Hay Fever: A Practical Checklist
Hay Fever: what is worth doing, what is worth avoiding, and when to stop and see a doctor.
Allergic rhinitis caused by pollen, with nasal, eye and sometimes chest symptoms. It worsens asthma control in many people, and the most effective treatment is the one people use least consistently.
Key takeaways
- Most effective for nasal symptoms: intranasal corticosteroid spray
- Spray trial period: use consistently for about 2 weeks before judging
- Most useful single change: Start a steroid nasal spray before the season begins.
- Commonest mistake: Judging a nasal spray after two days.
- See a doctor if any of the signs under "When to speak to a doctor" below apply to you.
Do
- Start a steroid nasal spray before the season begins
- Learn correct spray technique; aim away from the septum
- Use a non-sedating antihistamine regularly through the season
- Shower and change clothes after being outdoors on high-pollen days
Do not
- Judging a nasal spray after two days
- Sedating antihistamines for daytime use
- Ignoring worsening asthma during pollen season
The numbers behind the list
Here are the figures the checklist is drawn from.
| Measure | Figure |
|---|---|
| Most effective for nasal symptoms | intranasal corticosteroid spray |
| Spray trial period | use consistently for about 2 weeks before judging |
| Antihistamines | non-sedating ones for daytime use |
| Pollen seasons | tree in spring, grass in early summer, weed later |
If you change one thing
Start a steroid nasal spray before the season begins. It is first on the list above. If the rest feels like too much at once, start there and leave the others.
Where to go next
- Hay Fever: What Published Guidance Supports
- What Hay Fever Is, and Why It Matters
- Hay Fever — the reference entry
- Lung Cancer Awareness: What the Evidence Actually Says
- The Evidence on Asthma, Without the Hype
When to speak to a doctor
Call 999 for swelling of the lips, tongue or throat, difficulty breathing or swallowing, or collapse — that is anaphylaxis, not hay fever. Contact a GP if asthma symptoms worsen during pollen season, or if hay fever is not controlled despite regular treatment.
Where this comes from
How this page was put together
Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.
Medical disclaimer
This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.
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