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Published on March 27, 2025

Help! Survive Allergy Season with Dr. Lomasney
Spring Allergies 2025

Spring is here! The bad news? Allergy season is starting earlier and lasting longer. Good news? We asked an expert to give us her best tips for relief. Get the complete allergy season survival guide from Dr. Evelyn Lomasney, Cone Health Allergy & Asthma Center of NC in this WFMY 2 Your Well-Being conversation.

If you thought cold & flu season would never end this year, you were not alone. While cold, flu and COVID-19 is still circulating into the spring, "I tell my allergy patients that allergies do not cause fevers," clarifies Dr. Lomasney. Get all your questions answered below:

How long do symptoms last?

The duration of allergy symptoms depends on what you're allergic to.

  • Tree pollen peaks in early spring.
  • Grass pollen in late spring.
  • Weed pollen in the fall.

If you're allergic to all three, you could experience symptoms from mid-March to October. Generally, each pollen season lasts about four to six weeks of high pollen counts.

Which meds should I take?

  • Antihistamines provide relatively quick relief, usually within 1-2 days.
  • Nasal steroids are over-the-counter sprays that can be used in conjunction with antihistamines for better relief.
  • For mild symptoms or symptoms that are not daily, take them as needed. If you're using them more than 50% of the time, take them daily throughout the season to prevent symptoms.
  • Side effects may include fogginess or sleepiness. Try different antihistamines, as tolerance between medications varies.
  • Taking Allergy Medication at Night vs. Morning:
    • 24-hour antihistamines can be taken at any time.
    • If medication makes you sleepy, take it at night and it will still give you relief the next day.
  • Allergy Shots (Immunotherapy): Allergy shots retrain your immune system to tolerate allergens, potentially providing a cure. Consider allergy shots if:
    • You want to reduce long-term medication use.
    • You experience side effects from medications.
    • Your allergies trigger asthma or skin conditions.
    • You have pet allergies.

*Honey Myth: Local honey, while tasty, does not alleviate allergies. The pollen that causes allergies is wind-pollinated, not bee-pollinated.

How do I handle all the pollen?

Pollen clings to clothes, hair, and skin.

  • Shower and change clothes after being outside.
  • Avoid rubbing your eyes. Use a cold compress or damp paper towel instead.
  • Keep windows closed. Even though a breeze is nice, windy days have high pollen counts.
  • Avoid early morning activities. Pollen counts are highest in the early morning.
  • Pet Allergies and Pollen:
    • Pets bring pollen indoors.
    • Bathe pets frequently to remove pollen.
    • Avoid walking pets during high pollen count times (early morning).

Should I see a doctor?

    • If over-the-counter medications aren't providing enough relief.
    • If you want more information or alternative treatment options.

    Seek Immediate Medical Attention for:

    • Asthma-like symptoms: coughing, wheezing, shortness of breath, or chest tightness, especially on high pollen days.
    • Severe breathing difficulties: go to Urgent Care or your nearest emergency department.
    • Mild symptoms: start with your primary care provider or an allergist.

    Get Care Now

    Breathe easier with care that fits your life. Schedule a primary care, virtual care, or walk-in urgent care visit at conehealth.com/appointments.

    To find a Cone Health allergy specialist, visit conehealth.com/allergy and start feeling better, faster.

    2 Your Well-Being

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