Managing Allergies at School
Help keep your child on the ball despite allergies.
Turning to Antihistamines for Allergies at School
If you can't get your child to use a nasal spray, or if the sprays aren't completely controlling your child's allergy symptoms at school, then antihistamines are your next step. Antihistamines help reduce the symptoms of itching, sneezing, and runny nose.
Many parents worry that prescription antihistamines will leave their children groggy and unable to concentrate. Although antihistamines can have a slight sedating effect, Lowe says untreated allergies will make your child even drowsier and distracted.
"A lot of studies have looked at this. While kids who don't have allergies at all certainly do better in school in terms of alertness and staying on tasks, the kids with allergies who are treated do better than those who are not treated. You can't get them to be perfect, but you can get them a lot better," says Lowe.
Talk to your child's doctor to get a prescription for one of the antihistamines approved for young school-age children. There are quite a few available, including Allegra, Claritin, Xyzal, and Zyrtec.
Other Treatments for Allergies at School
Parents may be concerned about whether or not to treat their child's allergies with Singulair, a different class of antiallergy drug, after the FDA began investigating whether or not the drug played any role in the suicide of a 17-year-old boy who was taking it.
The American Academy of Allergy, Asthma and Immunology recommends that children taking Singulair should be monitored closely. "If they show no signs of depression or anxiety, they can stay on the drug," says Lowe. "But if they have any problems, they should be taken off."
Experts have also recently revisited the question of allergy shots for children. Previously, immunotherapy was not recommended for children under age 5. Now, as new evidence has accumulated that immunotherapy may be able to prevent the onset of asthma, new guidelines leave the question of whether or not to start allergy shots before age 5 up to the child's doctor.
"If your child has very bad allergies and a significant family history of asthma, and perhaps they're starting to wheeze when they have a cold, you might want to go ahead and start immunotherapy before age 5," says Lowe.
"If they're not responding to antihistamines or nasal steroids, immunotherapy is a good option. It's not one of those last resorts anymore, because it lets us actually modify the disease and prevent the onset of asthma."