Web  accessibility  for the disabled Home Contact Us Email Us Shopping Cart Follow us on Facebook Follow us on Twitter ForLifeWithoutLimits Channel
AAFA Education Advocacy Research
AAFA Home Page
AAFA: Allergies
AAFA: Allergies
AAFA: Allergies
AAFA: Allergies
AAFA: Allergies
You Can Help!
Take Action
Certification Program
Educational Resources
Ask the Allergist
Find a Chapter
Find a Support Group
Find a Clinic
Health Professionals
En Español
Contact AAFA

Allergy Capitals    Print Page

Out with the cold, in with the "achoo!" It’s spring and more than 45 million Americans with seasonal nasal allergies are expecting – and dreading – runny and congested noses, inflamed sinuses, relentless sneezing and other symptoms associated with springtime allergies. So children and adults with seasonal allergies need to plan now.


The Allergy Capitals is an annual research project of the Asthma and Allergy Foundation of America (AAFA) to identify "the 100 most challenging places to live with allergies" during the spring and fall seasons.

The data measured and compared each season includes:acaps

  • Pollen scores (airborne grass/tree/weed
    pollen and mold spores)*
  • Number of allergy medications used per patient
  • Number of allergy specialists per patient

This year’s report named Jackson, MS, as the #1 Spring Allergy Capital, based primarily on higher than average pollen and higher than average medication usage. The top 5 cities for 2015 are:

1. Jackson, MS
Louisville, KY
3. Oklahoma City, OK
4. Memphis, TN
5. Knoxville, TN

Click here to view a complete list of the 100 most challenging cities to live in with allergies this spring. 

The Allergy Capitals can help guide a pollen sufferer to local, geographical areas that may provoke and worsen their seasonal symptoms, which impacts their quality of life. Immediate personalized treatments can include prescription medication combinations, mono-therapies, or long-term treatments.

More Information

Additional Tools and Resources:

Support AAFA:

AAFA’s Spring Allergy Capitals report is an independent research project of AAFA and is sponsored by DYMISTA® (azelastine hydrochloride and fluticasone propionate) Nasal Spray distributed by Meda Pharmaceuticals.Call 1-800-7-ASTHMA to discuss the report in detail or to speak with a member of AAFA's External Affairs Department.

About Dymista®

DYMISTA® (azelastine hydrochloride and fluticasone propionate), distributed by Meda Pharmaceuticals, is the first and only prescription seasonal allergy nasal spray to both block histamine and treat inflammation of seasonal nasal allergy symptoms.


  • Dymista Nasal Spray can cause drowsiness. Do not drive, operate machinery, or do anything that you need to be alert for until you know how Dymista Nasal Spray affects you
  • Do not drink alcohol or take any other medicines that can cause you to feel sleepy while using Dymista Nasal Spray. This can increase your chances of having serious side effect
  • Tell your healthcare provider if you have any side effects that bother you or any side effects that do not go away
  • Tell your doctor if you are pregnant or plan to become pregnant; it is not known if Dymista Nasal Spray will harm your unborn baby
  • The most common side effects with Dymista are changes in taste, nosebleeds, and headache
  • Dymista® (azelastine hydrochloride and fluticasone propionate) Nasal Spray may also cause the following side effects
    • Nasal problems. Symptoms of nasal problems include crusting in the nose, nosebleeds, runny nose, or a hole in the cartilage between your nostrils (nasal septal perforation). A whistling sound when you breathe may be a symptom of nasal septal perforation
    • Slow wound healing. If you have a sore in your nose, if you have had surgery on your nose, or if your nose has been injured, you should not use Dymista Nasal Spray until your nose has healed
    • Thrush (Candida), a fungal infection in your nose, mouth, or throat. Tell your doctor if you have any redness or white-colored patches in your nose, mouth, or throat
    • Eye problems. Some people may experience eye problems, including glaucoma or cataracts. You should have regular eye exams when using Dymista Nasal Spra
  • Immune system problems. Dymista Nasal Spray may cause problems with the way your immune system protects your body against infection.
  • Use caution when taking Dymista if you have an existing infection (eg, fungal, bacterial, viral, or parasitic). When using Dymista Nasal Spray, avoid contact with people who have contagious diseases such as chicken pox or measles. Symptoms of infection may include fever, aches and pains, chills, or feeling tired
  • Adrenal insufficiency. Adrenal insufficiency is a condition in which the adrenal glands do not make enough steroid hormones. Symptoms of adrenal insufficiency may include tiredness, weakness, nausea, vomiting, or low blood pressure
  • Slowed or delayed growth in children. A child's growth should be checked regularly when using Dymista Nasal Spray
  • These are not all of the possible side effects of Dymista Nasal Spray. For more information, ask your healthcare provider or pharmacist

Call your doctor for medical advice about side effects. You may report side effects to the FDA at


Full Prescribing Information at http://dymista.com/DymistaUSPI.pdf.


Dymista Nasal Spray is a prescription medicine used to treat symptoms of seasonal allergic rhinitis in people 6 years of age and older, who need treatment with both azelastine hydrochloride and fluticasone propionate. It helps reduce the symptoms of seasonal allergic rhinitis (inflammation of the lining of the nose), such as runny nose, stuffy nose, itching, and sneezing.

Privacy Policy Home Contact Us Asthma Allergies Food Allergies Donate


Ask the allergist Shop Our Catalog Donate to AAFA