Allergic rhinitis (Hay fever)

TOP TIPS FOR MANAGING ALLERGIC RHINITIS

1. Take your medications for allergic rhinitis as directed by your doctor, pharmacist, or nurse practitioner.
2. Tell your employers, teachers and friends that you have allergic rhinitis, it might help them understand your symptoms.
3. If pollen is your trigger, download a pollen counter app for where you live. If the pollen count is high try to spend as much time indoors as you can. If possible, close the windows and doors. Wearing sunglasses, particularly wrap-around ones, can help stop pollen going into your eyes as well.
4. If your hay fever is severe, take a shower and put on clean clothes after being outside – it helps to remove any pollen from your hair, skin and clothing.

This project is proudly supported by an independent grant from Sanofi.

Allergic rhinitis is also known as hay fever. Despite the name, it is not caused by hay and people do not get a fever, but it is extremely common, affecting around 1 in 5 Australians.

Signs and symptoms of hay fever include:

1. a runny nose (clear and watery)
2. an itchy nose
3. sneezing
4. itchy/watery eyes
5. blocked nose
6. snoring at night
7. need to clear your throat

Allergic rhinitis is often confused for the common cold as it shares many symptoms.

What causes Allergic rhinitis?

Pollens from grasses, weeds or trees, dust mite, mould and animal dander are common triggers of hay fever. The triggers are called allergens. Allergy testing can be done to identify the allergen/s so you can try to avoid it or reduce exposure to it. Some triggers are easier to avoid than others. Some are seasonal meaning they occur during particular seasons (e.g. pollen often in spring), whereas some triggers cause symptoms all year round (e.g. cat dander).

MANAGING ALLERGIC RHINITIS

Allergic rhinitis can be really tough to live with. It can affect your ability to sleep soundly, study, work and do activities such as sport, and even socialise. Allergic rhinitis symptoms can get people down, especially when they occur every day. Some people can have mild symptoms and others have moderate to severe symptoms that really impact on their daily life. Having a snotty, clogged, itchy nose and watery eyes, feeling fatigued, and having to clear your throat constantly is not fun! Plus having poorly controlled allergic rhinitis can worsen your asthma, so it is really important to take allergic rhinitis seriously and manage it properly.

As allergic rhinitis affects so many people worldwide, there are lots of treatments available to help people to manage it. These include:

• non-sedating (less likely to make you drowsy) antihistamines (taken as tablets, syrups, nasal sprays or eye drops)
• intranasal corticosteroid (INCS) sprays available without a prescription – these are extremely effective treatments that can both prevent and treat symptoms, and for optimal effect should be used routinely during the periods when you have allergic rhinitis
• nasal sprays containing both steroids and antihistamine available on prescription only – these are extremely effective treatments that can both prevent and treat symptoms, and for optimal effect should be used routinely during the periods when you have allergic rhinitis
• saltwater nasal sprays and rinses
• short-term use of nasal decongestant sprays to un-block your nose, for example if you have exams or study commitments and are having bad symptoms. These treatments can provide short-term relief while waiting for INCS treatments to reach their peak effect (usually 1-2 days)

Your doctor, nurse practitioner or pharmacist can recommend treatments for allergic rhinitis.

If you have had allergy testing, your clinical immunology/allergy specialist may suggest a treatment called allergen immunotherapy if it is available for the trigger causing your allergic rhinitis (e.g. a specific tree or grass pollen). Allergen immunotherapy is also known as desensitisation and it can help reduce the severity of symptoms or the need for regular medication.

Allergen immunotherapy requires being given the allergen in regular and gradually increasing amounts. This can be done in the following ways depending on the allergen:

1. allergen drops or tablets under the tongue daily
2. allergen injections monthly (more frequently in the building up phase)

USING YOUR NASAL SPRAY CORRECTLY

It is important that you use your nasal spray correctly. Correct positioning means it will reach the right areas in your sinuses and help manage your symptoms.

1. Shake the bottle before each use. If you’re starting a new bottle or you have not used your spray for a while, pre-fill the tubing (priming) according to manufacturer’s instructions. To do this, you usually need to do a first spray into the air. This is to make sure a full dose comes out.
2. Blow your nose. Use your nasal rinse (if that is part of your treatment) at least 10 minutes before using your nasal spray.
3. Tilt your head slightly forward and gently insert nozzle into your nostril. Use your right hand for your left nostril and your left hand for your right nostril.
4. Aim the nozzle away from middle of the nose and direct the nozzle backwards into the nasal passage (not upwards towards tip of nose but in line with the roof of your mouth)
5. Sniff gently at the same time as spraying. Avoid sniffing hard during or after spraying.
6. If clear fluid drips out, you need to adjust the angle of the bottle and/or the timing of the gentle sniff.

This project is proudly supported by an independent grant from Sanofi.

As most people will use nasal sprays to manage their allergic rhinitis (commonly known as hay fever), it is really important that you know how to use them properly. When used correctly the spray will reach the right areas in your nose to help manage your symptoms.

1. Shake the bottle before each use.
If you are starting a new bottle or you have not used your spray for a while, do a first spray into the air. This will make sure a full dose comes out.

2. Blow your nose before spraying. If your nose is blocked use a nasal rinse.

3. Tilt your head slightly forward and gently insert the tip of the nozzle of your spray into your nostril.
Ideally you should use your right hand for your left nostril and your left hand for your right nostril. You do not need to push the nozzle in very far.

4. Aim the nozzle away from the middle or sides of your nose.

5. Sniff gently at the same time as spraying, but avoid sniffing hard during or after spraying.
If clear fluid drips out of your nose, you need to change the angle of the nozzle or the timing of the gentle sniff.

If your allergic rhinitis is not improving with the treatments you are using, ask your doctor for a referral to see a clinical immunology/allergy specialist.

Further information and support is available

1. Allergy & Anaphylaxis Australia
2. ASCIA
3. Pollen calendar