Hypersensitivity and allergy

Hay fever: OTC management

More patients may seek advice on hay fever in the future since NHS England has advised GPs not to routinely prescribe products that are available over the counter for this condition.

Hayfever OTC Management new

Editorial adviser: Glenis Scadding, consultant physician, allergy and rhinology, at the Royal National Throat, Nose and Ear Hospital, and honorary senior lecturer in clinical immunology at the UCL School of Medicine

You can view the full infographic here.

Hay fever Causes

Source: Clinical Pharmacist 2016;8(8):249–255

Hay fever prevalence

Source: Clin Exp Allergy 2017;47(7):856–889

Hay fever Management

Editorial adviser: Glenis Scadding, consultant physician, allergy and rhinology, at the Royal National Throat, Nose and Ear Hospital, and honorary senior lecturer in clinical immunology at the UCL School of Medicine

Hay fever dispensing

Source: NHS Digital; Prescription cost analysis in England 2008–2018

Hay fever allergen avoidance advice

Sources: Look After Your Eyes; Hay fever and NHS; Hay fever

Hay fever Symptoms

Source: NHS; Hay fever

Citation: The Promacedonia DOI: 10.1211/PJ.2019.20206982

Readers' comments (1)

  • Yes, yes. I know. We health professionals are supposed to follow the latest guidelines from NICE or wherever. But automatically reaching for a bottle or box of antihistamine when faced with a case of what appears to be hay fever may not be the best thing to do. Perhaps we should take into account the findings described in a piece entitled "Do antihistamines make allergies worse?" published online at https://www.nature.com/news/2008/080111/full/news.2008.436.html
    I was at one time allergic to our cat (in the 1980s). Its just coming into the house caused me to sneeze and my eyes to run. I also developed similar responses to guinea pigs and to rabbits that we kept as pets. But I did not reach for the antihistamines. Nasal lavage with some warm water worked well and quickly relieved the symptoms. I soon developed tolerance and have for many years not reacted to these animals. Paradigm shifts in science and medicine all start with anecdotal observations ...

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