Pollenpalooza: Coping with Seasonal Allergies in Ohio

We are firmly in the thick of Springtime in Central Ohio, which is once again green, and lush, and beautiful. But, while the welcome warmth and longer days signal an invitation for us all to escape the indoors and return to nature, if you’re anything like me this pleasant seasonal shift often comes with an unfortunately cost. Depending on the year, it may take numerous forms, but it is often some combination of itching, sneezing, watery eyes, runny nose, coughing, and or wheezing.

Here’s how I help myself and my fellow allergy-sufferers deal with it using over-the-counter product options:

• Daily Antihistamines:
  Second generation antihistamines, such as cetirizine, loratadine, and fexofenadine are some of the most commonly used allergy medications, and for good reason. They can be useful as allergy symptom relievers, but when taken preventatively they can suppress the body’s histaminic response to allergens in a significant way before they’re able to begin. These drugs are relatively low cost, they tend to be well tolerated, and unlike their first-gen predecessors, (diphenhydramine, for example) cause substantially less drowsiness. Save the Benadryl for bedtime.

• Nasal Sprays:
  Corticosteroid solutions for nasal use include fluticasone, mometasone, triamcinolone, and budesonide. These sprays help reduce inflammation in the nose and sinuses, while also influencing the eyes, the ears, and the pharynx to some extent as well.

  Antihistamine nasal sprays (such as olopatadine, and azelastine) can be helpful too. These are less commonly used, but for those who find even second generation antihistamines too sedating, they’re a reasonable alternative.

• Antihistamine eye Drops:

  Like their intranasal counterparts there are several antihistamine ophthalmic drops available over the counter. These include olopatadine and azelastine as above, as well as a third compound, ketotifen. These may be more effective for ocular symptoms of allergies than oral antihistamines in certain patients.

There you have it. Use as directed, of course. And remember, if these remedies do not work for you, it does not mean all hope is lost. There are definitely several prescription options and alternative therapies that may help bring you the relief you seek this season. Please reach out to Momentum Direct Primary Care if you need some extra advice.