Lisa Sachdev, D.O. Horizon Family Healthcare 7106 Spencer Pasadena, TX 77505 281-542-7800, fax 281-542-7731 ALLERGIC RHINITIS Nasal allergies (also called allergic rhinitis) are very common. If your allergies bother you only at certain times of year, like in the spring when the trees begin to bloom, you have "hay fever," or seasonal nasal allergies. March and April are the peak months for spring allergies, October and November are the peak months for fall allergies. If your allergies seem to be with you all year long, you have perennial nasal allergies. Symptoms may include: Sneezing Itchy nose, eyes, ears, and throat Clear, runny nasal discharge Stuffed-up nose Red, watery eyes Sore throat Coughing Tiredness Headache Tenderness in your cheeks and forehead Loss of sleep, lack of energy, and difficulty concentrating on your work Allergy Prevention Tips Sign up for allergy alerts on your smart phone, watch the weather forecast, or use a website such as pollen.com to monitor the allergy counts in your area. Keep your windows closed in your home and car to avoid letting in pollen, especially when the local pollen count is high. Set your air conditioners to recirculate in your home and vehicle, to avoid drawing in outside pollen-rich air. The pollen counts are the highest between 5am and 10am, so limiting your outside exposure during those times can be extremely helpful for diminishing your allergies. Limit exposure on mornings that are especially warm and dry; these will usually be the high pollen count days. Days that are dry and windy also have high pollen counts. The best time for outdoor activities is immediately following a heavy rainfall. Wash your face and hands after you’ve been outside to remove pollen. Also, change and wash clothes if they’ve been exposed to pollen. Bathe and shampoo hair daily before going to bed to remove pollen from hair and skin in order to keep it off your bedding. Wash bedding in hot, soapy water once a week. Minimize contact with items that have come in contact with pollen, such as pets and people that have spent a large amount of time outdoors. Wear sunglasses to protect your eyes from pollen, and in severe allergy cases, wear a facemask when daily pollen counts are extremely high. Allergy treatments are of three types: Prevention. Medication. Immunotherapy. Prevention: Once identified, the cause of the symptoms may be avoided or removed from your life. For example, a particular food can be avoided, or a pet can be removed from the home or kept away from sleeping areas. Some causes of allergic symptoms, such as pollen, molds and dust mites, cannot be completely eliminated and are difficult to avoid. Exposure can be reduced, however, by environmental control measures. 1|Page Lisa Sachdev, D.O. Horizon Family Healthcare 7106 Spencer Pasadena, TX 77505 281-542-7800, fax 281-542-7731 ALLERGIC RHINITIS Medication: Although prevention comes first, more may be needed. Medications are usually used to decrease allergy symptoms and improve the patient's quality of life, recent advances in medications for asthma and other allergic diseases have been phenomenal. Improvements in drugs have eliminated most of the side effects from older drugs. These are “over the counter” (OTC) products that Dr. Sachdev recommends during allergy season: Simply Saline Nasal Spray- use as needed during the day to rinse pollen from your nose Nasacort AQ Nasal Spray- steroid nasal spray, protects your nasal membrane from pollen. Use one spray in each nostril every morning. Afrin Decongestant Nasal Spray- may use 1-2 sprays in each nostril at bedtime as needed for nasal congestion and drainage. Antihistamines- Claritin, Allegra, Zyrtec (name brand or generic) are all now available without a Rx at your pharmacy. If you are having a lot of nasal drainage you may ask your pharmacist for the "decongestant" version which must be purchased at the pharmacy counter. Naphcon-A Eye Drops- 1-2 drops in each eye several times daily as needed for redness and irritation Immunotherapy ("allergy shots" or “allergy drops”): If a specific allergy is identified and it cannot be avoided or medications are not sufficient to restore your health, the allergic symptoms may be controlled or eliminated with immunotherapy. The treatment is a method for increasing the allergic patient's natural resistance (tolerance) to the things that are triggering the allergic reactions. Immunotherapy stimulates the immune system to fight allergies safely, effectively and naturally. Beginning with small doses and increasing them gradually on a weekly or biweekly basis, the therapy continues until a maintenance level is achieved. Immunity does not occur immediately, but some patients do begin to feel better quickly. Most patients are continued on immunotherapy for 3 to 5 years once they reach the maintenance dose. In some patients, immunity is maintained and treatment can be stopped after several years. For others, treatment may be needed for longer periods of time. Generally the benefits of immunotherapy can last for many years, or even a lifetime. What is Sublingual Immunotherapy (SLIT), also known as “Allergy Drops”? Sublingual immunotherapy (SLIT) is a form of immunotherapy that involves putting drops of allergen extracts under the tongue. Many people refer to this process as “allergy drops,” and it is an alternative treatment for allergy shots. Drops of allergen extract are placed under the tongue and then swallowed. Generally, SLIT is administered once daily for a period of 3 to 5 years. Most patients are able to self-administer SLIT at home. **If you are interested in starting allergy drops please contact Dr. Sachdev’s assistant, Daniela Black, via phone (281)542-7800 ext #306 or via portal message. 2|Page