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From Blossoms to Bothered: Spring Allergy Tips for Families



I love springtime in Germantown, Maryland, but as a pediatrician, I often see many patients struggling with seasonal allergies. It's tough to see such a beautiful season bring so much discomfort!

Let’s talk about managing allergy symptoms in children. It starts with identifying and avoiding known triggers like pollen, pet dander, dust mites, and certain foods.


Some simple strategies that can help:

  • Keep windows closed during high pollen days (both at home and in the car).

  • Use air purifiers.

  • Clean frequently to reduce indoor allergens.

  • Consider having kids shower and change clothes after outdoor play.

  • Take care that little hands don’t wipe your pollen covered car, as children will commonly wipe their eyes/face and make the symptoms worse!



Common Allergy Medications for Children

If medications are needed, here’s a general guide to options often recommended by most pediatricians:


1. Antihistamines (for sneezing, runny nose, itchy eyes)

Non-drowsy options:

  • Cetirizine (Zyrtec): Approved for ages 6 months and up. Give at night to reduce risk of drowsiness.

  • Loratadine (Claritin): Approved for ages 2 and up.

  • Fexofenadine (Allegra): Approved for ages 6 months and up.

  • Levocetirizine (Xyzal): Approved for ages 2 and up. May cause mild drowsiness.

Sedating option (short-term use):

  • Diphenhydramine (Benadryl): Used cautiously due to sedation. Dosing is weight-based.


2. Nasal Corticosteroids (for congestion and inflammation)

  • Fluticasone (Flonase): For ages 4 and up.

  • Mometasone (Nasonex): For ages 2 and up.

  • Triamcinolone (Nasacort): For ages 2 and up.


These work best when used daily for allergic rhinitis.


3. Eye Drops (for itchy, watery eyes)

  • Olopatadine (Pataday) or Ketotifen (Zaditor): Antihistamine drops, safe for ages 3 and up.



A Few Important Reminders:

  • Always consult your pediatrician before starting any medication.

  • Doses vary based on your child’s age and weight.

  • If symptoms are severe or year-round, allergy testing or immunotherapy may be

    considered.



If your child is struggling with allergy symptoms, we’re here to help! In-person and telemedicine visits are available and convenient.

Wishing you and your family a happy, healthy spring!


Warmly,

Misha Martin, M.D., F.A.A.P., IFMCP

 
 
 

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