Achoo! It’s Allergy Season

Over-The-Counter Remedies Can Help You Feel Better

You know the pollen count is elevated and allergy season is here if you have itchy eyes, a red, swollen nose that’s runny with clear fluid or itchiness in the nose, throat, ears and mouth.

Allergy season usually begins in February in Albuquerque and sticks around through May or June, says Mark Schuyler, MD, an allergist for The University of New Mexico Hospital and a professor in the Department of Internal Medicine.

If you have any of those symptoms, you’re not alone. According to the 2018 National Health Interview Survey conducted by the Centers for Disease Control and Prevention, 19.2 million adults suffered from hay fever, also known as allergic rhinitis, during a 12-month period. People with asthma have to take extra care during allergy season.

Though allergies can be uncomfortable, there are several remedies available in pharmacies, Schuyler says.

• Antihistamines such as Claritin, Zyrtec, Allegra, Xyzal or the just-as-effective generic versions of those name brands, Schuyler says, can help you to feel better. “The generics are all made in the same factories,” he says. “They’re certified by the FDA.”
• Nasal steroid sprays such as Flonase or Nasacort are effective in curbing symptoms but can have some side effects, while prescription nasal sprays generally have fewer side effects, Schulyer says. Some people shy away from nasal steroid sprays because they’re concerned about the side effects other kinds of steroids can have. “(Nasal steroid sprays) have been around since the 1960s. They’ve been studied extensively,” he says. There’s no effect outside of the area where the spray is administered, he says. “So, they’re very safe.”
• Remedies such as a neti pot can be effective but messy. “It washes out the secretions from the nose,” Schuyler says. “It hasn’t been studied for effectiveness but it probably is (effective).” He prefers using a squeeze bottle by Neil sold in pharmacies. It’s less messy than using a neti pot, he adds.

If the over-the-counter options aren’t easing discomfort, Schuyler recommends making an appointment with an allergist. The appointment can include a skin test in which areas of the skin are pricked and exposed to tree pollens, molds, house dust mites and other allergens.

 

(Nasal steroid sprays) have been around since the 1960s. They’ve been studied extensively... they’re very safe.

— Mark Schuyler, MD, Allergist for UNMH and Professor in the Department of Internal Medicine

“Usually, people are allergic to many of those things,” Schuyler says. “If people are allergic to pets or dust mites, then they will have symptoms year-round.”

If someone has a positive immune stick test, the next step is to begin allergy immunotherapy (also known as allergy shots), which has been around since 1911, Schuyler says.

Studies have found that the therapy is effective but requires a time commitment from the patient. Patients are injected with an extract of a small amount of the allergen and initially receive shots twice a week in an allergists’ office for three months. Patients then return once a week for a few more months before moving on to maintenance shots every three to four weeks.

Patients are advised to stay in the office after the shots for 30 minutes so that staff can provide treatment in case of anaphylaxis, a severe reaction which happens in about one in 1,000 injections, Schuyler says. Allergy shots also have side effects such as pain and tenderness at the shot site on the upper arm.

In the past 10 to 15 years, new treatments have become available, including sublingual immunotherapy, which involves taking a tablet with allergens in it each day. Another example is Xolair, an injected biologic medication that’s administered every two to four weeks and is primarily prescribed for asthma. It’s also effective for rhinitis, Schuyler says. However, it’s very expensive and not covered by insurance unless it’s prescribed for asthma.

“(Biologics) are quite safe and some can be done at home,” he says. But the treatment is costly, with a listed price at $30,000 a year, and some newer versions even more expensive.

There are other ways to alleviate allergens in the air at home, he says. Schuyler suggests visiting the American Academy of Allergy, Asthma & Immunology website for house-cleaning tips. “You can reduce your exposure to indoor allergens and improve symptoms quite a bit,” he says.

To learn about daily pollen counts, look up the city’s air quality webpage.

If you have allergies – or even severe asthma – and you’re avoiding getting your COVID-19 vaccination because you fear having a reaction to it...

Allergist Mark Schuyler, MD, says to go ahead and get it.

“The overwhelming majority of people should get vaccinated,” he says. There’s no increased risk for people with allergies or asthma, he says. He does have concerns, though, about false information. One example is that the belief that people with a shellfish allergy shouldn’t get the vaccine.

“That’s just not true,” he says. Although there is a risk of anaphylaxis in the Pfizer-BioNTech and Moderna vaccines, “it is very, very, very low,” Schuyler says. “Now, compared to the death rate for COVID, it’s much lower,” he says. After receiving the shot, people are required to wait 15 to 30 minutes as part of an observation period. If it occurs at all, anaphylaxis usually occurs within five to 10 minutes after receiving the shot, he says.

“Anaphylaxis is very rare, and we have protocols to deal with it an effective manner,” Schuyler says. So far, millions of doses of the vaccine have been administered and of those, “there have been zero deaths,” he says.

Sign up here to get your COVID-19 vaccination