Kenalog™ is not a first line treatment for hay fever and should only be considered when simple measures have proven ineffective. It is recommended to try medications that are available over the counter or from your Pharmacist or General Practitioner in the first instance. However, if these treatments fail to control the symptoms of hay fever, a Kenalog™ injection may be beneficial.
Every year 10-15% of us will be affected by symptoms of perennial rhinitis; more commonly known as hay fever or pollen allergy.
Symptoms include sneezing, eyes itching/watering/redness, runny nose, fatigue, nausea, cough, loss of smell and headache.
Hay fever is similar to every other allergic response in that the immune system will attempt to remove the foreign substance causing the symptoms listed above. However, pollen is harmless to your health and the allergic response is your immune system overreacting. There is currently no cure for hay fever, although the symptoms can be managed effectively with a variety of treatments including anti-histamine tablets, nasal sprays, eye drops, Kenalog™ injections or immune therapy.
What areas can be treated?
Kenalog™ is an intramuscular injection in to the buttock.
How does the treatment work?
Around 10% of hay fever sufferers find that readily available treatments, such as over the counter antihistamine tablets and nasal sprays, are ineffective and they continue to struggle to manage their symptoms. As an alternative, sufferers may consider the Kenalog™ corticosteroid injection. Steroids are some of the most powerful anti-inflammatory medications available and they work by suppressing the body’s immune response, thereby reducing symptoms.
The Kenalog™ injection contains 40mg of the steroid Triamcinolone which is injected directly into the muscle and then slowly diffuses into the bloodstream in small doses over the course of about three to four weeks and hay fever sufferers generally only require one injection for the entire hay fever season.
Is it safe and does it hurt?
The Kenalog™ injection contains the active ingredient Triamcinolone, which is a type of medicine called a corticosteroid. Corticosteroids are hormones that are produced naturally by our body and have many important functions including control of inflammatory responses. The Kenalog™ injection is largely considered to be a safe and effective treatment for hay fever sufferers, particularly for those who have tried first line treatments unsuccessfully. The Kenalog™ injection would only be administered after conducting a full consultation and medical history check with a medical practitioner as there are some circumstances where this treatment should be avoided.
You may experience
some mild pain when the injection is administered as it is injected directly into the muscle, although this is usually only minimal discomfort. Following treatment, the injection site may be red and slightly swollen and may feel painful, but this should not last for more than 24 hours.
Are there any side-effects?
COMMON: Common side effects include stomach pains and bloating, nausea, headache, dizziness and skin changes such as itching or a scaly rash.
LESS COMMON: More rarely, side effects such as excessive sweating, changes in menstrual periods, increased blood pressure, increased blood sugar, thromboembolism, anxiety and weight gain might be noted.
If any complications arise or if there are any other concerns, it is essential to contact the clinic immediately.
We would not recommend the Kenalog™ injection for pregnant or breastfeeding women for the purposes of managing symptoms of hay fever. It is also unsuitable for people with diabetes.
What can I expect after treatment?
Benefits are generally noticed from the first day of injection; however, it may take several days for the full effect to be noted. Most people will obtain four weeks of improvement from a single injection. The injection can be repeated after four weeks if symptoms return. The Kenalog™ injection is a very convenient method of managing hay fever symptoms with or without the use of tablets or nasal sprays each day.
Kenalog™ corticosteroid injection is a medication used to manage the symptoms of allergic rhinitis, more commonly known as hay fever. It is injected intramuscularly into the top of the buttock and may be repeated after four weeks if symptoms recur.
The practitioner will describe and discuss in detail the procedure including possible benefits and risks and answer any specific questions you may have. The practitioner will advise on what the expected outcome is likely to be in their professional opinion. However, results cannot be guaranteed and mild to moderate improvements may often be achieved.
If you are unfamiliar with any of the terms used or do not understand then ask for further explanation from the practitioner. You can take home a copy of the consent form, pre-treatment and post-treatment instructions to further research and consider the treatment and to discuss with third parties if you wish before deciding on the treatment.
It is advised to avoid the use of anti-inflammatory medications prior to administration of the Kenalog™ injection.
The Kenalog™ injection is not a first line treatment for hay fever, therefore, administration would depend upon having tried over the counter medication or following a consultation with your pharmacist or General Practitioner. We would recommend that you try antihistamine medicines and nasal sprays as first line treatment.
You may not be suitable for treatment if you have any of the following:
An impaired immune system or undergoing treatment for cancer
Allergy to any of the ingredients
Suffering from an illness or infection
Diabetes, unless diabetes is controlled by diet alone
Medication that may affect your immune status
If you are taking oral steroid treatment
A medical history form must be completed prior to any treatment.
If you are feeling unwell on the day of treatment, please contact the clinic to re-arrange your appointment.
Following treatment, there may be some redness, swelling and tenderness at the injection site. You should notice a gradual reduction in symptoms over the following 3-5 days. You may continue to use antihistamines, nasal sprays and/or eye drops should they be required.
Complications that may occur include:
Allergic reaction to the medication.
Impaired wound healing
Increase in hair growth
Increased risk of infection
Irregular menstrual periods
Severe allergic reaction (anaphylaxis) is characterised by swelling of the throat, wheezing, a feeling of tightness in the chest difficulty in breathing, sweating, nausea and dizziness and usually occurs within 30 minutes of administration. Anaphylaxis can be life-threatening and requires immediate medical attention either at the clinic or dialing 999.
Dos and Don’ts
Continue to use over the counter antihistamines, nasal sprays and eye drops if required.
Try to leave the injection site alone and to keep it clean and dry for 24 hours.
Procedure Time10 minutes
Pain Mild Discomfort
Full Recovery Very Soon
Results Duration Variable
Risks Injection site discomfort, redness or swelling, headache, stomach upset, bloating, sweating, changes in menstruation, sleep disorders, fluid retention, allergic reactions, changes in blood sugars, altered immunity.
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