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symptoms occur only now and again and persistent where the symptoms are evident for more than four weeks a year or four days a week. Hayfever is further divided into mild or moderate to severe. In the latter case work, school or leisure activities are impaired or sleep is disturbed. This way of describing hayfever symptoms is especially useful in Australia where the spring and summer allergy "season" can extend from August through to March and our mild weather enables the house dust mite (a likely trigger factor for hayfever) to live happily with us throughout the year. Oral antihistamines are particularly helpful. The older antihistamines like Polaramine, Zadine and Phenergan are effective but can cause drowsiness in some people. The newer antihistamines such as Claratyne, Telfast and Zyrtec are more popular as they don't cause drowsiness and can be taken once a day. Decongestant tablets like Sudafed are often used but they can elevate blood pressure and keep people awake. Decongestants are more effective when used in combination with an antihistamine. There are many of these medications available, including Demazin, Sinutab and some Chemist Own brands. If a runny nose is the main problem, the antihistamine nasal spray Azep is a useful alternative. This can be used intermittently when it is needed. For moderate to severe and persistent runny noses and blocked noses, the intra-nasal corticosteroid sprays are the best option. Products in this category include Be
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