Seasonal Allergies in Older Adults: Symptoms and Medicine Safety

By Silver Sitters

Sneezing, an itchy or runny nose and watery eyes can be signs of seasonal allergies, including in older adults. Pollen and other airborne triggers may cause symptoms in Broward County, but a new cough or breathing problem should not automatically be labeled an allergy.

Identify symptoms and triggers

Note when symptoms occur, how long they last and whether they follow time outdoors or exposure to pets, dust or mold. Share the pattern with a healthcare professional. Treatment depends on the cause, severity, other health conditions and medicines being used.

Reduce exposure where possible

Use the person’s known triggers to guide changes at home and outdoor plans. Reducing pollen exposure can help, although avoiding it completely is rarely possible. Ask the clinician about practical measures and whether a saline or medicated nasal product is appropriate. There is no need to avoid all outdoor activity simply because someone is older.

Check before choosing an allergy medicine

Over-the-counter availability does not make a medicine suitable for everyone. Diphenhydramine, sold in some Benadryl and nighttime products, is generally not recommended for routine use in older adults. It can cause drowsiness, dizziness and urinary problems. Ask a pharmacist or clinician about safer options for the individual.

Bring a list of prescriptions, nonprescription products and supplements. Check active ingredients so cold, allergy and sleep products do not duplicate a medicine. Follow the label and the prescriber’s directions rather than treating symptoms more “aggressively” or increasing doses on your own. Do not drive when a medicine affects alertness.

Know when to seek help

Arrange clinical advice for persistent symptoms, uncertain triggers or treatment side effects, particularly when lung disease or other conditions complicate the picture.

Call 911 for suspected severe allergic reaction with trouble breathing, throat or tongue swelling, collapse or a change in responsiveness. Follow the person’s prescribed epinephrine emergency plan and the dispatcher’s instructions. Routine allergy tablets are not a substitute for emergency treatment.