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Medical Recommendations

Check out the answers to our allergists' additional medical recommendations.


What if I have asthma?

Please make sure you are regularly following up with your doctor about your asthma to ensure it is properly controlled. While treating upper airway/nasal symptoms can potentially indirectly help with lower airway/asthma symptoms, Allermi is not an as

What if I have nasal polyps?

Please be sure to follow up with your ENT physician regarding your nasal polyps. Nasal polyps have the capability to reduce the effectiveness of Super Spray, since polyps might block the ability of the spray to reach the high and deep nasal lining. W

What if I have enlarged prostate or urinary retention?

Please let us know immediately if you experience any change in urinary symptoms after starting the Super Spray, such as: difficulty starting to urinate, urinating more frequently, incomplete voiding, or painful urination.

What if I take a sedating medication?

While it's rare, one of the ingredients in many Allermi formulas, azelastine may increase drowsiness when taken with sedating medication. If you experience an inconvenient or bothersome increase in drowsiness, please let us know.

What if I have GERD or acid reflux?

There are several steps you can take to help lessen the symptoms of GERD/reflux, which is often associated with post-nasal drip:

What If I have Afrin / Oxymetazoline rebound concerns?

While some Super Spray formulas contain oxymetazoline (the active ingredient in Afrin) to treat congestion, it is always at a micro-dose - a significantly lower concentration than OTC Afrin sold in stores. Therefore, the risk of rebound congestion an

What if I have a prescription for Singulair / Montelukast?

You can safely continue taking Montelukast/Singular for your nasal allergy symptoms while using Allermi. It is possible that you may find you no longer need montelukast/Singular for nasal symptoms after you have established regular treatment of your

What if I have a prolonged cough?

Although your allergies may indeed be contributing to your cough, when coughs are prolonged it is possible there is more than one cause. If your cough does not improve along with your other allergy symptoms (sneezing, runny nose, congestion etc.) whi

What if I have deviated septum, nasal injury or structural issues?

Allermi formulas should help relieve nasal congestion, however you may not experience the full effects due to any structural issues blocking access to the deeper parts of your nasal passages. If you still are experiencing congestion despite using All

What if I have consistent symptoms in the same single nostril?

Usually both nostrils are affected by rhinitis, but sometimes one much more so than the other, so we still recommend treatment to both nostrils. However, if it is very well established that your symptoms are strictly limited to one single nostril alo

What if I have a pet allergy?

There are several additional things you can try to help with your symptoms triggered by pet dander: use an air purifier with a HEPA filter, vacuum frequently (vacuum should also utilize a HEPA filter), bathe pets at least once weekly, do not allow pe

What if I have smoking or drinking as a symptom trigger?

Smoking or inhaling any irritant can cause or worsen nasal inflammation and may also lessen the efficacy of Super Spray. Alcohol is a known non-allergic trigger for nasal allergy symptoms. Controlling inflammation with Super Spray before drinking alc

How do I taper off of oral antihistamines?

If you are taking oral antihistamines regularly, you can overlap with Super Spray for 1-2 weeks as you adjust to Super Spray and taper down to avoid withdrawal symptoms by taking ½ tablet for 7-10 days, then ¼ tablet for a 7-10 days.  If you find you

Why are oral decongestants unsafe?

Oral decongestants such as Sudafed and Nyquil contain pseudoephedrine or phenylephrine and can cause more serious side-effects like irregular heartbeat or blood pressure changes. These medications are not safe for long-term use. You should not need t

What if I sneeze right after taking my nasal spray?

Newcomers to Super Spray may sneeze after using it the first few times. This is because inflamed nasal passages will be more sensitive to new nasal sprays. If you sneeze within 1 minute of taking Super Spray, wait 10 minutes and take it again if need

What do I do if I feel the need to blow my nose?

Try your best to avoid blowing your nose for 10-15 minutes after using Super Spray.

How can I relieve my itchy eyes from allergies?

Your Allermi nasal spray formula contains the maximum dose of antihistamine, so it should help address itchy eyes, given that the tubes of the eyes and nose are connected. However, sometimes during a severe allergy season, the eyes need direct treatm

Why am I sneezing after using my nasal spray?

Sneezing right after taking the nasal spray is a sign of an inflamed and irritated nasal lining. If sneeze occurs within a few minutes after taking the spray, most of the medication is expelled by the force of the sneeze and is also not given the opp

Post-Nasal Drip / Sticky Mucus in Throat Technique

1. Really push the Salinity Spray. Saline helps to break up mucus and help it drain more easily. So, before each time you take your Super Spray dosage in the morning and at night, please do this:. 2. Sleep on an incline using bed risers to elevate ju

Immunosuppressant Disqualification Questions

Given that Allermi is a telehealth company without the capacity for in-person physical examination or full access to prior medical records, we do not treat patients with immunosuppression in the last 6 months, due to the increased risk of infection a

Eustachian Tube Dysfunction

If ear-related symptoms are due, at least in part, to a degree of inflammation and congestion in the deep nasal passages where the openings to the eustachian tubes are located, relieving inflammation and congestion in the nasal passages should help i

Septal Perforation Concerns

Septal perforation was an occasional side effect noted with very early corticosteroid nasal sprays, primarily from the 1980s, that were considerably more caustic to the nasal lining, were formulated in an irritating and over-drying alcohol-based solv