Allergist & Immunologist Questions Allergist and Immunologist

Can seasonal allergies be fixed with medications?

My daughter has seasonal allergies. Which antibiotics are the best for pneumonia?

1 Answer

Seasonal allergies, also known as allergic rhinitis or hay fever, cannot be “fixed” with medications, but they can be effectively managed to reduce symptoms. Here are the common medications used to manage seasonal allergies:

Antihistamines

• Oral Antihistamines: These can help relieve sneezing, itching, and runny nose. Common options include:
• Cetirizine (Zyrtec)
• Loratadine (Claritin)
• Fexofenadine (Allegra)
• Diphenhydramine (Benadryl) – usually used at night due to its sedative effects
• Nasal Antihistamine Sprays: Such as azelastine (Astelin, Astepro) for localized relief.

Nasal Corticosteroids

• These are highly effective for reducing inflammation and symptoms like nasal congestion, sneezing, and runny nose. Common options include:
• Fluticasone (Flonase)
• Mometasone (Nasonex)
• Budesonide (Rhinocort)
• Triamcinolone (Nasacort)

Decongestants

• Oral Decongestants: Such as pseudoephedrine (Sudafed) can relieve nasal congestion.
• Nasal Decongestant Sprays: Such as oxymetazoline (Afrin) should be used short-term (no more than 3 days) to avoid rebound congestion.

Leukotriene Receptor Antagonists

• Medications like montelukast (Singulair) can help control allergy symptoms, especially in individuals with asthma.

Allergy Immunotherapy

• Allergy Shots: Involves regular injections of allergens in increasing doses to build up tolerance.
• Sublingual Immunotherapy: Tablets containing allergens taken under the tongue (e.g., tablets for grass or ragweed pollen).

Eye Drops

• Antihistamine Eye Drops: For itchy, watery eyes. Options include ketotifen (Zaditor) and olopatadine (Pataday).

General Advice

• Avoidance: Reducing exposure to allergens by keeping windows closed, using air filters, and staying indoors when pollen counts are high.
• Saline Nasal Rinse: Helps clear allergens from nasal passages.

It’s essential to consult with a healthcare provider to determine the best treatment plan for your daughter’s specific allergy symptoms and severity.

Pneumonia and Antibiotics

For pneumonia, the choice of antibiotics depends on whether it’s community-acquired, hospital-acquired, or caused by specific pathogens. Here’s a brief recap:

1. Community-Acquired Pneumonia (CAP):
• Amoxicillin
• Doxycycline
• Macrolides: Azithromycin, Clarithromycin
• Respiratory Fluoroquinolones: Levofloxacin, Moxifloxacin (for patients with comorbidities or recent antibiotic use)
2. Hospital-Acquired Pneumonia (HAP):
• Piperacillin-tazobactam (Zosyn)
• Cefepime
• Meropenem
• For MRSA: Vancomycin or Linezolid
3. Atypical Pneumonia:
• Macrolides
• Doxycycline
• Respiratory Fluoroquinolones

Always follow your healthcare provider’s guidance for the diagnosis and treatment of pneumonia to ensure appropriate antibiotic use.
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