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Hay Fever: What to Try, in What Order

By the Sandwell Pharmacy Group team · Clinically reviewed by Jeetender Singh Sahota, Superintendent Pharmacist (GPhC 2048691) · Updated September 2026 · 4 min read
Hay Fever: What to Try, in What Order

Most people take one antihistamine, find it half works, and stop there. There is a sequence, and it makes a real difference.

Start with a non-drowsy antihistamine

Cetirizine, loratadine or fexofenadine, taken every day through the season rather than only on bad days. They work better preventively than reactively.

Add a steroid nasal spray for a blocked nose

This is the step most people skip. Antihistamines are poor at unblocking a nose; a steroid spray is much better. It takes several days to reach full effect, so start it before the season if you know your trigger, and keep going. Aim the spray slightly outward, not up the middle of your nose.

Eye drops for itchy eyes

Sodium cromoglicate drops target the eyes directly and can be used alongside the tablets.

If that combination still is not enough

Come and talk to us. Sometimes it is technique with the spray, sometimes it is the wrong antihistamine for you, and sometimes it is not hay fever at all. There are prescription options beyond this, which means a GP.

The unglamorous measures that work

Wraparound sunglasses, a shower and change of clothes when you get in, drying washing indoors on high pollen days, and keeping bedroom windows shut in the early morning and evening when counts peak.

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