Managing hay fever in the UK

Katerina Galkina · EN · 07/10/2026

Plan for the pollen season

For recurrent sneezing, nasal symptoms and itchy eyes, discuss suspected hay fever with a pharmacist. Explain timing, effects on sleep or work, previous treatments and whether you have asthma.

The NHS ↗ lists antihistamines and steroid nasal sprays among treatment options. The appropriate choice depends on symptoms, age and contraindications. A severe runny nose alone does not establish an allergic cause.

Choosing pharmacy treatment

Mention pregnancy, other medicines and driving: some antihistamines cause drowsiness. Ask the pharmacist to demonstrate spray technique and explain when to assess the response.

Compare active ingredients, strength and quantity rather than brand names alone. Check before combining products that may contain the same ingredient. Non-prescription prices vary; having an allergy does not automatically make every purchase free.

Reducing pollen exposure

Use the Met Office pollen forecast ↗ to plan outdoor activities and ventilation. Changing clothes after being outside may help. Select practical measures for home and work that you can realistically maintain.

Keep a brief record of symptoms and treatment. This is more useful at review than a long list of products purchased without dates or outcomes.

When to see the GP

Seek review if symptoms worsen or pharmacy treatment does not help. Discuss whether the suspected cause is correct, medicines were used properly and referral is appropriate. A specialist may consider immunotherapy in suitable cases; this requires advance planning rather than serving as an immediate remedy before an outing.

Breathlessness or worsening asthma should not be dismissed as routine pollen discomfort. Severe breathing difficulty needs emergency help. Do not accept a promise of one permanent injection without understanding the medicine, risks and alternatives.