The Most Effective Hay Fever Treatments


As a doctor I’ve prescribed, used and recommended many hay fever treatments and have formed strong views on which are the most effective natural, herbal and pharmaceutical brands.

I’ve reviewed what I believe are the best pollen filters, eye drops, nasal barriers, nasal sprays and antihistamine tablets below, starting with drug-free methods before reviewing herbal and pharmacy medications. I’ve also shared my best tips to help minimise your hay fever symptoms this year.




Pollen and hay fever

Hay fever – also known as seasonal allergic rhinitis and pollinosis – makes life a misery for the one in five people who are sensitive to grass and tree pollens. These pollens are essentially the sex seed of male plants, with a single flower releasing anything from a few hundred pollen grains (eg the mallow) to several million at a time (eg pine tree).

As pollens from different species of plant are all mixed in the air together, they secrete special recognition factors to ensure they pollinate the right flowers. It is these protein factors that are believed to trigger the allergic reactions of hay fever.

Different pollens are implicated in different countries, with ragweed being a common problem in the US, birch tree pollen in Scandinavia and cedar pollen in Japan. Some flower pollens can also cause problems – especially the bright yellow, oil-seed rape.

When pollen lands on the delicate mucus membranes of the nose, mouth and eyes, it is normally flushed away without causing a problem. In people who are sensitised, however, the immune system wrongly identifies the pollen’s unique recognition factors as a potential threat. Immune cells secrete an antibody known as IgE to respond to the ‘invader’ by triggering the release of histamine.

Histamine acts as an alarm signal that heightens your immune response. It causes blood vessels to dilate and speeds the arrival of other immune factors into the area. The resulting irritation, inflammation and swelling produces the usual symptoms of hay fever with runny nose, stuffiness, sneezing and itchy conjunctivitis. Only one in 20 people with hay fever escape eye symptoms altogether – usually those allergic to the pollen of oil-seed rape. Conjunctivitis tends to be worse in those allergic to tree pollens.

These allergic responses can also cause sinusitis with pressure pains and headache, may make asthma and eczema worse and cause difficulty sleeping. All in all, it makes what should be a pleasant time of year an exhausting misery.

Which pollen is causing your hay fever?

Symptoms will vary from month to month, depending on which plants you are sensitised to and where you live. Hay fever tends to develop earlier in the year as you travel south, and later as you travel north.

SneezerEarly spring – you are probably sensitive to hazel, elder and birch pollen

Late spring – plane tree pollen is one of the main culprits

Early to mid-summer – grass pollens are usually to blame, especially when counts exceed 50 grains per cubic metre of air

Late summer and autumn – mould and fungal spores are a common problem in damp weather.

Rhinitis can also be caused by other airborne allergens and, if you are sensitive to dust mites or certain animals, for example, nasal  discharge, sneezing, congestion and itching can occur all year round (perennial rhinitis). Symptoms that occur for less than 4 days per week, or less than 4 weeks at a time, are defined as intermittent, while those occurring for at least 4 days a week, or for at least 4 weeks at a time, are described as persistent. Most of the approaches described below will help, whatever underlying allergy is causing your symptoms.

Overcoming hay fever 

The simplest way to reduce hay fever symptoms is to avoid heavy exposure to pollen, but this is easier said than done when you have to work or want to continue living a normal life. Where practical, aim to avoid:

  • Going out when pollen forecasts are high – check the UK MetOffice pollen forecast here and the US National Allergy Forecast here
  • Going out when pollen counts peak between 7 – 9 in the morning, and between 3 – 7 in late afternoon/early evening
  • City streets during the afternoon as hay fever symptoms are made worse by exposure to traffic fumes
  • Working at the top of a tall building as pollen rises – try to work at ground level rather than on the first floor or above
  • Hanging clothing outdoors to dry as pollen can cling to them
  • Pets that have been outdoors and will carry pollen on their fur/hair
  • Gardening and mowing the lawn, barbecues and picnics – or try wearing a dust mask during these activities.
  • Keep your bedroom window shut to avoid sleeping in a pollen trap at night, or use an air-filter or ioniser in your room.

Wrap-around glasses for hay fever

You can minimise eye symptoms with wrap-around sunglasses – as long as you put them on before you step outdoors. You need protection against ultraviolet light, too, so check the label specifies ‘100% UV protection’, ‘Lenses block UVA and UVB rays’, or ‘Full UV400 protection’. Avoid those that do not state any level of protection or that vaguely claim they are ‘UV absorbing lenses’ or ‘Blocks most UV light’.

Designed for bikers, the Global Vision Rider – Shatterproof UV400 Antifog Wraparound Sunglasses will help keep pollen and other airborne allergens away from your eyes – even at speed.

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Filters for hay fever

Face masks are increasingly trendy essentials for people who cycle, jog or simply walk through built-up areas. Designed to control the quality of air you breathe, these masks can filter out pollen as well as traffic fumes.

Respro’s Cinqro comfortable face mask features two exhalation valves to expel heat and water vapour. Available in Gold, Camouflage, Pink, White or Yellow, the mask is fitted with a Hepa-Type particle filter that removes submicron particles such as pollen, diesel fumes, dust and other airborne allergens. Sizes medium, large and extra-large.
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If a full-on face mask is too much for you, WoodyKnows Ultra Breathable Nasal Filters will reduce your exposure to pollen, dust, molds and other airborne allergens to relieve hay fever, allergic asthma, rhinitis and sinusitis.

Select the filter size according to the natural size and shape of your nostrils. When in place, they are hardly visible as the electrostatic filter efficiently removes airborne particles before you can breathe them in. The disposable mesh is replaced every 3 days.

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 Nasal barriers for hay fever

Nasal barriers work on the simple principle that stopping pollen from touching the lining of your nose prevents symptoms by blocking the trigger that releases histamine. As the nose is an efficient, self-flushing organ, scientists have had their work cut out finding solutions that work within minutes yet stay within the nose for a useful length of time.

Prevalin Allergy Nasal Spray is a fluid when shaken but forms a gel when at rest on the nasal lining. This block allergens from coming into contact with histamine-releasing cells. Different size sprays are available for kids and adults. Prevalin Allergy Plus also includes Perilla Seed Oil – a natural mast cell stabiliser to reduce allergic responses.

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Allergy Defence contains an inert, natural cellulose powder that reacts with nasal mucus to form an invisible, gel-like filter. This lines nasal passages and stops pollen triggering an allergic reaction. In most cases, hay fever symptoms are controlled within 3 to 10 seconds.

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HayMax Balm is an organic, pollen barrier made from organic sunflower oil and organic beeswax. It’s available in three versions: Lavender, with Aloe vera or Pure with no added essential oils for those who are particularly sensitive. Apply the balm just inside the nostrils regularly, and after sneezing or blowing your nose, to trap pollen.  

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Happinose is a lovely product that smells of Turkish Delight. Designed as a soothing, nasal decongestant, the balm traps pollen while the levomenthol and natural essential oils produce a cooling sensation and relieve congestion. Gentle enough for use on sore, inflamed skin, and for children over the age of 5 too. 

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Light therapy for hay fever

Because hay fever symptoms develop as the sun starts to shine, it seems surprising that nasal exposure to specific light wavelengths can improve symptoms. Known as rhinophototherapy, research published in The Journal of Allergy and Clinical Immunology shows that certain wavelengths suppress over-active immune responses and prevent the release of histamine from nasal mast cells.

Forty-nine people with hay fever used the therapy three times a week, for three weeks, during the height of the ragweed allergy season. Those receiving the real treatment had a significantly greater improvement in sneezing, runny nose, itchy nose and total nasal symptoms, while those using a control light showed no improvement. When the volunteers’ nasal secretions were analysed, they showed a significant reductions in the number of inflammatory cells and chemicals present.

Another study, involving 31 people with hay fever, compared the effects of intranasal light therapy (three times a week for 2 weeks) with taking an antihistamine tablet (180mg fexofenadine) for two weeks. In the rhinophototherapy group, all symptoms improved. In antihistamine group, only sneezing improved significantly. The researchers concluded that intranasal phototherapy is more efficient than fexofenadine HCl in reducing clinical symptoms of seasonal allergic rhinitis.

In another study, involving 65 people with persistent allergic rhinitis, all received a combination of inhaled steroid spray plus antihistamine tablets, and one-half also received rhinophototherapy. Adding in the nasal light therapy significantly improved symptoms and quality of life compared with using the medications alone.

Sneezer Beam is the original device that my husband swears by. Just insert the probes for 3 minutes, three times a day, while symptoms persist. Your nose will light up like Rudolf the Reindeer, so sit or lie down somewhere quiet and private for three minutes during use. The benefits are worth it!
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Laser acupuncture for hay fever

In Japan, laser therapy is popular to vaporise parts of the nasal lining (inferior turbinates) that swell to produce hay fever symptoms. Although this may seem a drastic approach, some studies suggest that 60% of people undergoing the procedure experience complete relief of nasal obstruction with no further need for nasal sprays. You obviously don’t want to be doing this at home, but more gentle, low-frequency, painless and non-destructive versions are now available that combine intranasal laser stimulation with acupoint stimulation.

A study involving 24 people with allergic rhinitis received either true laser acupuncture treatment or sham laser treatment (using a deactivated device beaming normal red light). Symptoms significantly improved in those receiving the true treatment but worsened in those receiving the false treatment.

Intranasal laser acupuncture is safe enough for use in children. One study divided 40 children and adolescents (aged 7 to 18 years) into two groups. Once received rhinophototherapy, and one received intranasal laser acupuncture. Both groups showed similar improvements in symptom scores and both treatments were found to be equally safe, reliable, non-invasive and successful.

HailiCare CR-912 Rhinitis Allergy Reliever is a low-frequency laser therapy that combines soft light laser with acupoint impulses. This has been shown to relieve nasal congestion, nasal itching, sneezing, runny nose and snoring with 15 minutes use. 

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Acupressure tip  When nasal symptoms start, try self-acupressure: Press on the top end of the web between your thumb and index finger – at the highest point of the muscle, just before you can feel the bones meet. Press and rub firmly for one minute, then repeat on the other side. I’m never quite sure whether it’s mind over matter, distraction, or because acupoint stimulation is really effective. Either way, it works more often than not!

Rinse away hay fever allergens with nasal douching

Saline douching to cleanse the nose is recommended by ENT doctors to irrigate nasal passages, reduce congestion and wash away allergens such as pollen. This helps to reduce nasal inflammation (rhinitis) and sinusitis and is safe enough for use during infancy, pregnancy and breast-feeding when other prescribing options are limited.

Saline douching is recommended as a first-line approach by the British Society for Allergy and Clinical Immunology (BSACI) guidelines as a Grade A, evidence-based recommendation. The National Institute for Health and Care Excellence (NICE) also recommend nasal douching with saline as an alternative or add-on treatment for allergic rhinitis.

Nasal irrigation with physiological seawater can also help other nasal treatments work better by cleansing the nasal lining before using a medicated spray. For example, it maintains the effectiveness of intranasal steroids at a lower dose, resulting in fewer side effects.

NB Use an isotonic spray for treating allergies. The hypertonic sprays are for short-term use to help dry up a cold.

Stérimar Isotonic nasal hygiene spray has an Allergy UK, Allergy friendly endorsement.

The sterilised sea water microdiffusion spray may be used long-term, 2 to 6 times a day, to rinse the nose, for as long as needed.

View current cost on Amazon.co.uk and on Amazon.com  (NB ships from France, here are English language instructions if you need them)

Also available from Boots.com 

Salt therapy for hay fever

Spending time in subterranean salt mines is a traditional treatment for hay fever, asthma and other respiratory problems in Central and Eastern Europe. Known as speleotherapy, this allows you to breathe air that is free from common dusts and pollen, and which is saturated with beneficial negative ions released from Himalayan salt. Modern trials have shown that speleotherapy has beneficial effects on lung function, with clinical effectiveness estimated at 97.3%.

Salt cave therapy is now available in many towns and you can obtain similar benefits at home by inhaling salt-laden air through a porcelain salt pipe for just 15 minutes a day. Simply place your mouth over the spout to breathe in and exhale through your nose. This helps to moisturise, cleanse and stabilise your respiratory passages, as well as thinning mucus to relieve congestion.

You can even treat the atmosphere in a whole room using a salt therapy air purifier. The unit gently disperses microparticles of salt and trace elements into the atmosphere while filtering out allergens. In the lungs the salt-diffused air gently reduces inflammation, has an anti-bacterial action, promotes airway dilation and reduces mucus build-up.

Natural Solution’s Salt Inhaler is based on a traditional porcelain pot design and is supplied with mineral-rich, pink Himalayan salt.

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Salitair has a more contemporary, clinical design and is supplied with white rock salt rather than Himalayan pink salt. This brand is recommended by many doctors to relieve hay fever, asthma, COPD and other breathing problems.

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The ultimate way to mimic the benefits of salt cave therapy in your own home is to use the Salin Plus Salt Therapy Air Purifier. Clinically effective for relieving hay fever, asthma, sinusitis and other respiratory problems, it reduces cough, congestion and improves sleep quality when used for up to eight hours while sleeping. The replaceable filter needs to be changed around every 4 months.

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Vitamin C and hay fever

Vitamin C acts as a natural antihistamine to damp down inflammation. Taking 2g daily vitamin C has been shown to reduce airway reactivity to histamine, to reduce histamine levels by over a third. There is some evidence that vitamin C may help to reduce symptoms linked with pollen allergy, including mucus production, but this has not been well-studied. Researchers believe that vitamin C neutralises histamine and reduces the influx of immune cells (neutrophils) that ramp up inflammation and make symptoms worse. Vitamin C is often combined with bioflavonoids such as quercetin which have a similar antihistamine action.

If you want to trial vitamin C to see if it helps you, doses of 1 gram per day are safe for long-term use as supplements. Doses of 2g to 3g per day are fine for short-term use to reduce allergic symptoms. As a water-soluble vitamin, excess is safely flushed away via the kidneys. The dose you can tolerate may be limited by indigestion or by bowel looseness (which is why the upper safe level was set at 1g per day). If you experience these side effects, cut back the dose or switch to the ‘body-ready’ form known as ester-C which is non-acidic but does tend to be more expensive.

NB If you are a known kidney-stone former, do not take vitamin C supplements. Some urine tests are affected by high dose vitamin C supplements – tell your doctor if you need any urine/stool tests, and if you have diabetes and use urine glucose tests check you are using a kit that is not affected.

Vitamin C that is encapsulated in liposomes has maximum bioavailabilty and is rapidly absorbed to get to work quickly. Each sachet of Lypo-Spheric or Altrient Vitamin C supplies a 1,000mg dose.

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Solgar’s Ester-C Plus provides a non-acidic, highly absorbable form of vitamin C to prevent digestive irritation. Each capsules contains 500mg, and each tablet 1000mg of vitamin C plus bioflavonoids.

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Herbal remedies for hay fever

A number of herbal remedies are used to prevent and treat hay fever. I’ve found two that are particularly effective.

Luffa Complex contains extracts of seven tropical herbs that relieve hay fever symptoms in 75% of cases.

Pycnogenol is a blend of powerful antioxidants derived from the bark of the French maritime pine. Laboratory studies show these block histamine release from mast cells exposed to airborne allergens such as pollen. Clinical trials have found its antihistamine action is as effective as the commonly used hay fever drug, sodium cromoglicate, but is best started 7 to 8 weeks before the onset of the hay fever season for best effect.

Luffa Complex is a tincture containing extracts from seven tropical herbs: Sponge Cucumber (Luffa), Heartseed, American Spikenard, Golden Thryallis, Chapparal, Okoubaka and Toothpick Weed.  

Dose: adults: 20 drops, 2 to 3 times a day in water. Children: 1 drop twice a day in water.

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Solgar’s Pycnogenol is made to pharmaceutical standards and supplies 100mg French Maritime Pine Bark extract per capsule.

Dose: 1 or 2 a day.

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Nasal herbal sprays for hay fever

If you prefer to use herbal products before moving on to a pharmaceutical decongestants or steroid nasal sprays, the following products have helped many of my patients.

Pollinosan Luffa Nasal Spray is a medical device containing seven tropical herbs within an isotonic solution that rinses the nose of allergens, restores moisture and soothes irritation. This can be used with other hay fever remedies and by children over the age of 6.

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Weleda’s Rhinodoron nasal spray contains Aloe vera gel in a saline solution that helps flush away pollen, reduces congestion and soothes itching.

Can be used 2 to 6 times a day from the age of six years.

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Pharmaceutical Medications for hay fever

Whether or not to take an oral antihistamine, or to use a nasal corticosteroid spray, comes down to personal choice. Some people prefer the convenience of using a one-a-day oral tablet, while others prefer the localised effects of a once-a-day nasal preparation. You can, of course, use both if necessary. The National Institute for Health and Care Excellence (NICE) state that ‘Expert opinion in a published review article suggests that non-sedating oral antihistamines and nasal corticosteroids may be used regularly without fear of adverse consequences.’

A recent head-to-head trial involving 682 people with allergic rhinitis/hay fever symptoms found that using either an oral antihistamine (cetirizine) or a nasal corticosteroid spray (fluticasone propionate) for two weeks was equally effective for improving eye or nose symptoms and quality of life. Note the trial only lasted two weeks, however. When it comes to treating frequent or persistent symptoms, ‘most experts agree that intranasal corticosteroids are the more effective treatment for controlling symptoms of allergic rhinitis when used on a regular basis’, according to NICE.

As a general guideline, if your predominant symptom is sneezing or nasal discharge, either an oral antihistamine or an intranasal corticosteroid will help. If your main symptoms is nasal blockage/congestion, or if nasal polyps are present, however, an intranasal corticosteroid spray is likely to be more effective.

Oral antihistamines for hay fever

Oral antihistamines, as their name suggests, are taken by mouth to stop the effects of histamine in the body. They are excellent for reducing symptoms of a runny nose and sneezing, but tend to be less effective against a stuffed up nose, for which a decongestant spray (reviewed below) usually works best.

Antihistamines (eg acrivastine, astemizole, loratadine, terfenadine) help to prevent release of histamine from cells or stop histamine from producing its actions in the body. Some older antihistamines, such as chlorphenamine, are sedating which may be useful if you need to use them at night. During the daytime, however, it’s best to select a newer version, such as loratadine or cetirizine, which is less likely to make you feel drowsy. This is especially important if you want to drive or operate machinery at work. Some people are more sensitive to these sedating effects than others, however. Don’t drink alcohol while taking an antihistamine or you may literally end up lying in the road (like a close friend of mine who was celebrating Padstow May Day in traditional style!)

A study by the Drug Safety Research Unit found that the least sedating over-the-counter oral antihistamine was loratadine which was 3 times less likely to cause sedation than cetirizine, and this is the version I usually recommend.

Claritin Reditabs (known as Clarityn Rapide in the UK) fast-dissolving dispersible tablets melt in your mouth with no water needed should symptoms strike while you are out and about. Each one-a-day dispersible tablet provides 10mg loratadine.

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Boots_loratadine  Boots One-A-Day Allergy Relief tablets provide 10mg loratadine.

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A similar product in the US is value-size Claritin one-a-day 10mg loratadine.

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 Corticosteroid nasal sprays for hay fever

Many people find that nasal corticosteroid sprays offer better relief of symptoms overall than oral antihistamines. There is no clear evidence to suggest one nasal corticosteroid spray is more effective than another. As some sprays are more expensive, it is worth trying a cheaper one first. These are the ones I usually recommend first-line. Stronger versions are available on prescription from your doctor.

Beconase Hay fever Relief nasal spray contains the corticosteroid, beclometasone dipropionate.

Dose: adults over 18, use two sprays into each nostril twice a day (morning and evening). Once your symptoms are under control reduce the dose to one spray in each nostril twice a day.

Always use the lowest dose necessary to relieve your symptoms, and read the Patient Information Leaflet provided.

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Boots Hayfever Relief contains the same drug and, as an own-brand, tends to be cheaper.

Check prices from Boots.com for 200 sprays.

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 In the US, you have more choice with two leading pharmacy brands which contain medicines that are only available on prescription in the UK.

Nasacort Allergy contains triamcinolone acetonide. 

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Flonase Allergy Relief  contains fluticasone propionate. View current cost from Amazon.com

If you are in the UK and are unable to visit your own doctor for a prescription, you can obtain the prescription-only Flixonase Aqueous nasal spray via an on-line consultation with a registered GP using the Pharmacy2U link below.




Antihistamine sprays for hay fever

RunynoseNasal antihistamine sprays are not usually recommended as a first-line treatment as, on their own, they are less effective than the above nasal corticosteroid sprays, and only improve nose symptoms – they have little effect against allergic conjunctivitis.

However, if your nose symptoms persist, an antihistamine nasal spray containing azelastine is available on prescription to help control breakthrough symptoms.

A combined antihistamine/corticosteroid spray containing azelastine plus fluticasone propionate (brand name Dymista) is also available. This really is the ‘big gun’ against hayfever and is highly effective but only available on prescription – either from your own GP, or from the Pharmacy2U online doctor service above.

Eye drops for hayfever

Numerous soothing eye drops are available to treat hay fever. These contain either an anti-inflammatory agent (eg sodium cromoglycate which stabilises mast cells to prevent histamine release) or an anti-histamine plus, sometimes, a decongestant to relieve redness.

Sodium cromoglycate works by stopping the release of inflammatory chemicals from cells, so it’s most effective when used before symptoms start, rather than once your eyes start to itch or sting.

For a totally natural approach, I’ve found it helps to lie down for 20 minutes with a cool compress over your eyes made from cotton pads soaked in cold, camomile tea.

Opticrom Hayfever eyedrops contain sodium cromoglycate.

Dose: 1 or 2 drops in each eye, 4 times a day.

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Boots own-brand Allergy Relief eye drops tend to be cheaper. 

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I hope you found this overview of hay fever treatments helpful

If you continue to suffer problems despite trying the above over-the-counter treatments, always consult your doctor as some medicines are only available on prescription.

If you’ve tried any of the products I’ve recommended, or found anything else that helps, please let me know using the comments box below.

Click here to find out if taking locally produced honey can prevent hay fever.

Image credits: christine/flickr




About Dr Sarah Brewer

Dr Sarah Brewer qualified from Cambridge University with degrees in Natural Sciences, Medicine and Surgery. After working in general practice, she gained a master's degree in nutritional medicine from the University of Surrey. Sarah is a licensed Medical Doctor, a Registered Nutritionist and a Registered Nutritional Therapist. She is an award winning author of over 60 popular self-help books and set up this site to showcase all that is good in the world of self-help.


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29 thoughts on “The Most Effective Hay Fever Treatments

  • Tim Astana

    Hi Sarah,
    Nice and comprehensive article. Thanks for that.
    Would you recommend acupuncture or chinese medicine to treat hay fever? It’s been over 10 years I’m suffering from hay fever and seems to be getting worse.

    Thanks.
    Tim

    • Dr Sarah Brewer Post author

      Hi Tim, randomised controlled trials have shown benefit for treating hayfever with acupuncture and moxibustion, and US clinical guidelines state that ‘Clinicians may offer acupuncture, or refer to a clinician who can offer acupuncture, for patients with allergic rhinitis who are interested in nonpharmacologic therapy.’ They made no recommendation about the use of herbal therapy. Best wishes, Sarah B

  • Pradeep Raul

    Hi Sarah,

    Firstly many thanks and what a great article. I must say that I have done lot of research into Hayfever and this is the most comprehensive I found including various treatment option. While I am surprised I didn’t find this earlier but happy that I found it now and it’s not too late.
    I have been suffering from Hayfever since last few years and it was getting worst every year. I take one cetrizine tablet every morning from beginning April till September. I suffer mostly from late May till mid August. Last 2 years I tried the nasal filter which helped managing it but they cause a lot of irritation. I am continuing with my cetrizine but followed the advice of a friend to use vaseline to prevent the pollen getting in instead of the filter. I found that there are cases of lipoid pneumonia attributed to using petroleum jelly.

    Hence I am looking to try a different solution to act as a barrier.
    There are a few mentioned (Care Allergy defense, Sterimar, Prevalin, Haymax, etc.)

    Do any of those have any side effects and which one among them is the best in your opinion?
    Do you think I can stop using cetrizine if I use one of the above mentioned balm/barrier?

    Thanks
    Pradeep

    • Dr Sarah Brewer Post author

      Hi Pradeep, I’m glad you found it helpful. Prevalin is well researched as a barrier and is recommended by many doctors. If you prefer a more ‘natural’ option then Haymax has a nice range. Sterimar is great for irrigating the nose and flushing it out, rather than acting as a barrier. This has been shown to reduce the use of nasal sprays. By acting as a barrier, the likes of Prevalin can reduce the need for oral antihistamines in some cases – but these won’t reduce eye symptoms, for example, for which cetrizine would still be needed. Best wishes, Sarah B

      • Pradeep Raul

        Hi Sarah,

        Thanks for the quick reply.
        I was referring to Sterimar stop and protect which has got the best reviews in Amazon among others and says it does the protection side as well.
        Is this not the case in your opinion?
        I will have a look into HayMax as well.

        Any idea if the prolonged use of 1 cetrizine tablet a day can cause long term health issues or side effects?

        Thanks
        Pradeep

        • Dr Sarah Brewer Post author

          Sterimar Stop & Protect Cold & Sinus relief contains a hypertonic sea water solution plus copper and Eucalyptus to unblock nasal passages and reduce runniness, While Sterimar Hayfever & Allergy is an isotonic spray with manganese and calcium to rinse the nose of airborne contaminants and reduce itch. Saline irrigation is recommended in allergy guidelines as it reduces the need for nasal steroids which is a good thing. Sterimar has no side effects or contraindications, and can be used as long as needed. In some cases, long-term treatment with cetirizine tablets may increase the risk of dental caries due to mouth dryness, so oral hygiene is important. The patient information leaflet in the pack will tell you more about possible side effects. It can potentiate the effects of alcohol so best to avoid drinking when taking it, too. Best wishes, Sarah B

  • Andrea

    Thank you for your article – I have suffered with hay fever since the birth of my first son – 16 years! ( not sure if its due to lower immunity after giving birth?) some times its so bad I’m literally locked in a dark room with wet cooling eye pads- its my only relief, I started using Prevalin Allergy last year and have to say my hay fever has stopped! its a revelation.. I recommend this product 100% its the only product I can say that’s truly worked for me, I don’t need tablets, nasal sprays or eye drops now! its great knowing it doesn’t contain drugs or steroids,… take a bit of getting used to as its a product lining your nose, a couple of days and you get used to it!
    cant be worse than sneezing every five minutes and scratching your eyes out all day!

    • Dr Sarah Brewer Post author

      Hi Andrea, Thanks for sharing your experience. Prevalin is a good, evidence-based barrier for preventing hay fever. It makes a lot of sense to prevent symptoms by stopping the pollen reaching the nose lining.

  • Alyssa

    This is the most comprehensive listing of hayfever treatments that I’ve ever read! I suffer from allergies from May until late into the fall / early winter. And I sneeze. A lot. Not just once or twice, but sometimes a dozen times in a row. It can be debilitating and I never go anywhere without a ton of tissues in my purse. I use a combination of antihistamines and nasal sprays, and most days they work, but on windy days its best if I stay indoors. I’m really looking forward to trying some of your recommendations – particularly light therapy. Is nasal douching like using a neti pott?
    Alyssa

    • admin

      Hi Alyssa, nasal douching is basically just rinsing out the nose. While you can use a neti pot, I find the saline nasal sprays such as Sterimar so much easier and nicer to use. As this rinses out allergens it also reduces teh need for medication (especially if you apply a barrier like Prevalin) so it’s a win win all round!

  • Stella

    Well this certainly is a massive post, but that means it is so comprehensive. There is a wealth of information. I like that you have provided so many options. There are quite a few that I had not heard of before. I also like the sound of the Happinose. I think I will give that a try. Thanks again for all of this! Stella

    • admin

      Glad you found it useful – I was worried it was a bit too long but another reader reassured me that as long as it’s useful content even a book isn’t long! I’ve just received my latest order of Happinose – it smells so lovely and is so cheap!

  • swangirl

    I am so impressed with this article! I have never seen anything address so many different treatment options in one place! Thank you! My husband has very bad allergies that lead to sinus infections. He is scheduled to have surgery for a deviated septum in two days. The surgery sounds extensive and the recovery rough. He has tried many treatments but so far Flonase is the most effective. I had not heard of the nasal barriers before. I will show him your website!
    Jessica

  • Scott Persons

    I have been suffering with hay fever since i was a child. Growing up in Minnesota. Have you ever heard of Sting Nettels for hay fever ? I live in AZ now and theres something here that im allergic to and nothing is working.
    I dont use drugs. I have used bee pollen and royal jelly, but thats not woking.

    • DrSarahB

      I’ve heard of using stinging nettles to reduce painful joints, but not for treating hay fever – just had a look at the research and it seems that taking freeze-dried nettle capsules in one study reduced sneezing and itching in hayfever with 48% saying the nettles were more effective than allergy medications. Apparently it has an antihistamine action. Thanks!

  • lifebeginswithyourhealth

    Wow,
    You really provided so much good information and tips on hay fever in your article, I am a long time sufferer of hay fever. My hay fever only seem to really bother me severely during the fall season, ragweed is my main trigger.

    Amazing all the new products you introduced me to for this fall, how does a person decide which products would work best for them?

    I eat allergy medicine and spray saline spray for short term relief, but it really does not help all that much.

    • DrSarahB

      Perhaps a barrier gel such as Prevalin is worth a go? It is such as miserable condition I hope you find something that helps.

  • Lynne

    Thank you Dr Sarah
    My hubby get such bad allergies. The problem is like you say easier said than done. We live in the West Coast of South Africa and we get what we call flower season here. The whole area gets covered in wild flowers. Our area is famous for it and people travel from all over to come and see. It is truly beautiful but my husband suffers so badly.
    His nose runs so badly it is like a tap and he sneezes non-stop!
    We have tried almost everything. He has even had allergy shots at our GP. I’ve never heard of Prevalin Allergy Nasal Spray, Haymax Balm or Happinose. I’ll add that to our list of things to try. My hubby loves Turkish Delight so Happinose will have to be the first to try.
    Thank you for these suggestions, we really have been at a loss for what to try.

    • DrSarahB

      I’ve seen pictures of the S. African flowers which form stunning carpets of colour. Not nice if you are allergic to them, though. Definitely give Prevalin a go as a barrier, and Happinose is great for relieving nasal soreness and congestion. Hope you can obtain these in your country?

  • Stacy

    Wow! That’s a lot of information! I suffer from allergies every once in awhile. At least I think that’s what it is. I’ve never actually gone to see a doctor. Just seems the most logical diagnosis. But my dad has BAD allergies. I’ll have to ask if he’s used any of these remedies. He goes through an allergist and gets prescription meds since his allergies are so bad. But maybe one of these would work just as well!

    • admin

      Prescribed meds usually work well, but many of these options can be used together with medicines to help boost their effects when you have a flare-up of seasonal hayfever.

  • Jessie

    After reading this article I realized that I never knew the exact way that allergies are actually triggered. It’s an amazing process really. We see it as an annoyance, but it truly is the body protecting itself from what it deems as harmful. Thanks for all the reviews of products that might help. I’ll have to pass this along. 🙂

  • Paul

    Hi Dr. Sarah … This is an excellent and very informative post on a very common and persistent problem . Your knowledge of this subject is very apparent and you provide the reader with many solutions. I have bookmarked your site for a return visit … keep up the great work …

  • larry

    I suffer from hay fever and I’m always looking for ways to help it. I prefer natural and regularly take vitamin c. I have never tried herbal methods you mention. Do you feel they help most people? I was also wondering about honey? I buy honey from a local place that produces it. I’m not sure if it helps or not. Thank you for your information.

    • Dr Sarah Brewer Post author

      Hi Larry, Eating locally made honey which contains a blend of the pollens to which you are exposed in your area may help to desensitise your immune system but need to be started early in teh season or, ideally, eaten all year round.