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Allergic Rhinitis & Hay Fever

Allergic rhinitis causes sneezing, a runny or blocked nose and itchy eyes when the nose reacts to dust mites, pollen, mould or pets. Avoiding triggers and a regular nasal spray control it for most people.

Often goes with asthma Nasal steroid sprays work best for blockage Avoid decongestant sprays beyond a week

Reviewed September 2026 · For information, not diagnosis

A homeopath talking with a patient in a consulting room
On this page Get help urgently if What is allergic rhinitis? Allergy, cold or sinusitis? Triggers in India Treatment that works Reducing exposure The homeopathic approach What the research says Remedies discussed Find a homeopath Sources

๐Ÿšจ Get help urgently if

  • After a sting, food or medicine: swelling of the lips, tongue or throat, difficulty breathing or swallowing, or feeling faint — this is anaphylaxis; use an adrenaline auto-injector if you have one and call 112
  • Wheezing, chest tightness or breathlessness — possible asthma, which often goes with allergic rhinitis
  • Swelling or redness around one eye with fever, or a severe headache with a blocked nose
  • A blocked nose on one side only, with bleeding, crusting or pain that does not settle

In India call 112 for emergencies or 108 for an ambulance, or go to the nearest hospital emergency department. Do not wait to see whether a remedy works.

What is allergic rhinitis?

In allergic rhinitis the immune system treats harmless particles — dust-mite droppings, pollen, mould spores, animal dander — as a threat. The lining of the nose releases histamine and other chemicals, causing:

  • bouts of sneezing, and an itchy, runny or blocked nose
  • itchy, red, watering eyes (allergic conjunctivitis)
  • an itchy palate or throat, and mucus running down the back of the throat
  • poor sleep, mouth breathing and daytime tiredness

It can be seasonal (hay fever, from pollen) or perennial (all year, usually from dust mites, cockroaches, mould or pets). It often runs in families with eczema and asthma, and controlling the nose helps asthma control too. Allergic rhinitis cannot be cured by any treatment in weeks, but it can be controlled well, and it often eases with age.

Allergy, cold or sinusitis?

Allergic rhinitis compared with a cold and sinusitis
Allergic rhinitisCommon coldSinusitis
ItchNose, eyes and palate itchRareRare
DischargeClear and wateryClear, then thickerThick, often yellow-green
Fever and achesNoSometimes, mildSometimes
Facial painNoMildPain and pressure over cheeks or forehead
How longAs long as the exposure lasts7–10 daysUsually 2–3 weeks

If the diagnosis is unclear, or you are considering long-term avoidance measures or immunotherapy, a doctor can confirm what you are allergic to with skin-prick tests or blood tests for specific IgE.

Common triggers in India

  • House-dust mites — the leading all-year trigger, thriving in humid homes, bedding and mattresses
  • Cockroaches and mould, especially in the monsoon
  • Pollen from weeds such as Parthenium (“congress grass”), grasses and trees such as Prosopis, peaking in spring and after the rains
  • Pets: cats, dogs, birds
  • Irritants that worsen symptoms without being allergies: smoke, incense, strong perfume, air pollution, dust from construction

Treatment that works

Treatments for allergic rhinitis
TreatmentBest forPoints to know
Saline nasal rinse or sprayWashing out allergens and mucusSafe for daily use at any age; use sterile or boiled-and-cooled water.
Steroid nasal spray (e.g. fluticasone, mometasone)Blocked nose and moderate–persistent symptomsThe most effective single treatment. Takes several days to work fully; use every day in the season. Aim slightly outwards, away from the middle of the nose.
Non-drowsy antihistamine tablets (cetirizine, loratadine, fexofenadine)Sneezing, itch and runny noseWork within an hour. Cetirizine can still cause drowsiness in some people.
Antihistamine or combination nasal sprayQuick reliefCan be combined with a steroid spray in one device.
Eye dropsItchy, watery eyesAntihistamine or mast-cell-stabiliser drops.
Allergen immunotherapySevere allergy to one main trigger not controlled by medicinesTablets under the tongue or injections for about three years, from an allergy specialist. The only treatment that changes the allergy itself.

Two treatments to avoid

  • Decongestant nasal sprays (oxymetazoline, xylometazoline) used for more than 5–7 days cause rebound blockage (rhinitis medicamentosa) and dependence on the spray.
  • Steroid injections for hay fever give a few weeks of relief at the cost of whole-body steroid side effects. Sprays are far safer.

Reducing exposure

  • Wash bedding weekly in hot water and dry it in the sun; use mite-proof covers for pillows and mattresses.
  • Damp-dust and mop rather than sweeping; reduce carpets and soft toys in the bedroom.
  • Fix leaks and damp; keep kitchens clean to limit cockroaches.
  • In pollen season keep windows closed in the morning and evening, shower and change after being outdoors, and wear wraparound sunglasses.
  • Keep pets out of the bedroom.
  • Avoid smoke and incense indoors.

The homeopathic approach

A homeopath notes the character of the discharge (burning or bland), which symptoms are strongest, what brings them on and eases them, the season, and the person’s general make-up, and chooses a remedy. Some also prescribe “isopathic” preparations made from the allergen itself (for example, diluted house dust or pollen); these are not the same as allergen immunotherapy, which uses measured, non-diluted doses.

Using homeopathy safely with allergic rhinitis

  • If you also have asthma, keep taking your preventer inhaler.
  • Continue a steroid nasal spray or antihistamine through the season if you need it; they do not “suppress” the allergy in a harmful way.
  • No remedy treats anaphylaxis. If you carry adrenaline, carry it always.

What the research says

A 2017 systematic review found 11 trials of homeopathy for allergic rhinitis, eight of them at high risk of bias. Three small trials of one remedy (Galphimia glauca) suggested some relief of nose and eye symptoms, but the reviewers cautioned that the low or uncertain quality of the evidence prevents firm conclusions.

More broadly, the largest independent assessment — the Australian National Health and Medical Research Council’s 2015 review of 176 studies — found no reliable evidence that homeopathy is effective for any health condition, and advised against using it for conditions that are chronic, serious or could become serious. People often do feel better after a long, unhurried homeopathic consultation; in one controlled trial in rheumatoid arthritis, the benefit came from the consultation rather than the remedy.

In practice: if you choose homeopathy, use it alongside the care described on this page, not instead of it — and tell each practitioner what the other has prescribed. More on the research →

Remedies a homeopath may discuss

These are the traditional descriptions (“keynotes”) from the homeopathic materia medica, listed so you recognise names a practitioner may mention. They are not evidence that a remedy works and not a guide to self-treatment. Homeopaths choose one remedy for the whole person rather than by diagnosis.

Allium Cepa
Red onion

Described for a streaming, burning nasal discharge with bland, watery eyes.

Euphrasia
Eyebright

Described for burning, watering eyes with a bland nasal discharge.

Sabadilla
Cevadilla seed

Described for violent, repeated sneezing fits with an itchy nose.

Arsenicum Album
Arsenic trioxide, diluted

Described for thin, burning discharge in chilly, restless people.

Natrum Muriaticum
Common salt

Described for sneezing in the morning with a discharge like raw egg-white.

Nux Vomica
Poison-nut seed

Described for a nose that runs by day and blocks at night, with irritability.

Wyethia
Poison-weed root

Described for an intensely itchy palate and throat.

Galphimia Glauca
Galphimia shrub

Used as a combination-style hay-fever remedy; the remedy most studied in trials.

Find a homeopath

If you would like to try homeopathy, see a registered homeopathic doctor (BHMS or MD (Hom)) who will take a full history, knows your other treatment and will tell you when you need a medical specialist. Take your prescriptions and recent test reports with you.

No homeopaths have a profile on NeedsDoctor yet, so we cannot suggest one here. Choosing a homeopath explains how to check a practitioner’s qualifications and registration.

Are you a homeopathic doctor? Create your profile so readers of this page can find you.

Sources

  1. Allergic rhinitis — NHS
  2. Hay fever — NHS
  3. Anaphylaxis — NHS
  4. Banerjee K et al. Homeopathy for allergic rhinitis: a systematic review. Journal of Alternative and Complementary Medicine 2017 — PubMed 28437146
  5. Homeopathy (includes the NHMRC 2015 findings: 57 systematic reviews, 176 studies) — US National Center for Complementary and Integrative Health
  6. Homeopathy (summarises the NHMRC 2015 review and its advice) — Better Health Channel, Victoria State Government
  7. Brien S et al. Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy. Rheumatology 2011 — PubMed 21076131

This page is general information, reviewed September 2026. It is not a diagnosis and does not replace a consultation. Do not stop or change a prescribed medicine without talking to the doctor who prescribed it. In an emergency in India call 112 (ambulance 108).