Updated November 20, 2020

Fact Checked

Medically Reviewed by

Dr. Kimberly Truong

author

Written by

Danielle Pacheco

Are you waking up with a stuffy nose or sneezing in your sleep? Whether they’re seasonal or year-round, allergies aren’t fun.

Up to 40 percent of Americans suffer from allergic rhinitis (allergies). Symptoms include sneezing, itchy or runny nose, and watery eyes — and for many allergy sufferers, poor sleep as well. Individuals with allergies are more than twice as likely to have insomnia than those without allergies.

How Do Allergies Affect Sleep?

Allergens irritate your nasal passages when they enter your nose, triggering uncomfortable symptoms like nasal congestion, sneezing, and watery eyes. These symptoms affect your ability to breathe easily and tend to worsen at night — two reasons why allergies commonly lead to poor sleep quality.

If your allergies keep you up at night, you may be missing out on sleep. Without a good night’s sleep, you end up feeling tired and grumpy the next day. Being tired can impair your performance at school and work, negatively affecting your health and wellbeing. Poor sleep also heightens anxiety and stress response, which in turn, makes it harder to fall asleep.

Allergies don’t just impact your ability to fall asleep; they also interfere with your ability to stay asleep. People with allergies may wake up due to a congested nose, sneezing or coughing fit in the middle of the night. Over time, this kind of allergy-induced sleep deprivation adds up, creating a vicious cycle that leads some to rely on sedatives or alcohol to help them fall or stay asleep — which is not a good idea.

What Kind of Sleep Disturbances Can Come From Allergies?

Allergies can affect all aspects of sleep. Individuals with allergic rhinitis are significantly more likely to suffer from sleep issues, including:

  • Insomnia
  • Trouble falling asleep
  • Trouble staying asleep
  • Increased snoring
  • Increased risk for sleep apnea
  • Poor sleep efficiency
  • Short sleep

During the day, their problems don’t end. They’re more likely to have trouble waking up, experience daytime fatigue, and have morning headaches and sinus pain.

There also appears to be a correlation between the severity of a person’s allergies and the severity of their sleep problems. In other words, the worse their allergy symptoms are, the worse their sleep is.

For some people with allergies, difficulty sleeping may develop into more serious sleep disturbances, such as bedwetting, insomnia, restless sleep, snoring, obstructive sleep apnea (OSA), and other forms of sleep-disordered breathing. The connection between allergies causing or worsening  sleep apnea is of particular concern because we know that OSA can lead to difficulty losing weight, high blood pressure, cardiovascular disease, and death.

Pediatric studies suggest that allergies increases the risk for obstructive sleep apnea among children . Children with sleep-disordered breathing are more than twice as likely to have allergic rhinitis than those who don’t have sleep apnea. Poor sleep can be especially damaging  to children, leading to missed school days, behavioral problems, difficulty with memory, concentration and worsened IQ.

How Can You Sleep Better With Allergies?

Sleeping with allergies can be tough, but it is possible. Here are seven tips to cope with allergies and get better sleep.

1. Use an Air Purifier.

Air purifiers can help improve sleep for people with and without allergies. They help clear your bedroom air of common household allergens like mold, dust mites, pet dander, and even pollen brought in from outside.

2. Close Your Doors and Windows.

If you leave your windows open during the day, you’re inviting allergens into your home. Closed windows and doors, on the other hand, can do a lot to keep allergens outside and away from your bedroom.

3. Keep Your Furniture as Dust-Free as Possible

Most people are surprised by the amount of debris and dust collected in nooks and crannies in the room. Avoid heavy drapes and upholstered furniture in the bedroom. Avoid floor-to-floor carpet, if possible. Use tightly-woven fabric for your sheets and pillowcase to prevent trapping of dust. Avoid “dust collectors”, such as stuffed animals, fake flowers, and old books in the bedroom.

4. Keep Pets Out of Your Bedroom.

Pet hair and dander are two common allergens that impact sleep, so sleeping in a separate room from your pet may help relieve your allergies at night. Give them a comfy bed outside your bedroom and pet them goodnight. Just make sure to wash your hands afterward!

5. Change Up Your Laundry Routine.

After spending time outside, especially during high pollen count days, take your clothes off when you come inside the house and put them directly in the laundry room. Never hang your clothes outside to dry. Use a dryer instead, if possible.

6. Shower Before Bed.

Showering before bed helps wash the pollen away. Make showers a part of your bedtime routine, and you’ll always be clean before bed.

7. Take Allergy Medication at Night.

If you currently take your allergy medication in the morning, consider changing it to nighttime. Consult your doctor first, though. This ensures the dose of medication is still strong in your system when you go to bed, instead of wearing off in the middle of the night.

8. Talk to Your Doctor.

Speaking of your doctor, they can discuss some treatment options with you based on the type of allergies you have. There are over-the-counter medications, prescription medications, and lifestyle changes that can provide relief.

  • References

    +16 Sources
    1. 1. Settipane, R. A., & Charnock, D. R. (2007). Epidemiology of rhinitis: allergic and nonallergic. Clinical allergy and immunology, 19, 23–34.https://pubmed.ncbi.nlm.nih.gov/17153005/
    2. 2. A.D.A.M. Medical Encyclopedia. (2020, February 2). Allergic rhinitis. Retrieved November 12, 2020, from https://medlineplus.gov/ency/article/000813.htm
    3. 3. Léger, D., Annesi-Maesano, I., Carat, F., Rugina, M., Chanal, I., Pribil, C., El Hasnaoui, A., & Bousquet, J. (2006). Allergic rhinitis and its consequences on quality of sleep: An unexplored area. Archives of internal medicine, 166(16), 1744–1748.https://doi.org/10.1001/archinte.166.16.1744
    4. 4. National Heart, Lung, and Blood Institute. (2020b, April 28). Sleep Deprivation and Deficiency | NHLBI, NIH. NHLBI.https://www.nhlbi.nih.gov/health-topics/sleep-deprivation-and-deficiency
    5. 5. Alhola, P., & Polo-Kantola, P. (2007). Sleep deprivation: Impact on cognitive performance. Neuropsychiatric disease and treatment, 3(5), 553–567. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656292/
    6. 6. Han, K. S., Kim, L., & Shim, I. (2012). Stress and sleep disorder. Experimental neurobiology, 21(4), 141–150.https://doi.org/10.5607/en.2012.21.4.141
    7. 7. Stein, M. D., & Friedmann, P. D. (2005). Disturbed sleep and its relationship to alcohol use. Substance abuse, 26(1), 1–13.https://doi.org/10.1300/j465v26n01_01
    8. 8. Leger D, Bonnefoy B, Pigearias B, de La Giclais B, Chartier A. Poor sleep is highly associated with house dust mite allergic rhinitis in adults and children. Allergy Asthma Clin Immunol. 2017 Aug 16;13:36. doi: 10.1186/s13223-017-0208-7. PMID: 28814959; PMCID: PMC5558653. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558653/
    9. 9. Liu, J., Zhang, X., Zhao, Y., & Wang, Y. (2020). The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies. PloS one, 15(2), e0228533. https://doi.org/10.1371/journal.pone.0228533
    10. 10. Lyytikäinen P, Lallukka T, Lahelma E, Rahkonen O. Sleep problems and major weight gain: a follow-up study. Int J Obes (Lond). 2011 Jan;35(1):109-14. https://pubmed.ncbi.nlm.nih.gov/20531352/
    11. 11. Jean-Louis, G., Zizi, F., Clark, L. T., Brown, C. D., & McFarlane, S. I. (2008). Obstructive sleep apnea and cardiovascular disease: role of the metabolic syndrome and its components. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 4(3), 261–272.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2546461/
    12. 12. Rössner, S., Lagerstrand, L., Persson, H. E., & Sachs, C. (1991). The sleep apnoea syndrome in obesity: risk of sudden death. Journal of internal medicine, 230(2), 135–141. https://doi.org/10.1111/j.1365-2796.1991.tb00421.x
    13. 13. Cao Y, Wu S, Zhang L, Yang Y, Cao S, Li Q. Association of allergic rhinitis with obstructive sleep apnea: A meta-analysis. Medicine (Baltimore). 2018 Dec;97(51):e13783.https://pubmed.ncbi.nlm.nih.gov/30572534/
    14. 14. Koinis-Mitchell, D., Craig, T., Esteban, C. A., & Klein, R. B. (2012). Sleep and allergic disease: a summary of the literature and future directions for research. The Journal of allergy and clinical immunology, 130(6), 1275–1281.https://doi.org/10.1016/j.jaci.2012.06.026
    15. 15. Halbower, A. C., Degaonkar, M., Barker, P. B., Earley, C. J., Marcus, C. L., Smith, P. L., Prahme, M. C., & Mahone, E. M. (2006). Childhood obstructive sleep apnea associates with neuropsychological deficits and neuronal brain injury. PLoS medicine, 3(8), e301.https://doi.org/10.1371/journal.pmed.0030301
    16. 16. Sublett J. L. (2011). Effectiveness of air filters and air cleaners in allergic respiratory diseases: a review of the recent literature. Current allergy and asthma reports, 11(5), 395–402. https://doi.org/10.1007/s11882-011-0208-5