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Hayfever: Conventional and Complementary Treatments

Every year the change in seasons triggers stuffy, runny, or itchy noses, itchy eyes, itchy throats, sneezing, and skin rashes or hives. Some people develop sinus headaches, with pain around their eyes, or have difficulty breathing. These reactions are known as allergic rhinitis or hay fever. Hay fever is directly connected to plant pollination times. In North America, tree pollination occurs between March and the end of May, grass from June into early July, and ragweed from mid-August until early October. The good news is that there are many treatments, both conventional and complementary, that can ease the symptoms of hay fever.

What are some conventional treatments for hay fever?

Many conventional treatments are available over-the-counter. They include antihistamines, decongestants, and nasal sprays. Other conventional options are cromolyn sodium and immunotherapy. Cromolyn sodium, often prescribed for children, is a very safe drug that can treat and prevent allergic reactions. Cromolyn seems to work best for people with mild-to-moderate allergies. Immunotherapy requires receiving injections every 2 to 6 weeks of allergen extract(s) derived from your specific allergen(s). Although immunotherapy is time-consuming, many studies have shown that it is an effective remedy for hay fever. Your physician may also recommend a stronger drug, possibly one that contains steroids.

What complementary or alternative treatments are there?

There are several complementary and alternative therapies to try. Many of these can be taken along side conventional medications. In addition to those listed below, other potentially helpful therapies include chiropractic, cranial osteopathy, and deep tissue massage.

Vitamins and minerals

Including the following nutrients in your diet can help to reduce hay fever symptoms:

  • Vitamin A—10,000 to 15,000 IU a day
  • Vitamin B6—50 to 100 mg a day
  • Vitamin B5—50 to 75 mg a day
  • Vitamin C—1,000 mg one to two times a day
  • Vitamin E—400 IU a day
  • Zinc—20 to 30 mg a day

Herbs and supplements

Doctors report success with tinctures and teas made from stinging nettles (Urtica dioica). In addition, there are other herbs and supplements that may be helpful:

  • Quercetin—250 mg two to three times a day
  • Echinacea—30 drops of tincture two to three times a day
  • Goldenseal—30 drops of tincture two to three times a day

Homeopathic remedies

Homeopathic immunotherapy is another option. A homeopathic practitioner will identify the best remedies for your allergies. Galphimia glauca, for example, may help runny and itchy eyes associated with allergies. Hydrastis nasal spray, a homeopathic product based on goldenseal, may also be helpful. A German homeopathic nasal spray for hay fever (Hay Fever Nasal Spray in U.S.) is very similar to cromolyn sodium. Like cromolyn, it is more effective for people with mild-to-moderate symptoms.

Acupuncture

Acupuncture has been shown to be effective even for people with allergies that are difficult to cure. In two recent studies, more than 90 percent of patients experienced reduced symptoms after treatment with acupuncture.

Diet

Omega-3 fatty acids (for example, fish or flaxseed oil) may improve breathing in people with asthma that's triggered by allergens in the air.

See your doctor to discuss your treatment plan, especially when over-the-counter remedies do not help your symptoms. Be aware that some natural remedies should not be used if you have certain health conditions or if you are taking particular medications. Be evaluated promptly for allergies that cause complications such as asthma or sinus infections.


Glossary

Herbal teas: Using 1 tsp. dried herb per cup of hot water, steep 5 to 10 minutes for dried leaves or flowers, 10 to 20 minutes for dried roots.

Tincture: A preparation made from alcohol (or water and alcohol), containing an herb strength of 1 part herb to 5 parts alcohol or 1 part herb to 10 parts alcohol.


References

Access: Professional References to Conditions, Herbs & Supplements. Newton, Mass: Integrative Medicine Communications; 2000.

Adkinson NF. Immunotherapy for allergic rhinitis (editorial). New Engl J Med. 1999;341(7):522–524.

Corren J. Intranasal corticosteroids for allergic rhinitis: How do different agents compare? J Allergy Clin Immunol. 1999;104(4, pt 1):S144-S149.

Di Lorenzo G, Gervasi F, Drago A, et al. Comparison of the effects of fluticasone propionate, aqueous nasal spray and levocabastine on inflammatory cells in nasal lavage and clinical activity during the pollen season in seasonal rhinitics. Clin and Exp Allergy. 1999;29:1367-1377.

Durham SR, Walker SM, Varga E, et al. Long-term clinical efficacy of grass-pollen immunotherapy. New Engl J Med. 1999;341(7):468-475.

Fisher C. Nettles: an aid to the treatment of allergic rhinitis. Eur J Herbal Med. 1997;3(2):34-35.

Gaglani B, Borish L, Bucher Bartelson B, Buchmeier A, Keller L, Nelson HS. Nasal immunotherapy in weed-induced allergic rhinitis. Ann Allergy Asthma Immunol. 1997;79:259-265.

Kakimoto M, Takasugi N, Fuwa T, Saito H, Sugimoto Y, Kamei C. Effects of Fujibitol, a remedy for nasal symptoms of immediate and delayed type allergic reactions. Methods Find Exp Clin Pharmacol. 1999;21(5):353-356.

Lumry WR. A review of the preclinical and clinical data of newer intranasal steroids used in the treatment of allergic rhinitis. J Allergy Clin Immunol. 1999;104(4, pt 1):S150-S158.

Milgrom H, Fick RB, Su JQ, et al, for the rhuMAb-E25 Study Group. Treatment of allergic asthma with monoclonal anti-IgE antibody. New Engl J Med. 1999;341(26):1966-1973.

Mittman P. Randomized, double-blind study of freeze-dried Urtica dioica in the treatment of allergic rhinitis. Planta Med. 1990;56:44-47.

Ohashi Y, Nakai Y, Tanaka A, et al. Serologic study of the working mechanisms of immunotherapy for children with perennial allergic rhinitis. Arch Otolaryngol Head Neck Surg. 1998;124:1337-1346.

Reilly D, Taylor MA, Beattie NG, et al. Is evidence for homeopathy reproducible? Lancet. 1994;344:1601-1606.

Scadding GK. Could treating asthma help rhinitis? Clin Exp Allergy. 1997;27:1387-1393.

Sun L. Electroacupuncture in 97 cases of allergic rhinitis. Int J Clin Acupunct. 1993;4(2):191-192.

Villani F, Comazzi R, De Maria P, Galimberti M. Effect of dietary supplementation with polyunsaturated fatty acids on bronchial hyperreactivity in subjects with seasonal asthma. Respiration. 1998;65:265-269.

Weiser M, Gegenheimer LH, Klein P. A randomized equivalence trial comparing the efficacy and safety of Luffa comp.-Heel Nasal Spray with cromolyn sodium spray in the treatment of seasonal allergic rhinitis. Forsch Komplementärmed. 1999;6:142-148. [The U.S. distributor for Heel is Heel / BHI, Inc. 800-621-7644]

Wiesenauer M, Lüdtke R. [in German] A meta-analysis of the homeopathic treatment of pollinosis with Galphimia glauca. Wien Med Wochneschr. 1997;147(14):323-327.

Xia Z, Xu L. Acupuncture at agger nasi for treatment of allergic rhinitis. J Tradit Chin Med. 1997;17(4):278-279.


Review Date: March 2000
Reviewed By: Integrative Medicine editorial

 

 

RELATED INFORMATION
  Conditions
Allergic Rhinitis
  Herbs
Echinacea
Goldenseal
Stinging Nettle
  Supplements
Quercetin
Vitamin A (Retinol)
Vitamin B5 (Pantothenic Acid)
Vitamin B6 (Pyridoxine)
Vitamin C (Ascorbic Acid)
Vitamin E
Zinc
  Drugs
Cromolyn Sodium
  Learn More About
Acupuncture
Herbal Medicine
Homeopathy
Nutrition