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[Sticky] Allergies


Michael Gray MD JD
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Yes — seasonal allergies (allergic rhinitis) are commonly treated through telemedicine in many cases.

👍 Telemedicine is usually appropriate when symptoms are typical

A virtual visit can help diagnose and manage symptoms such as:

Sneezing, nasal congestion, or runny nose

Itchy / watery eyes

Post-nasal drip or scratchy throat

Sinus pressure or headache

Mild cough from drainage

During a telehealth visit, a clinician can typically:

Review symptom history + triggers

Distinguish allergies from viral colds or sinus infection

Recommend OTC or prescription medications

Adjust or simplify existing treatment plans

Common treatments that can be prescribed via telemedicine include:

Non-sedating antihistamines (loratadine, cetirizine, fexofenadine)

Nasal steroid sprays (fluticasone, mometasone, budesonide)

Antihistamine nasal sprays (azelastine)

Eye allergy drops

Leukotriene inhibitors (e.g., montelukast, when appropriate)

Short courses of decongestants (if safe)

Providers may also give guidance on:

Avoidance strategies (pollen counts, windows, air filters)

Saline rinses or nasal hygiene

When to consider allergy testing or immunotherapy

🟡 Telemedicine may be appropriate but needs closer review if:

Symptoms are unusually severe or persistent

You’ve already tried multiple medications without relief

You have asthma or wheezing with allergy flares

There is concern for chronic sinusitis

In these cases, the clinician might recommend:

In-person exam

Allergy testing / ENT referral

Spirometry (lung function) if asthma suspected

🔴 In-person care is recommended urgently if you have:

Facial swelling, severe sinus pain, or high fever

Shortness of breath or wheezing not previously diagnosed

Signs of anaphylaxis (throat swelling, hives, trouble breathing)

Recurrent nosebleeds or vision changes

Those symptoms are not typical of simple seasonal allergies.


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