Hey Fever Treatments

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Hay Fever Injections  

Hay fever symptoms can affect the quality of your life and the injectable treatment may help to relieve the symptoms. 

At Dr. S. T. Medical and Aesthetics Clinic (Birmingham), we offer hay fever treatment as per symptom severity and patient suitability. Treatment options include oral antihistamine, nasal spray and hay fever injection as last option to provide symptom relief. This service is delivered following a clinical assessment to ensure it is safe and appropriate for you. 

Important: Steroid injections for hay fever are not firstline and are offlabel in the UK. The NHS does not routinely recommend them as their guidelines have shown that potential risks do not justify the treatment benefits. We provide this option only when symptoms are severe and other therapies have been ineffective or not tolerated and the patients have been informed of and have carefully considered the risks associated with the injection.

Who this is for 

You may be considered if you: 

Have no health conditions where the injection is contraindicated or not safe to administer. 

It does not cure hay fever and only temporarily suppresses the immune system providing symptom relief. Have severe hay fever impacting daily life or work despite optimal use of oral/nondrowsy antihistamines, intranasal steroid sprays, saline rinses, and antiallergy eye drops

What is the injection? 

A single intramuscular corticosteroid injection (commonly triamcinolone acetonide 40 mg/mL) given into the gluteal muscle ( muscle of buttock)
Onset usually within 48–72 hours; benefit can last 4–8 weeks (sometimes up to 12 weeks)
Typically one injection per season; repeat doses are not routinely advised and, if considered, would only be after reassessment and with a minimum interval of 12 weeks 

 

Potential Benefits 

May provide rapid symptom relief from sneezing, nasal blockage, itching, watery eyes and sleep disturbance when other treatments fail
Removes the need for daily tablets/sprays during its effective period (though you can continue nonsteroidal measures) 


Risks and side effects 

All steroid medicines can cause side effects. We will discuss these in detail and provide written information before you consent. 

Common/expected


✅ Facial flushing, mood or sleep disturbance, increased appetite
✅ Temporary elevated blood sugar and blood pressure
✅ Injection site discomfort, bruising, or lipoatrophy (local fat thinning)
 

Less common but important


✅ Lowered immunity, delayed wound healing, oral thrush or skin infections
✅ Menstrual changes; fluid retention
✅ Glaucoma or cataract progression in susceptible people 

Rare but serious


✅ Adrenal suppression (especially with repeated dosing)
✅ Avascular necrosis of the hip
✅ Severe infection, including sepsis
✅ Anaphylaxis (serious allergic reaction)
✅ Because of these risks, we limit use to clearly selected cases and avoid repeating within the same season whenever possible. 


Preparing for your appointment

✅ Bring: Current medication list and allergies
✅ Details of past hay fever treatments and what happened
✅ Any relevant letters or test results Please avoid alcohol on the day and reschedule if you develop an infection or start antibiotics.


Who should not have it (contraindications) 

✅ Pregnant or breastfeeding
✅ Under 18 years old
✅ Uncontrolled diabetes or hypertension
✅ Active infection (including untreated dental infection), recent major surgery, or poor wound healing
✅ Stomach/duodenal ulcer, severe osteoporosis, glaucoma, Cushing’s syndrome
✅ Current systemic steroid use or immunosuppression
✅ Allergy to triamcinolone or injection components
If you are uncertain, book a consultation—we will assess risks and discuss alternatives. 


Fees 

Hay fever injection including consultation £80
Payment is taken at the appointment. Private medical insurance typically does not cover hay fever injections—please check with your insurer.

How to book
Location: Birmingham
Call: 0121 6380380 / 07776169527
Email: info@demo.drstmedical.co.uk
Book Online: Instant Booking Click Here!
Clinic hours: Mon–Sun ( 8am to 8 pm) 

Urgent symptoms? If you have severe breathing difficulty, wheeze not relieved by inhalers, chest pain, facial swelling, or symptoms of anaphylaxis, call 999 or attend A&E immediately. For urgent advice, contact NHS 111.
✅ This page provides general information and does not replace individual medical advice. Suitability is decided during your consultation.


 

Frequently Asked Questions ?

 

Most people notice improvement within 2–3 days.

Typically 4–8 weeks, sometimes up to 12 weeks.

We avoid repeats. In rare circumstances we may consider a second dose after careful reassessment and at least 12 weeks apart.

We will review your medicines (including inhalers, creams and supplements). Some drugs and conditions increase steroid risks.

Yes, unless you feel unwell. The injection does not cause drowsiness.

With your consent, yes—we recommend this for safety and continuity.

What to expect 

1.Preassessment (in clinic or video): medical history, allergy profile, current medicines, and review of previous treatments. Please bring any GP specialist letters.
2.Discussion & consent: we explain benefits / risks, alternatives (including immunotherapy),  and aftercare. Written consent is required.
3.Injection: given intramuscularly in a private clinical room. The procedure takes a few minutes.
4.Aftercare: remain on site for 15 minutes. Avoid strenuous gluteal exercise for 24 hours. Continue nonsteroidal measures as advised.
5.Followup: optional check-in at 2–3 weeks, and earlier if you have concerns.

 Alternatives & selfcare


Correct technique and adherence with intranasal steroid (we can demonstrate)
Non drowsy antihistamines, eye drops, saline rinses 

Combination nasal sprays (steroid + antihistamine)
Leukotriene antagonists (where appropriate)
Allergen immunotherapy (desensitisation) for suitable patients
Environmental measures: keep windows closed in high pollen, shower after outdoor exposure, wraparound sunglasses, HEPA filtration. 

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GMC Registered Doctors
Free Aesthetic Consultations
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