For hay fever sufferers, the arrival of spring and summer can bring more than just sunshine and warmth. It can also herald the onset of seasonal allergies and bothersome symptoms. While over-the-counter medications and nasal sprays offer relief for many, some individuals with severe symptoms turn to hay fever injections as a more potent solution. However, recent developments have sparked controversy surrounding injections, particularly the NHS decision to discontinue Kenalog injections as hay fever treatment.
Kenalog injections work by temporarily suppressing the immune system. The injection contains a steroid to reduce inflammation and alleviate symptoms. This treatment is not suitable for individuals with mild hay fever symptoms, as it may weaken the immune system, making patients more vulnerable to other infections, such as flu, chickenpox, and shingles. Additionally, these injections may result in potential side effects.
Here we'll delve into the controversy surrounding hay fever injections. We will explore why the NHS stopped offering Kenalog injections, discuss the effectiveness of this treatment, and address whether individuals can still obtain them from their GP.
Kenalog is a prescription corticosteroid injection containing triamcinolone acetonide. It works by suppressing the body's immune response and reducing inflammation caused by seasonal allergies.
For some people with severe hayfever symptoms, a Kenalog injection for allergies can provide relief that lasts for several weeks or even months. Unlike antihistamines or nasal sprays, which need to be taken regularly, the injection is administered once and may continue working throughout much of the pollen season.
However, because it is a steroid injection for hayfever, treatment is not suitable for everyone. The medication affects the entire body rather than targeting symptoms locally, which is one of the reasons concerns have been raised about potential side effects and long-term risks.
While some individuals report significant symptom relief with the injection, particularly in cases of severe hay fever, the effectiveness of this treatment remains a subject of debate. Some studies suggest that corticosteroid injections can provide rapid and substantial relief from hay fever symptoms, including sneezing, itching, and nasal congestion. However, other research indicates that the benefits of the injection may be short-lived and that long-term use could potentially lead to adverse effects such as nasal mucosal atrophy, septal perforation, and systemic side effects.
Kenalog hay fever injections, also known as corticosteroid injections, were previously offered by the NHS as a treatment option for severe hay fever symptoms. However, in recent years, concerns have emerged regarding potential side effects and long-term risks associated with corticosteroid injections. These concerns prompted the NHS to reassess the safety and effectiveness of Kenalog injections for hay fever treatment. In 2018, the NHS made the decision to discontinue Kenalog injections due to safety concerns and a lack of robust evidence supporting their long-term effectiveness. Some of these side effects include redness or pain at the injection site, stomach pain, headache, dizziness, trouble sleeping or weight gain.
Because Kenalog is a systemic steroid, there is also the potential for more serious steroid-related side effects in some individuals.
It is important to note that this does not mean Kenalog was completely removed from use. The medication is still prescribed for certain medical conditions where corticosteroid treatment is considered appropriate. However, when it comes to hayfever treatment, healthcare providers are encouraged to carefully assess the risks and benefits before considering a steroid injection for hayfever.
For people with severe symptoms that significantly affect their quality of life, treatment may still be discussed on an individual basis following a thorough medical assessment.
Hayfever injections are not the first option most people need. They are usually considered later. Only in certain situations. When other treatments have not worked. Or symptoms are more severe.
They may be a good option for people with strong ongoing symptoms. The kind that really affect daily life. Like poor sleep. Struggling to focus at work. Or feeling constantly uncomfortable. Especially when nothing else has helped. Antihistamines. Nasal sprays. Other standard treatments. If those are not working. This is when it may be considered.
They may also be considered when:
This option is always taken seriously. There are risks to think about. So it is not something rushed into. A full medical check is needed first. To make sure it is the right and safe choice for you.
Whether hayfever injections are safe depends on the individual patient, their medical history, and the severity of their symptoms.
For carefully selected patients, treatment may be appropriate following a full medical assessment. However, no medical treatment is entirely risk-free, and steroid injections carry potential side effects that need to be considered before proceeding.
This is why reputable clinics perform a thorough consultation before recommending treatment. Factors such as diabetes, high blood pressure, existing infections, immune system disorders, and previous reactions to steroid medications may influence whether treatment is suitable.
The decision should always involve balancing the potential benefits against the possible risks.
Before considering treatment, patients should understand the possible hayfever injection side effects associated with corticosteroid medications.
Commonly reported side effects may include:
Some patients researching Kenalog side effects are also concerned about more serious complications that can occur with steroid medications. Although uncommon, risks may include elevated blood sugar levels, increased susceptibility to infections, changes in blood pressure, and other steroid-related effects.
The likelihood of side effects varies between individuals, which is why medical screening and professional assessment remain essential before treatment.
Following the NHS decision to discontinue these injections, individuals may no longer be able to obtain them from their GP as a routine treatment for hay fever. However, in certain cases where symptoms are severe and unresponsive to other treatments, GPs may consider prescribing corticosteroid injections on a case-by-case basis, taking into account the individual's medical history, symptoms, and treatment preferences. It's essential to discuss treatment options with your GP and weigh the potential risks and benefits before considering this as a treatment option.
At Private Medical Clinic, we offer in-depth consultations surrounding all hay fever treatments, and the injection is considered as a last option for patients with severe symptoms. Our doctors will thoroughly assess your medical history and current health status before recommending this treatment.
Hay fever is a manageable allergy, and there are many treatment options available. Do not suffer in silence. Click here to book your consultation with one of our doctors.
One big reason people choose hayfever injections. They last a long time. Not just quick relief. But something that keeps working.
One injection can give relief for several weeks. For some people, it can even cover most. Or all of the pollen season. That is why it stands out. No daily tablets. No constant reminders. Just steady relief. Which is a big win. If you struggle with ongoing symptoms. Or keeping up with daily medication.
The results can vary from person to person. For some, the relief is strong. And lasts a long time. For others, it may not last as long. Or feel less noticeable. Everyone responds a bit differently.
Because everyone responds differently. It is best to see the injection as a short-term option. Not a guaranteed fix for the whole season. For some, it lasts longer. For others, it may wear off sooner. So it is about managing expectations. And choosing what works best for you.
Yes, many patients report significant symptom relief following treatment. However, results vary between individuals, and no treatment can guarantee complete symptom control throughout the pollen season.
Kenalog itself was not taken off the market. The medication continues to be available for certain medical conditions. However, the NHS no longer routinely recommends it as a treatment for hayfever because of concerns about the balance between benefits and risks.
Not necessarily. Antihistamines remain the first-line treatment for most people with hayfever. Steroid injections are generally considered only when symptoms are severe and other treatments have not provided sufficient relief.
Some private clinics may offer treatment following a consultation and medical assessment. Suitability depends on individual circumstances and potential risk factors.
If you're considering treatment, you can visit one of our clinics across the UK. Explore the locations below to find your nearest option.
Dr. Ibrahim Mutlib (BMBS, BMedSci) is an experienced GP with specialist interests in mental health, gastrointestinal health, and respiratory medicine. A clinical leader and published author, he is passionate about innovative, patient-centred care that supports both physical and emotional wellbeing.
