For lots of people, allergy treatment is reactive. You get stuffed up, your eyes water, and then you go to the medicine cabinet for relief. But many doctors say that we’ve got it the wrong way around. Instead, we should be taking the medicine before we have symptoms. Call it allergy pretreatment.
“We always tell people to start taking medicine before the allergy season begins,” says Jonathan A. Bernstein MD, an allergist and professor of clinical medicine at the University of Cincinnati. “People...
Eye allergies may also be triggered by certain medications or by wearing contact lenses.
Types of Allergy Eyedrops
If you have symptoms of eye allergies, ask your health care provider if eyedrops are right for you. Your doctor may first suggest you take these steps:
use artificial tears
place a cold cloth on the eyes
avoid your allergy triggers
Which type of allergy eyedrop you use depends on:
the cause of your allergy
your specific symptoms
how much the symptoms affect daily activities
Not all allergy eyedrops treat all allergy symptoms. For example, an eyedrop that relieves red (bloodshot) eyes may not stop the itching.
There are many different types of allergy eyedrops. Some are sold over the counter while others require a prescription from a doctor. Some relieve symptoms quickly. Others provide long-term relief.
The types of allergy eyedrops include:
mast cell stabilizers
Antihistamine Allergy Eyedrops
If you have itchy, watery eyes, antihistamine eyedrops may make you feel better. These medicines block histamine buildup in the body. Histamine is a chemical made by your immune system when you come in contact with an allergy trigger. It causes many of your allergy symptoms.
Antihistamine eyedrops are usually recommended as the first treatment for eye allergies after you have tried non-drug methods at home.
Antihistamine eyedrops can quickly relieve eye allergy symptoms. But relief may only last for a few hours. You may need to use the drops several times a day.
Prescription antihistamine eyedrops include:
Emadine (emedastine difumarate)
Optivar (azelastine hydrochloride)
Anti-inflammatory Allergy Eyedrops
Anti-inflammatory eyedrops fall into two groups:
Nonsteroidal anti-inflammatory drugs (NSAIDs)
NSAID eyedrops affect certain nerve endings. They change the way your body makes you feel itchy.
Acular/Acuvail (ketorolac) is the only NSAID approved for the treatment of itchy eyes. Itching usually starts to go away about one hour after using the eyedrops. These eyedrops often cause stinging or burning when first placed in the eyes.
Corticosteroid eyedrops are used to treat severe, long-term eye allergy symptoms. Prescription steroid eyedrops include Alrex and Lotemax (loteprednol).
Because of possible side effects, corticosteroid drops are not generally recommended for long-term use, except for the most severe allergic eye conditions.
When you are using corticosteroid eyedrops, you should have regular checkups with an eye specialist to monitor your eye health. Corticosteroid eyedrops can raise your risk for:
Increased pressure in the eye (elevated intraocular pressure)