If someone is using a nasal steroid spray, such as Nasonex or Flonase, is it okay or even desirable to also use an oral antihistamine such as Zyrtec or Claritin?
Yes, both antihistamines and nasal steroids can be used, depending on the clinical symptoms and the response to treatment. Many patients use both. Question: I have always had normal nasal (rhinitis) symptoms, but this year I have also developed asthma and food allergies. Now, in the last three weeks, as trees are budding, I have developed severe skin “itchiness.” I am very sensitive to various fabrics – cotton seems to be the only thing I can tolerate. My questions: Is this a typical allergic response? What can I do to stop the itching? Answer: Many people with nasal allergy (allergic rhinitis) and springtime allergies develop significant symptoms such as itchy skin, as you are experiencing. Another phenomenon known as oral allergy syndrome occurs when cross-reactions between allergy pollen and food allergens cause itchiness and swelling in the mouth and throat after eating the food allergen. Antihistamines are a good treatment for oral allergy syndrome and for skin itching. You should
