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Allergy Nasal Sprays, Skin and Eye Treatments

If your allergies are causing irritation in a particular part of your body -- the nose, the skin, or the eyes -- there are treatments designed specifically to alleviate these symptoms. Here's what you need to know:

Nasal Sprays

Antihistamines and decongestants aren't the only kinds of medication that can be delivered via nasal spray.
Corticosteroids are hormones produced by the adrenal glands, but they can be synthetically manufactured. Allergy medications containing corticosteroids have the ability to interfere with the allergic reaction and prevent symptoms.

Overuse of
Nasal Sprays
Repeated use of some nasal inhalants can cause a perforation of the nasal septum (the mucous membrane-covered bone and cartilage partition dividing the nostrils). To help prevent problems when using a steroid nasal spray, direct the spray away from the septum, or toward the outer wall of the nostril. If nosebleeds develop, stop using the medication and call your doctor. Also, have your doctor examine your nose
regularly.

Corticosteroid sprays are used to reduce inflammation and congestion of nasal passages, while sprays that contain cromolyn sodium, which is neither an antihistamine nor a corticosteroid, are used to inhibit the allergic response.

Nasal steroid sprays are prescription only, but NasalCrom, a spray that contains cromolyn sodium, can be purchased over the counter.

Many allergists prescribe corticosteroid nasal sprays, also called steroid nasal sprays (brand names include Beconase, Flonase, Nasacort, Nasonex, Nasarel, and Rhinocort), to give their patients long-lasting freedom from stuffiness or sneezing. Although improvement may be noticed less than a day after treatment begins, it may take up to seven days to reach peak effect.

Corticosteroid nasal sprays are not habit-forming, but they are not entirely free of side effects, which my include nasal irritation and burning, sore throat, and nose bleeds. However, the incidence of these side effects is low. Most of these sprays require only one application a day, making them as convenient as prescription antihistamines.

Nasal Irrigation
Nasal irrigation is a nonmedical, safe way to clear the nose of mucus and soothe irritated membranes. It controls symptoms of congestion and especially postnasal drainage. Store-bought nasal saline sprays also help moisturize the nose and are nonaddictive.

Corticosteroids also decrease nasal itching, sneezing, runny nose, and nasal congestion and are now considered the first line of treatment for allergies. Antihistamines are "second line" treatments.

Cromolyn sodium (NasalCrom) is a nasal spray that inhibits the allergic response by preventing the release of histamines. Cromolyn sodium nips symptoms such as sneezing and nasal congestion in the bud, before they start.

However, patients must have patience to use this spray. NasalCrom is a relatively weak medication and must be used four times a day. It may take up to 60 days for NasalCrom to achieve its full potential, so it helps to start using it before allergy season begins. Side effects may include nasal burning and stinging.

Skin and Eye Allergy Treatments

While there are pharmacies full of decongestants and antihistamines, allergy relief for skin and eye irritation is not as readily available. There are a few products out there, however, and some precautions you should know about using them.

The most effective way to prevent contact dermatitis is to avoid whatever bothers the skin, be it soap, a cleaning agent, or a certain material or metal. Avoidance is easier said than done since the skin comes in contact with hundreds of substances daily.

Did You Know?
Antihistamine use can affect the results of allergy skin tests.

For atopic dermatitis, or eczema, wear non-latex gloves when doing the dishes and using cleaning agents. Keep your skin moist by using a moisturizing cream or petroleum jelly, especially after bathing because it locks in the moisture. Don't use a lotion that contains alcohol or water because those ingredients can dry out the skin.

Most dermatologists and allergists prescribe topical (meaning applied to the skin) corticosteroids, a popular means to reduce inflammation and stop itching. Oral OTC antihistamines also are used in treatment of minor allergic skin reactions, and the resulting sedating effects can help an itchy person catch some ZZZ's. When broken skin results in an infection, antibiotics may be prescribed.

Eyedrops

Red, itchy, watery eyes are common allergy symptoms -- symptoms that can drive sufferers to distraction. Over-the-counter eyedrops, most of which are decongestants that constrict the blood vessels, may temporarily relieve suffering, but they should not be used regularly. (Follow package directions carefully) Overuse of OTC eyedrops causes a rebound effect, much like that from nasal spray overuse. Allergists often prescribe an antihistamine or anti-inflammatory eyedrop for those suffering from prolonged eye irritation. Allergic eyes can be the only, or the main, allergy symptom. Rubbing irritated eyes can lead to an eye infection because bacteria can be introduced via the hands. You can tell if you have allergic conjunctivitis, rather than an infection, by the nature of the discharge. Allergic conjunctivitis is usually present in both eyes and the discharge is typically stringy rather than puslike.

This information is solely for informational purposes. IT IS NOT INTENDED TO PROVIDE MEDICAL ADVICE. Neither the Editors of Consumer Guide (R), Publications International, Ltd., the author nor publisher take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, action or application of medication which results from reading or following the information contained in this information. The publication of this information does not constitute the practice of medicine, and this information does not replace the advice of your physician or other health care provider. Before undertaking any course of treatment, the reader must seek the advice of their physician or other health care provider.

The brand name products mentioned in this publication are trademarks or service marks of their respective companies. The mention of any product in this publication does not constitute an endorsement by the respective proprietors of Publications International, Ltd. or HowStuffWorks.com, nor does it constitute an endorsement by any of these companies that their products should be used in the manner described in this publication.

 



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