Seasonal Allergies

Seasonal allergies—also known as allergic rhinitis or hay fever—can cause symptoms that range from mild to severe. Common symptoms include:

• Runny or stuffy nose
• Nasal congestion
• Sneezing fits
• Itchy, watery, or red eyes
• Coughing
• Itching in the nose, throat, or roof of the mouth
• Postnasal drip
• Sore throat
• Dark, puffy circles under the eyes (allergic shiners)
• Fatigue or feeling unusually tired

Yes. Seasonal allergies are triggered by outdoor allergens that appear at different times of the year. The most common types include:

• Tree pollen allergies – Spring
• Grass pollen allergies – Summer
• Ragweed allergies – Fall
• Mold allergies– Fall

Some allergies, such as dust mites or pet dander, may occur year-round and are not seasonal.

Seasonal allergies occur when the immune system overreacts to harmless substances like pollen or mold spores. The body releases histamines and other chemicals, leading to symptoms such as sneezing, congestion, itchy eyes, and coughing.

Allergy season varies depending on the allergen and geographic location. Common seasonal triggers include:

• Tree pollen – Spring
• Grass pollen – Summer
• Ragweed – Fall
• Mold – Fall

Seasonal allergy symptoms usually persist as long as the allergen remains in the environment. Weather changes, rainfall, and seasonal transitions can affect symptom duration. Many people experience symptoms around the same time each year.

Yes. Seasonal allergies can develop at any age. Changes in environment, such as relocating to a new region, may trigger new allergies. Childhood allergies can also disappear and later return.

Allergy symptoms often intensify at night due to factors such as:

• Dust mites or mold in bedding or carpets
• Lying down, which can worsen postnasal drip
• Sleeping near pets that carry pollen or dander
• Humidifiers increasing moisture that promotes mold or dust mites

Cold vs. Allergies

**Shared symptoms:**

• Sneezing
• Fatigue
• Runny or stuffy nose

Cold-specific symptoms:

• Fever
• Body aches
• Sore throat

Allergy-specific symptoms:

• Itchy eyes
• Symptoms lasting weeks or months

Itchy eyes are uncommon with sinus infections but common with allergies. Timing also matters—symptoms that occur during peak allergy seasons are more likely allergy-related.

Both can cause red, watery eyes, but key differences include:

• Pink eye is infectious; allergies are not
• Allergies usually affect both eyes simultaneously
• Pink eye often starts in one eye
• Intense itching is more typical of allergies

Key differences include:

• Strep is caused by bacteria
• Fever is common with strep, rare with allergies
• Coughing is common with allergies, uncommon with strep

Yes. Seasonal allergy symptoms often subside once the allergen is no longer present. Allergy severity can change over time, and some individuals may experience fewer symptoms as they age.

Reducing exposure to allergens is the best prevention strategy. Helpful tips include:

• Staying indoors on windy or high-pollen days
• Avoiding outdoor yard work when pollen counts are high
• Showering and changing clothes after being outdoors
• Drying laundry indoors
• Wearing a mask during outdoor chores

There is no permanent cure for seasonal allergies. However, symptoms can be controlled with avoidance strategies and treatments such as antihistamines, nasal sprays, and prescription medications.

Many people find relief with over-the-counter medications like antihistamines or decongestants. When these aren’t effective, prescription options may include:

• Prescription antihistamines – Azelastine (Astelin®), Levocetirizine (Xyzal®), Cetirizine (Zyrtec®)
• Steroid nasal sprays – Fluticasone (Flonase®)
• Leukotriene receptor antagonists – Montelukast (Singulair®)
• Allergen immunotherapy – Allergy shots or oral tablets that help desensitize the immune system

Most treatments are effective across different seasonal allergies. Immunotherapy is customized based on the specific allergens involved.

Yes. Seasonal allergies can often be managed at home with OTC medications and lifestyle changes such as:

• Limiting allergen exposure
• Using saline nasal rinses
• Running air conditioners or HEPA filters

Future Now Rx also provides at-home allergy treatment through online consultations with licensed U.S. providers. Prescriptions are delivered directly to your home.

Untreated seasonal allergies can lead to complications such as chronic sinus inflammation and an increased risk of sinus infections.

Yes. Complete a quick online assessment and connect with a licensed Future Now Rx provider to determine if prescription allergy medication is appropriate. Medications start at $19 per month.