Spring is here, and so are the sneezes. But not every runny nose in April is hay fever — and getting the diagnosis right matters when it comes to choosing the correct treatment. At Alisha Pharmacy on Acton Lane, our team sees a significant rise in allergy-related queries throughout spring. This guide explains the key differences and what you can do about them.
What Is Hay Fever?
Hay fever, known clinically as seasonal allergic rhinitis, is an allergic reaction to pollen. In the UK, the main triggers are tree pollen (peaking March to May), grass pollen (May to July) and weed pollen (June to September). Symptoms typically include a runny or blocked nose, itchy and watery eyes, sneezing and an itchy throat or roof of the mouth.
According to NHS data, hay fever affects approximately one in five people in the UK. It is common, manageable and largely treatable with medicines available over the counter at your local pharmacy.
Hay Fever vs a Spring Cold: How to Tell the Difference
Many patients in our Chiswick pharmacy ask whether their symptoms are hay fever or a cold. Here are the clearest distinctions:
• Hay fever symptoms tend to start as soon as you step outside, particularly on high pollen days.
• A cold usually develops gradually over one to two days and may include a raised temperature.
• Hay fever does not typically cause fever, aches or fatigue in the way a viral infection does.
• Hay fever symptoms persist for weeks or months during pollen season; a cold usually clears within ten days.
• Itchy eyes are strongly associated with hay fever, not a cold.
What About Other Spring Allergies?
Not all spring-time allergic reactions are caused by pollen. Dust mites, pet dander and mould spores can all trigger similar symptoms year-round, with flare-ups in spring as homes are opened up and gardens become active. If your symptoms occur indoors as frequently as outdoors, a perennial allergy rather than seasonal hay fever may be the cause. Your pharmacist can help you distinguish between the two.
Hay Fever Treatments Available at Alisha Pharmacy
Several effective treatments are available without a prescription. The right choice depends on your specific symptoms.
Antihistamines
Antihistamines are typically the first line of treatment. Non-drowsy options such as loratadine, cetirizine and fexofenadine are widely available. Fexofenadine is often recommended when drowsiness with other antihistamines has been an issue. Our pharmacist can advise on which option suits your lifestyle.
Nasal Corticosteroid Sprays
For more persistent nasal symptoms, steroid nasal sprays such as fluticasone or beclometasone are highly effective. They work by reducing inflammation in the nasal passages and are most effective when started before symptoms peak. These are available without a prescription and are safe for regular use as directed.
Eye Drops
If itchy or watery eyes are a primary complaint, antihistamine eye drops such as sodium cromoglicate can provide targeted relief. These are suitable for adults and children over two years old.
When to Speak to a Pharmacist Rather Than Treating Yourself
You should speak to a pharmacist or GP if:
• Over-the-counter treatments are not controlling your symptoms adequately.
• You are pregnant, breastfeeding or taking other regular medicines.
• Your symptoms are significantly affecting your sleep, work or daily activities.
• You develop wheezing or tightness in the chest alongside nasal symptoms — this may indicate allergic asthma and requires medical review.
Managing Hay Fever in West London
Living near green spaces such as Turnham Green, Gunnersbury Park or the Thames Path means pollen exposure is higher than in more built-up areas. Checking the Met Office pollen forecast daily, keeping windows closed on high pollen days and showering after spending time outdoors can all reduce your exposure and improve symptom control.
How Alisha Pharmacy Can Help
Our pharmacist team on Acton Lane offers face-to-face consultations for hay fever and allergy queries — no appointment needed for most advice. We can help you find the right treatment combination, advise on when a GP referral is appropriate, and support you throughout the pollen season.
FAQs
Q: Is hay fever worse in London?
Urban areas can have higher ozone levels that react with pollen to make it more irritant, so yes, symptoms can feel more pronounced in city environments. Checking the daily pollen forecast and minimising outdoor time on high pollen days will help.
Q: Can I take antihistamines every day during pollen season?
Non-drowsy antihistamines are generally considered safe for daily use throughout pollen season. Speak to your pharmacist before starting any new medicine, particularly if you take other regular medications.
Q: Are prescription hay fever treatments stronger?
Some patients benefit from prescription treatments, including immunotherapy. If over-the-counter options are not working, ask your GP about referral to an allergy specialist.
Q: Is hay fever covered by Pharmacy First?
Hay fever is not currently a Pharmacy First condition, but our pharmacist can provide expert advice and recommend appropriate OTC treatments during a consultation at no charge.