment with just one of the drugs.
  • #1 Hay fever – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hay-fever/diagnosis-treatment/drc-20373045
    Cromolyn sodium can help relieve hay fever symptoms by preventing the release of histamine. […] Montelukast (Singulair) is a prescription tablet taken to block the action of leukotrienes. […] Allergy shots change the way the immune system reacts to allergens. […] Rather than getting shots, this therapy involves taking tiny amounts of allergen in pill form that dissolves under the tongue. […] Saline nasal sprays can moisten dry nasal passages and thin nasal mucus. […] Rinsing your nasal passages with saline, called nasal irrigation, is a quick and effective way to relieve nasal congestion.
  • #1 Hay fever: Learn More – Which medications can relieve hay fever? – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279486/
    These medications block the action of leukotrienes. […] Mast cell stabilizers prevent histamine from being released by certain cells in the body known as mast cells. […] Decongestant nose drops and nasal sprays reduce swelling in the membranes lining the nose and the sinuses, making it easier to breathe through your nose. […] Steroid nasal sprays are often recommended as the treatment of first choice. […] If the symptoms dont improve enough, a different medication can be tried out instead, or two medications can be combined: for example, a steroid nasal spray and antihistamine tablets.
  • #1 People can 'suppress’ hay fever with three years of pollen pills or injections | Imperial News | Imperial College London
    https://www.imperial.ac.uk/news/177598/people-suppress-fever-with-three-years/
    Patients blighted by hay fever could markedly reduce symptoms after a three-year course of treatment, but not after two years of treatment. […] Previous research has shown that a type of immunotherapy that exposes patients to increasing amounts of grass pollen over time is an effective way to reduce severe symptoms in the long term. […] But in a new study, published today in the journal JAMA, scientists from Imperial College London have found that a two-year course of treatment is not enough to achieve lasting effects, bolstering previous findings that more time is needed taking the medication to get lasting benefit. […] You treat patients for three years and then they have a big improvement in their hay fever for several years afterwards, said Professor Stephen Durham, Head of Allergy and Clinical Immunology at the National Heart and Lung Institute at Imperial and clinical lead for allergy services at Royal Brompton Hospital, who led the study.
  • #1 Treatment of Allergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/1201/p985.html
    Intranasal corticosteroids are the mainstay of treatment for allergic rhinitis. They act by decreasing the influx of inflammatory cells and inhibiting the release of cytokines, thereby reducing inflammation of the nasal mucosa. […] The International Primary Care Respiratory Group; British Society for Allergy and Clinical Immunology; and American Academy of Allergy, Asthma, and Immunology recommend intranasal corticosteroids alone for the initial treatment of persistent symptoms affecting quality of life and second-generation nonsedating antihistamines for mild intermittent disease. […] Although most patients should be treated with just one medication at a time, combination therapy is an option for patients with severe or persistent symptoms. Many studies have looked at the combination of an intranasal corticosteroid and an oral antihistamine or leukotriene receptor antagonist, but most have concluded that combination therapy is no more effective than an intranasal corticosteroid alone. […] Immunotherapy should be considered for moderate or severe persistent allergic rhinitis that is not responsive to usual treatments, in patients who cannot tolerate standard therapies or who want to avoid long-term medication use, and in patients with allergic asthma.
  • #1 Hay fever: Learn More – Allergen-specific immunotherapy (desensitization) in the treatment of hay fever – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279487/
    Hay fever: Learn More Allergen-specific immunotherapy (desensitization) in the treatment of hay fever. […] If you have hay fever, or are allergic to insect venom, dust mites or other animals, immunotherapy can be used to weaken your body’s response to the substance causing the allergy, known as the allergen. This treatment allows the immune system to get used to (become desensitized to) the allergen. That can relieve symptoms. […] The goal of allergen-specific immunotherapy is to reduce allergy symptoms in the medium to long term. It takes at least three to five years. Immunotherapy can be used in both children and adults. […] This treatment is also known as desensitization. It aims to do exactly that: make the immune system less sensitive to the allergen by allowing it to „get used to” it.
  • #1 Hay fever: Learn More – Allergen-specific immunotherapy (desensitization) in the treatment of hay fever – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279487/
    In immunotherapy, the body is exposed to extracts of the allergen with the aim of training it to react differently: It is a bit like being vaccinated against your own allergy. […] Allergen-specific immunotherapy can’t be used for every allergy. […] In specific immunotherapy, the person is repeatedly given a very small amount of the allergen. […] There are two types of immunotherapy: Subcutaneous immunotherapy (SCIT) and Sublingual immunotherapy (SLIT). […] Both kinds of allergen-specific immunotherapy (SCIT and SLIT) are effective treatments. […] Immunotherapy works for hay fever and for year-round allergic rhinitis. […] But allergen-specific immunotherapy has many important advantages over all other allergy treatments: It can prevent the original allergy from developing into allergies to other substances, or from developing into asthma.
  • #1 People can 'suppress’ hay fever with three years of pollen pills or injections | Imperial News | Imperial College London
    https://www.imperial.ac.uk/news/177598/people-suppress-fever-with-three-years/
    In order to get the long-term clinical benefits after stopping the treatment, you have to take it for three years. […] This study shows that whereas both immunotherapy treatments were highly effective, two years of treatment was insufficient for long-term benefits. […] Clinicians and patients should continue to follow international guidelines that recommend a minimum of three years treatment. […] Previous studies published by Imperial researchers have shown the long-lasting benefits of both immunotherapy injections and pills for severe hay fever benefits which persist for at least two to three years after the treatment has stopped. […] Professor Durham added: We have reconfirmed that both treatments are effective but that in order to get the long-term clinical benefits after stopping the treatment, you have to take it for three years.
  • #1 Hay fever: Learn More – Allergen-specific immunotherapy (desensitization) in the treatment of hay fever – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279487/
    About half of the people who have this treatment experience mild side effects. […] In very rare cases, immunotherapy can cause an extreme allergic reaction known as an anaphylactic reaction. […] Research suggests that injections could relieve the symptoms somewhat more effectively than medication placed under the tongue in the form of tablets or drops.
  • #1 Allergic rhinitis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000813.htm
    Allergic rhinitis is a diagnosis associated with a group of symptoms affecting the nose. These symptoms occur when you breathe in something you are allergic to, such as dust, animal dander, or pollen. Symptoms can also occur when you eat a food that you are allergic to. […] This article focuses on allergic rhinitis due to plant pollens. This type of allergic rhinitis is commonly called hay fever or seasonal allergy. […] Hay fever involves an allergic reaction to pollen. […] The best treatment is to avoid the pollens that cause your symptoms. It may be impossible to avoid all pollen. But you can often take steps to reduce your exposure. […] You may be prescribed medicine to treat allergic rhinitis. The medicine your provider prescribes depends on your symptoms and how severe they are.
  • #1 Hay Fever and Allergy Medications
    https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/hay-fever-medications
    Hay Fever and Allergy MedicationsSeasonal allergic rhinitis known as hay fever symptoms range from being mildly annoying to seriously impacting day-to-day life. […] While avoiding the allergens that trigger symptoms is the best way to control hay fever, your allergist / immunologist may prescribe an allergy medication to manage your hay fever symptoms. These medications include nasal corticosteroid sprays, antihistamine pills, nasal antihistamine sprays or decongestant pills. […] If you have allergies, your allergist may prescribe an antihistamine. This medication treats hay fever and conditions such as hives. […] Decongestants may reduce your stuffy nose and other symptoms associated with allergies. […] The mainstay of treatment for allergic rhinitis, or hay fever, is nasal steroids.
  • #1 Hay fever | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hay-fever
    Combined intranasal corticosteroid and antihistamine sprays these sprays are also useful for people with moderate to severe symptoms and offer the combined advantages of both medications. […] Allergen immunotherapy (AIT), also known as desensitisation some people may benefit from AIT, which exposes a person to gradually increasing amounts of an allergen to improve tolerance and reduce symptoms. This therapy may reduce the severity of hay fever symptoms. AIT should only be conducted under supervision of a clinical immunology/allergy specialist.
  • #1 Hay Fever and Allergy Medications
    https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/hay-fever-medications
    For those with other than very mild and intermittent symptoms, nasal steroids are very helpful. […] Nasal steroids should be used year-round. […] The majority of allergy medications for hay fever work best if started before tree pollen is in the air and allergy symptoms develop. […] For long-term relief of allergy symptoms, talk to your allergist / immunologist about Immunotherapy (allergy shots). This is a proven treatment approach that provides lasting benefits for many people suffering from allergic rhinitis.
  • #1 An expert’s guide to hay fever treatments
    https://www.thelondonclinic.co.uk/media-hub/features/experts-guide-hay-fever-treatments
    Combining regular daily antihistamines with a steroid-based nasal spray and eye drops is a good option for those who suffer from moderate hay fever, he says. […] Antihistamine tablets generally reduce both nose and eye symptoms caused by hay fever, and steroid nasal sprays work by reducing inflammation in the nasal passages, unblocking the nose and resulting in less sneezing. […] Meanwhile, eye drops provide shorter-term relief as they work to reduce eye itchiness and irritation. […] Often, taking a single daily antihistamine tablet is not sufficient. Taking all three treatments together on a regular daily basis really helps to get the best possible control of hay fever. […] Timing is key for the most effective treatment. Hay fever sufferers should begin taking medication up to three weeks before the new pollen season begins. […] If over-the-counter treatments do not tackle symptoms, Dr Watts recommends consulting a healthcare professional, who can share advice and options for stronger medications, and crucially conduct allergy testing to provide an accurate diagnosis.
  • #1 Hay Fever – Asthma Australia
    https://asthma.org.au/medicines-treatment/hay-fever/
    Treating asthma and hay fever is important. […] Hay fever can trigger asthma or make it worse, making it harder to breathe. […] Hay fever is sometimes called allergic rhinitis because it is an allergic condition. People often use several strategies to manage their asthma and allergies. […] If you get hay fever year-round, this means your treatment needs to be year-round. Speak to your doctor about your treatment options to make sure you have the best treatment for your situation and severity. […] If your hay fever affects your asthma a lot, it may be worth asking your doctor for an allergy test. An allergy test will help you and your doctor pinpoint your triggers and adjust treatments and lifestyle advice to suit. […] Treatment of hay fever depends how bad and how frequent your symptoms are. Good news is, there is a huge range of different treatments available ranging from tablets to sprays, and generic to brand names.
  • #1 Hay fever allergic rhinitis and your asthma – National Asthma Council Australia
    https://www.nationalasthma.org.au/living-with-asthma/resources/patients-carers/brochures/hay-fever-allergic-rhinitis-and-your-asthma
    Effective treatment for hay fever (allergic rhinitis) can help you keep your asthma under control. […] Nasal sprays that contain corticosteroids (a type of anti-inflammatory medicine) are the most effective treatments available for allergic rhinitis. […] People with allergic rhinitis who are allergic to grass pollens (e.g. ryegrass) can have asthma attacks caused by springtime thunderstorms. […] Effective treatment for allergic rhinitis may reduce the chance of severe asthma attacks, and make the lungs work better. […] Corticosteroid nasal sprays are effective for controlling itching and sneezing, runny nose, blocked nose, and eye symptoms (itching or wateriness). […] For best results, these medications should be taken regularly and long term, just like preventers for asthma. […] If your allergic rhinitis is troublesome, or if effective treatment for your allergic rhinitis helps control your asthma symptoms, your doctor might recommend that you take medicine while you are pregnant. […] Specific allergen immunotherapy (desensitisation) is an effective treatment for allergic rhinitis in some people and can achieve lasting relief from symptoms.
  • #1 Hay Fever In Children | BENADRYL® Official UK Site
    https://www.benadryl.co.uk/allergy-types/hay-fever-in-children
    Hay fever treatments for children are available and can provide some relief from symptoms. However, some treatments won’t be suitable, especially for younger children. If you’re in doubt of what triggers your child’s hay fever symptoms, or aren’t sure which products to use, your doctor or pharmacist can advise you further. […] While there is no cure for hay fever in children, there are treatments available for relief. Before searching for a suitable treatment, it’s important to check if the hay fever product you’re considering is suitable for children. […] You have a range of options when it comes to hay fever treatment for children, including: […] Antihistamines that are considered non-drowsy, in the majority of sufferers, are a form medicine that can help relieve symptoms of allergies, including, but not limited, to hay fever.
  • #1 Best Hay Fever Treatment for Children: Safe & Effective Relief
    https://www.theindependentpharmacy.co.uk/hay-fever/guides/how-to-treat-hay-fever-in-children
    The most commonly used and recommended medications for childrens hay fever are chlorphenamine, loratadine, and cetirizine. These antihistamines block the effects of histamine, the chemical responsible for those annoying sneezes, runny noses, and itchy eyes. […] Theyve been extensively studied and proven to be safe for children while effectively relieving hay fever symptoms. With proper guidance from your healthcare provider, these medications can help your child find relief and enjoy the great outdoors without constant discomfort. […] Over-the-counter antihistamines like chlorphenamine, loratadine, and cetirizine are safe, effective first-line treatments for managing childrens hay fever symptoms. […] If your childs hay fever persists despite consistent treatment, or they experience severe symptoms like difficulty breathing, seek medical guidance for a personalised management plan.
  • #1 Hay Fever In Children | BENADRYL® Official UK Site
    https://www.benadryl.co.uk/allergy-types/hay-fever-in-children
    Not all types of nasal spray are suitable for children. Although steroid nasal sprays may be more suitable for older children, doctors may prescribe certain types to children from age 4 and up. […] Antihistamine eyedrops are a particularly effective hay fever treatment for children suffering with symptoms that affect their eyes, such as redness, itchiness, or watering. […] Pollen blockers take a preventative approach to protecting your child against the effects of pollen. […] If you’re still uncertain of the right treatment for hay fever in your child, you can discuss their symptoms and options with a pharmacist. If symptoms are worsening, or over-the-counter treatments aren’t working, you should contact your GP. […] There are plenty of treatments available to your child to alleviate their symptoms and make them more comfortable, so don’t worry. Hay fever in children isn’t uncommon, and there are plenty of options for both short and long-lasting relief.
  • #1 Hay fever or allergic rhinitis: treatment during pregnancy – SPS – Specialist Pharmacy Service – The first stop for professional medicines advice
    https://www.sps.nhs.uk/articles/hayfever-or-allergic-rhinitis-treatment-during-pregnancy/
    Hay fever or allergic rhinitis: treatment during pregnancy […] Use non-pharmacological treatments for the initial management of hay fever during pregnancy. If insufficient, use topical treatments or oral antihistamines. […] Allergic rhinitis should be treated using a stepwise approach, starting with non-pharmacological options. […] Treatment options include: avoidance of allergens and triggers, application of a barrier ointment around the nostrils, nasal irrigation with saline. […] Topical treatment with ocular mast cell stabilisers (for example, sodium cromoglicate) or intranasal corticosteroids (for example, fluticasone) can be considered if non-pharmacological management is insufficient. […] If local topical therapy fails to control symptoms, oral antihistamines may be considered.
  • #1 Hay fever or allergic rhinitis: treatment during pregnancy – SPS – Specialist Pharmacy Service – The first stop for professional medicines advice
    https://www.sps.nhs.uk/articles/hayfever-or-allergic-rhinitis-treatment-during-pregnancy/
    Loratadine and cetirizine are the preferred antihistamines for pregnant women. Chlorphenamine can be used if a sedating antihistamine is needed. […] UK Teratology Information Service (UKTIS) has guidance about the treatment of hay fever (allergic rhinitis) in pregnancy. Safety and pregnancy outcome information for the use of topical steroids, sodium cromoglicate, loratadine, cetirizine and chlorphenamine is also available. […] UKTIS has corresponding BUMPS leaflets on the treatment of allergic rhinitis, and use of loratadine, cetirizine, chlorphenamine, fexofenadine, topical corticosteroids and sodium cromoglicate.
  • #1 Hay Fever Tox – Victorian Cosmetic InstituteBranding / Logos / LogoIcons / Contact / BookingIcons / Contact / BookingIcons / Contact / BookingIcons / Contact / BookingIcons / Social / FacebookIcons / Social / InstagramIcons / Social / Youtube
    https://www.thevictoriancosmeticinstitute.com.au/detail/hay-fever-treatment/
    Hay fever symptoms can be reduced in severity for several months by spraying botulinum toxin into the nose. […] Botulinum toxin, commonly known for relaxing muscles of facial expression, is increasingly being used to reduce hay fever symptoms. Over the last decade, research has demonstrated that botulinum toxin is a treatment option for hay fever sufferers in whom other therapies have failed or those patients who do not wish to take daily medication. […] Hay fever tox refers to the treatment of hay fever using botulinum toxin. Botulinum toxin, most commonly used to help relax facial movement and expressions causing wrinkles, is instead sprayed into the nasal passage, which acts to help act against hay fever symptoms. […] The botulinum toxin works by blocking the conduction of nerve signals in the nasal passage which triggers the onset of hay fever symptoms.
  • #1 Lasers: A Future Treatment for Hay Fever and Other Allergies – The Waiting Room
    https://thewaitingroom.karger.com/knowledge-transfer/lasers-a-future-treatment-for-hay-fever-and-other-allergies/
    Lasers: A Future Treatment for Hay Fever and Other Allergies […] Allergic rhinitis is a very common allergic disorder, affecting the nose and its passages. Routine treatment involves using anti-allergy pills or nose sprays, which can be difficult to manage, and do not always help. A new alternative is to treat the inside of the nose with gentle lasers. […] There is some hope for those whose noses are often stuffy, itchy and red from allergies such as hay fever: Low level laser therapy can probably help to reduce these allergy symptoms. However, before it is routinely used as an alternative to anti-allergy pills and nose sprays, much more research is required. […] Other methods for treating allergic rhinitis include immunotherapy, acupuncture, and low-level laser therapy (LLLT). […] LLLT is a novel, painless treatment method that uses low intensity light (laser) to reduce inflammation. […] To find out about the effectiveness and safety of LLLT, the authors carried out what is called a systematic review and meta-analysis. […] The analysis revealed that, after LLLT, people had less rhinitis nasal symptoms and improved quality of life. However, this before and after effect was very similar to the results of comparisons between placebo and LLLT treatment. Therefore, although it is probable that LLLT is helpful, further research needs to be done with larger groups of people, and with comparison between medicines and LLLT. It is hoped that this further research can confirm that LLLT is better than placebo and better than anti-allergy medication.
  • #1 Hay fever can sometimes be more serious than we think. This is why we should know our treatment options
    https://theconversation.com/hay-fever-can-sometimes-be-more-serious-than-we-think-this-is-why-we-should-know-our-treatment-options-194041
    Adding a medicine that acts on other key messengers of inflammation (leukotrienes), such as montelukast, can sometimes be helpful. […] For people with hay fever alongside asthma or other allergic disease, there are now effective medicines that block messengers of allergy in a highly specific manner, such as the monoclonal antibody Dupilumab, and more are coming soon. […] Giving people a regular small dose of something they are sensitised to can make their immune system more tolerant of it. This is often referred to as immunotherapy, and can be by regular tablet or injection. […] Although potentially very helpful, this treatment takes years and many people dont complete their course. The improvements seen are incremental rather than a complete permanent resolution.
  • #1 Allergies: Types, Symptoms, Treatment & Management
    https://my.clevelandclinic.org/health/diseases/8610-allergies
    Avoiding things youre allergic to is your best bet to manage allergies. […] Your healthcare provider might recommend you take certain medications daily or get specific treatments regularly. These can reduce your symptoms or risk of a reaction. Depending on your allergies, options could include: Antihistamines like fexofenadine (Allegra), loratadine (Claritin) or cetirizine (Zyrtec) […] Allergy immunotherapy, like allergy shots, sublingual immunotherapy (SLIT) or oral immunotherapy (OIT). […] If you have an allergy that could cause a severe reaction, your provider will recommend you carry an epinephrine auto-injector (EpiPen or Auvi-Q) to use at the first signs of a severe allergic reaction. […] Talk to a healthcare provider if you have symptoms of allergies and want to get to the bottom of whats causing them. […] Allergies can change with age. […] If youre not sniffling and sneezing every spring, youre trying to avoid the rash youll get from your neighbors overly affectionate dog. […] At Cleveland Clinic, our team of experts can help create a treatment plan thatll help you breathe easier.
  • #2 Hay fever | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/immune-system/hay-fever/
    Hay fever is a common allergic condition. Youll experience hay fever symptoms if you have an allergic reaction to pollen which is released by plants. […] Theres currently no cure for hay fever but most people can relieve symptoms with treatment. Treatment options for hay fever include: antihistamines which help to prevent an allergic reaction, corticosteroids (steroids) which help to reduce inflammation and swelling. […] Many hay fever medications are available over-the-counter.
  • #2 Allergic Rhinitis (Hay Fever): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8622-allergic-rhinitis-hay-fever
    Allergic rhinitis, also called hay fever, is an allergic reaction that causes sneezing, congestion, itchy nose and watery eyes. […] Hay fever can make you feel awful, but you can find relief with lifestyle changes, allergy medications and immunotherapy (allergy shots). […] Several allergy medications can improve symptoms and help you live with hay fever. These treatments come in many forms, including liquids, pills, eye drops, nasal sprays and injections. […] Antihistamine medications are available with a prescription or over the counter (OTC). They work by blocking the histamine that your body releases during an allergic response. […] Decongestants relieve congestion in your nose and sinuses. […] Corticosteroid nasal sprays reduce inflammation and relieve symptoms of hay fever. […] This treatment works by helping your body learn to tolerate allergens. Your provider gives you a series of injections (allergy shots or subcutaneous immunotherapy) with a small amount of the allergen. […] Hay fever can make you feel miserable, but it generally doesn’t cause serious health problems. Most people with hay fever manage symptoms with lifestyle changes and over-the-counter medication. […] Talk to your provider about steps you can take to relieve symptoms, breathe easier and feel better.
  • #2 Hay Fever and Allergy Medications
    https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/hay-fever-medications
    Hay Fever and Allergy MedicationsSeasonal allergic rhinitis known as hay fever symptoms range from being mildly annoying to seriously impacting day-to-day life. […] While avoiding the allergens that trigger symptoms is the best way to control hay fever, your allergist / immunologist may prescribe an allergy medication to manage your hay fever symptoms. These medications include nasal corticosteroid sprays, antihistamine pills, nasal antihistamine sprays or decongestant pills. […] If you have allergies, your allergist may prescribe an antihistamine. This medication treats hay fever and conditions such as hives. […] Decongestants may reduce your stuffy nose and other symptoms associated with allergies. […] The mainstay of treatment for allergic rhinitis, or hay fever, is nasal steroids.
  • #2 Hay fever: Learn More – Which medications can relieve hay fever? – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279486/
    If someone has allergic rhinitis, the following medications are typically considered: Antihistamines, Steroids (corticosteroids), Leukotriene receptor antagonists, Chromones (mast cell stabilizers), Decongestant nasal drops and sprays. […] Steroid sprays or newer generation antihistamines are usually the treatments of first choice. […] Antihistamines suppress this effect. When treating allergic rhinitis, antihistamines can be used in the form of tablets or nasal sprays. […] Corticosteroids are steroid drugs that contain an anti-inflammatory steroid hormone. Steroid nasal sprays reduce swelling in the mucous membranes and relieve symptoms like a runny or stuffy nose. […] Some nasal sprays contain both an antihistamine and a steroid. This combination is more effective than a treatment with just one of the drugs.
  • #2 Antihistamines
    https://www.nhs.uk/conditions/antihistamines/
    Antihistamines are medicines often used to relieve symptoms of allergies, such as hay fever. […] Antihistamines help stop this happening if you take them before you come into contact with the substance you’re allergic to. Or they can reduce the severity of symptoms if you take them afterwards.
  • #2 Hay fever: Learn More – Which medications can relieve hay fever? – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279486/
    These medications block the action of leukotrienes. […] Mast cell stabilizers prevent histamine from being released by certain cells in the body known as mast cells. […] Decongestant nose drops and nasal sprays reduce swelling in the membranes lining the nose and the sinuses, making it easier to breathe through your nose. […] Steroid nasal sprays are often recommended as the treatment of first choice. […] If the symptoms dont improve enough, a different medication can be tried out instead, or two medications can be combined: for example, a steroid nasal spray and antihistamine tablets.
  • #2 Hay fever can sometimes be more serious than we think. This is why we should know our treatment options
    https://theconversation.com/hay-fever-can-sometimes-be-more-serious-than-we-think-this-is-why-we-should-know-our-treatment-options-194041
    Adding a medicine that acts on other key messengers of inflammation (leukotrienes), such as montelukast, can sometimes be helpful. […] For people with hay fever alongside asthma or other allergic disease, there are now effective medicines that block messengers of allergy in a highly specific manner, such as the monoclonal antibody Dupilumab, and more are coming soon. […] Giving people a regular small dose of something they are sensitised to can make their immune system more tolerant of it. This is often referred to as immunotherapy, and can be by regular tablet or injection. […] Although potentially very helpful, this treatment takes years and many people dont complete their course. The improvements seen are incremental rather than a complete permanent resolution.
  • #2 Managing hay fever – NPS MedicineWise
    https://www.nps.org.au/consumers/managing-hay-fever
    Antihistamines help with rapid relief of hay fever symptoms like itchy eyes, sneezing and a runny nose. They are not good at relieving nasal congestion. […] Corticosteroid sprays help prevent symptoms of hay fever, including a blocked nose (nasal congestion). These nose sprays can provide some relief within 37 hours, but the real benefit comes when used regularly according to instructions over a period of several days. […] Antihistamine and corticosteroid combination sprays offer the advantage of rapid relief of symptoms combined with longer term hay fever prevention. […] Saline solution (salt water) drops or spray may also be useful to wash away pollen in the nose and help with a blocked or stuffy nose. […] If you are breastfeeding and need hay fever relief, talk with your health professional. They can help you decide which treatment option nasal spray, eye drops or an antihistamine might be most suitable for your situation.
  • #2 Hay Fever In Children | BENADRYL® Official UK Site
    https://www.benadryl.co.uk/allergy-types/hay-fever-in-children
    Not all types of nasal spray are suitable for children. Although steroid nasal sprays may be more suitable for older children, doctors may prescribe certain types to children from age 4 and up. […] Antihistamine eyedrops are a particularly effective hay fever treatment for children suffering with symptoms that affect their eyes, such as redness, itchiness, or watering. […] Pollen blockers take a preventative approach to protecting your child against the effects of pollen. […] If you’re still uncertain of the right treatment for hay fever in your child, you can discuss their symptoms and options with a pharmacist. If symptoms are worsening, or over-the-counter treatments aren’t working, you should contact your GP. […] There are plenty of treatments available to your child to alleviate their symptoms and make them more comfortable, so don’t worry. Hay fever in children isn’t uncommon, and there are plenty of options for both short and long-lasting relief.
  • #3 Hay fever | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hay-fever
    Hay fever (allergic rhinitis) is an allergic reaction to environmental allergens such as pollens, dust mite, moulds and animal dander. […] Avoiding allergic triggers and taking appropriate treatments are the best ways to reduce the frequency of hay fever symptoms. […] Identifying the allergen/s causing the symptoms is an important part of managing hay fever. […] Some medications may help relieve the symptoms of hay fever. Ask your GP or pharmacist for advice. You may be advised to try: […] Antihistamine tablets, syrups, intranasal sprays and eye drops (non-sedating) help to reduce symptoms (sneezing, itchy and irritating eyes). […] Intranasal corticosteroid sprays (INCS) these nasal sprays are used for people with moderate to severe symptoms and are one of the most effective treatments for allergic rhinitis.