🌸 Understanding Hayfever: Causes, Treatment Options & How to Get Real Relief

When the flowers bloom… and so does your hayfever 🌸🤧

If you sneeze every time you step outside, it might not be a cold — it could be allergic rhinitis.

💬 Your pharmacist can help you find the most effective way to control your symptoms this season.

Spring in Australia often brings blooming flowers — and along with them, sneezing, itchy eyes, and blocked noses for many people. Hayfever (allergic rhinitis) is a common allergic condition caused by exposure to pollen and other allergens. But while many people manage symptoms on their own, few achieve optimal control.

This guide covers the essentials — from common medication myths to evidence-based treatments and practical lifestyle tips.

🤧 Common Questions About Hayfever Medicines

Are some antihistamines stronger than others?

There’s no clear evidence that one non-drowsy antihistamine works better than another. However, individuals may respond differently — it’s about finding what works best for you.👉 Sedating antihistamines (kept behind the counter) are generally not the first-line choice.👉 If one doesn’t work, consider factors like how long you’ve been taking it, whether you’ve tried a different type, and your main symptoms — you might benefit from adding a nasal spray or eye drops.

💨 Nasal Sprays — Often Underestimated

Many people think nasal sprays “don’t work,” but this is often because they expect immediate results.👉 Corticosteroid-based sprays (like Rhinocort or Nasonex) are most effective for long-term control, but they take time — usually a few days to start working and up to 4 weeks for full benefit.👉 Decongestant sprays can provide quick relief but should only be used short-term (no more than 3–4 days). Overuse can cause rebound congestion.

Correct technique and consistent use make a huge difference — your pharmacist can demonstrate the right way to apply them.

🕐 When Should You Start Treatment?

Ideally, start your hay fever treatment a few weeks before pollen season begins .For those with predictable seasonal symptoms, pre-emptive use of antihistamines or nasal sprays can help keep symptoms from flaring.

🤰 Hayfever in Pregnancy

During pregnancy, the safest options differ slightly:

• Antihistamines: Polaramine (dexchlorpheniramine) is often recommended as a first-line option early in pregnancy, but should be avoided in the last trimester.

• Nasal sprays: Rhinocort (budesonide) is considered safe and is often the preferred intranasal corticosteroid.

Always check with your pharmacist or doctor before starting any medication during pregnancy.

💤 Why Uncontrolled Hayfever Matters

Poorly controlled hayfever isn’t just annoying — it can lead to:

• Sleep disturbance

• Daytime fatigue

• Poor concentration

• Chronic cough

Self-managing with over-the-counter options without proper guidance can lead to suboptimal outcomes or the false belief that treatments don’t work.

🌿 Non-Pharmacological Management

Medication isn’t the only answer. Lifestyle measures play a big role in symptom control:

• Stay indoors on high pollen days

• Keep windows closed and use air purifiers

• Wear a mask outdoors and shower after being outside

• Use pollen forecasting apps like Auspollen to plan ahead and adjust your regimen proactively

Hayfever season in full swing 🌸 — masks don’t just protect from colds, they can also help reduce pollen exposure and ease symptoms.

💉 When to Consider Allergen Immunotherapy (AIT)

For moderate to severe hayfever not responding to standard treatments, AIT may be an option.

• Requires confirmed allergen sensitivities via skin prick or serum IgE testing.

• Both subcutaneous (SCIT) and sublingual (SLIT) options are available.

• Treatment courses last at least 3 years but can provide 5–10 years of symptom relief after completion.

💬 Final Thoughts

Pharmacists are ideally placed to help you take control of your hayfever — from selecting the most suitable medication to teaching correct techniques and setting realistic expectations.

✨ Discuss with your pharmacist about:

• When to start or adjust your medications

• What results to expect and when

• How to use nasal sprays effectively

With the right plan and guidance, it’s absolutely possible to enjoy spring again — without the sneezing and watery eyes. 🌼

⚠️ Disclaimer

This content is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your pharmacist, doctor, or qualified healthcare provider regarding your health or medications.

📚 References

1. Australasian Society of Clinical Immunology and Allergy (ASCIA). Allergic Rhinitis (Hayfever) Information for Patients.

2. Therapeutic Guidelines: Allergic Disorders, Version 3.

3. Australian Medicines Handbook (AMH), 2025.

4. National Asthma Council Australia. Allergic Rhinitis and the Allergic March.