|PIC1|A variety of hay fever treatments are available on the market. We look at ten of the best - both conventional and alternative - to help you choose the right one:

4. Butterbur, for example, FSC Standardised Butterbur (£10.99/60 capsules) from health food shops nationwide
Butterbur petasin (petasites hybridus) grows in damp, marshy areas and is sometimes known as bog rhubarb. Although traditionally used to treat a migraine, Swiss scientists have now found it's effective in treating hay fever. Research suggests that it is as effective as an over-the-counter antihistamine (cetirizine) but without the drowsiness which affects two thirds of those taking the antihistamine drug. Not suitable for children under 12 years.

5. Herbal remedies, for example, Bioforce Luffa Complex (£6.59/120 tablets). Call 01294 277344 for stockists
Luffa complex is a herbal remedy containing extracts from seven freshly harvested herbs, including sponge cucumber, heartseed, American spikenard and khella. One study found it relieved hay fever symptoms such as sneezing, itching in the nose, throat and eyes and coughs in 75 per cent of cases. Luffa is available as tincture and spray, as well as tablets. Not suitable for children under two years.

|AD|6. Aromatherapy, for example, Aromatic Garden Essence Hay Fever Formula (£10.95). Call 01494 798301 for mail order
Aromatherapy is an excellent approach to hay fever symptoms, especially effective for the nasal congestion and stuffiness that make it difficult to breathe. Essential oils of basil, eucalyptus blue gum, lavender and peppermint quickly clear your nasal passages. Simply drop onto a hankie to inhale, or use with a portable diffuser (£16.95), which is ideal on a desk or even in the car. Not suitable for children under 12 years.

7. Antihistamine tablets, for example, Boots Hay fever and Allergy Relief Fast Melting Tablets (£5.79). Call 08450 708090 for stockists
Oral antihistamines reduce allergic symptoms throughout the body, and with hay fever, are most effective at reducing runny nose and sneezing. They tend to be less effective against a stuffed up nose, for which a decongestant spray is more helpful. Some antihistamines can make you drowsy, but a study by the Drug Safety Research Unit found that, of the newer non-sedating antihistamines, loratadine and fexofenadine (prescription only) are around three times less likely to cause sedation than cetirizine and acrivastine. Individual responses to drugs do vary widely, however. Not suitable for children under 12 years.