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20 TreATmenT It is impossible to avoid the allergens which cause this form of rhinitis, e.g., grass pollens, so medical treatment is unavoidable in most cases. Treatment for hay fever is divided into following main groups: anTihiSTamineS Recent developments in this field have seen the introduction of a new class of anti-histamines which no longer produce excessive drowsiness. In addition some of these new anti-histamines need only be taken once a day, which is a big advantage. Long-acting antihistamines include Lorahist, Deselex, Allecet and Fexo and may be used as chronic medication. STeRoid naSal SpRayS Steroid sprays reduce and control the impact of many of the mediators that can cause inflammation in the nose. These medications improve all symptoms of allergic rhinitis and are the strongest medications available for the treatment of allergic rhinitis. There are several topical steroid sprays available which are effective in severe cases of hay fever. The most familiar of these is probably Beclate, which is available as an aerosol spray or in aqueous form. Other examples of nasal sprays available are (Rhinocort, Flomist and Inflanase) it is important to remember that improvement with steroid nasal sprays may not occur for one to two weeks after starting therapy. AvOiDAnCe meAsUres • Seasonal allergens (such as tree, grass and ragweed pollens) are difficult to avoid outdoors, but can be • controlled by closing windows. • Excessive exposure to allergens, such as outdoor moulds, can be prevented by avoiding lawn mowing and other activities likely to stir these up. • Maintaining an allergen-free environment also includes covering pillows and mattresses with plastic covers, substituting synthetic materials (such as foam mattresses or acrylics) for animal products (such as wool or horsehair) and removing dust-collecting household fixtures (like carpets, drapes and bedspreads).

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