Condition
    Limited
    Effectiveness 2/5

    Pleuran (Oyster Mushroom Beta-Glucan) for Allergic Rhinitis

    No trial has tested pleuran in allergic rhinitis. In children with recurrent infections it lowered blood eosinophils, an allergy marker, and in children with allergic asthma it improved control in some age groups. Other beta-glucans have small rhinitis trials. Treat it as unproven next to standard nasal sprays.

    Overview

    Verdict

    Insufficient evidence

    No trial has tested pleuran in allergic rhinitis. The pleuran data are allergy markers in children with recurrent infections and subgroup results in allergic asthma.

    Pleuran has not been tested in people with allergic rhinitis. Its link to allergy rests on a randomised trial in children with recurrent respiratory infections, where it lowered blood eosinophils and kept total IgE stable, two laboratory markers of allergic inflammation, and on a 2025 trial in children with allergic asthma that found better asthma control in some age groups.

    Other beta-glucans have small rhinitis trials, but the results depend on the exact product. Until a rhinitis trial is done, pleuran is an unproven add-on, and guideline treatments such as intranasal corticosteroids remain the first step.

    Who might consider it

    People already taking pleuran for frequent infections may want to track their hay fever symptoms, but no study has measured them. Nobody should swap a prescribed nasal spray for pleuran.

    At a glance

    Verdict
    Insufficient evidence
    Rhinitis trials
    None for pleuran
    Closest evidence
    Lower eosinophils and stable IgE in children with recurrent infections
    Dose studied (other uses)
    10 mg per 5 kg daily (children); 100 mg daily (adults)
    Guideline treatment
    Intranasal corticosteroid, alone or with an intranasal antihistamine (ARIA-EAACI 2024-2025)

    How It Works

    Why researchers think it might help

    Allergic rhinitis is driven by type 2 (Th2) inflammation: IgE antibodies, eosinophils and signalling proteins such as IL-4 and IL-5. Th1 signals such as IL-12 can damp this response, and branched beta-glucans have been tested as a way to shift the balance toward Th1.

    In children with recurrent infections, pleuran reduced blood eosinophils and stabilised total IgE, more clearly in those with atopy. In 24 people with olive-pollen allergy, a different beta-1,3/1,6-glucan given for 12 weeks lowered IL-4, IL-5 and eosinophils in nasal fluid and raised IL-12.

    What the mechanism can't tell you

    Lower eosinophils in the blood are not the same as fewer sneezes, and none of the pleuran studies measured nasal symptoms. The beta-glucan form matters as well: in a Japanese cedar-pollen trial, a superfine dispersed beta-1,3-glucan eased symptoms while the same amount of glucan in ordinary form did nothing.

    Proposed mechanisms

    Th2 to Th1 shift
    Fewer eosinophils
    Stable total IgE

    Dosing & Protocol

    No established dose for rhinitis

    No dose has been tested for allergic rhinitis. The pleuran trials in other conditions used 10 mg per 5 kg of body weight a day in children and 100 mg a day in adults, usually with vitamin C, for 2 to 6 months.

    If you try it, take it alongside your usual treatment for a whole pollen season and keep notes, so you can tell whether anything changed.

    Doses from other pleuran trials

    SituationDoseNotes
    Allergic rhinitisNot establishedNo rhinitis trial exists
    Children (dose from infection trials)10 mg per 5 kg body weight dailyUsually with vitamin C
    Adults (dose from athlete and COPD studies)100 mg daily2 to 3 months in studies

    These doses come from trials in other conditions, not allergic rhinitis.

    If you decide to try it

    1. 1

      Keep your standard treatment· Throughout

      Continue your intranasal corticosteroid or other prescribed treatment; guidelines put it first.

    2. 2

      Start before the season· 2-4 weeks before

      Begin a few weeks before your usual pollen season, at the doses used in other pleuran trials.

    3. 3

      Track symptoms and rescue medicine· Whole season

      Score sneezing, congestion and itch daily and count antihistamine doses.

    4. 4

      Compare with last season· End of season

      If symptoms and rescue use are no better, there is no reason to continue.

    Measure, don't guess

    Pollen counts vary from year to year, so compare symptom scores on days with similar pollen levels rather than relying on a general impression.

    Evidence

    Pleuran: allergy markers, not symptoms

    In a randomised, double-blind trial in children with recurrent respiratory infections, the researchers first found that atopy, a tendency to make allergic antibodies, was common and seemed to contribute to the children's illnesses. Pleuran then reduced peripheral blood eosinophilia and stabilised total IgE compared with placebo, more clearly in the atopic children. Nasal and eye symptoms were not reported.

    Allergic asthma

    In 230 children aged 7 to 17 with partly controlled allergic perennial asthma, 24 weeks of pleuran with vitamin C, added to usual treatment, improved asthma control in children under 12 and reduced respiratory infections in those 12 and over, compared with vitamin C alone. At 48 weeks, asthma control had improved in 84.7% of children on pleuran versus 67.0% on vitamin C. Nasal symptoms were not among the reported outcomes, and the main findings came from age subgroups.

    Other beta-glucans in allergic rhinitis

    Three small trials tested other beta-glucans. A beta-1,3/1,6-glucan lowered Th2 cytokines and eosinophils in nasal fluid in 24 people with olive-pollen allergy but did not report symptoms. A superfine beta-1,3-glucan eased cedar-pollen sneezing, runny nose, congestion and itchy eyes in a trial of 60 people, while ordinary beta-1,3-glucan did not. And a nasal spray of resveratrol plus carboxymethyl-beta-glucan reduced nasal symptoms and antihistamine use in 68 children with pollen allergy.

    None of these used pleuran, and the spray is a different kind of product altogether. See our beta-glucans page for the wider picture.

    Evidence scorecard

    Pleuran trials in allergic rhinitis
    0
    Pleuran trials with allergy markers
    1 (children with recurrent infections)
    Pleuran trials in allergic asthma
    1 (230 children; subgroup benefits)
    Other beta-glucan rhinitis trials
    3 small trials (24 to 68 participants)
    Independent replication
    None for pleuran

    Pleuran studies in our library that measured allergy markers or allergic airway disease.

    Beneficial effects of pleuran on asthma control and respiratory tract-infection frequency in children with perennial asthma

    Score: 6/10
    2025
    rct
    n=230

    Jesenak M, Hrubisko M, Chudek J +4 more

    positive effects of this treatment on asthma control and RTI incidence

    View source

    Anti-allergic effect of Pleuran (β-glucan from Pleurotus ostreatus) in children with recurrent respiratory tract infections

    Score: 5/10
    2014
    rct

    Jesenak M, Hrubisko M, Majtan J +2 more

    Pleuran showed a potential anti-allergic effect

    View source

    Safety

    Pleuran was well tolerated in trials in children and adults, with only mild side effects reported. We found no reported interactions with antihistamines or intranasal corticosteroids.

    People with a mushroom allergy should avoid it, and anyone taking immunosuppressants should check with their specialist first.

    Don't swap your nasal spray

    Guidelines suggest an intranasal corticosteroid, alone or combined with an intranasal antihistamine, as the main treatment for allergic rhinitis. Pleuran has not been shown to replace either.

    Check with your clinician first if you

    Have a mushroom allergy
    Take immunosuppressants
    Have asthma symptoms
    Are pregnant or breastfeeding

    Interactions & Conflicts

    We found no interaction studies for pleuran. It was taken alongside standard asthma treatment in a 2025 trial without related serious adverse events.

    Notable interactions

    Interacts withSeverityMechanismAction
    Intranasal corticosteroids and antihistamines
    low
    No known interactionKeep using them; pleuran is at most an add-on
    Immunosuppressants
    moderate
    Pleuran is intended to stimulate immune responses; the combination has not been studiedUse only with your specialist's agreement
    Asthma controller medicines
    low
    Taken together in the 2025 asthma trialKeep taking prescribed asthma treatment

    References

    1. Jesenak M, et al. Anti-allergic effect of Pleuran (β-glucan from Pleurotus ostreatus) in children with recurrent respiratory tract infections. Phytother Res. 2014;28(3):471-4.DOI: 10.1002/ptr.5020
    2. Jesenak M, et al. Beneficial effects of pleuran on asthma control and respiratory tract-infection frequency in children with perennial asthma. Sci Rep. 2025;15(1):7146.DOI: 10.1038/s41598-025-91830-2
    3. Kirmaz C, et al. Effects of glucan treatment on the Th1/Th2 balance in patients with allergic rhinitis: a double-blind placebo-controlled study. Eur Cytokine Netw. 2005;16(2):128-34.
    4. Yamada J, et al. Alleviation of seasonal allergic symptoms with superfine beta-1,3-glucan: a randomized study. J Allergy Clin Immunol. 2007;119(5):1119-26.DOI: 10.1016/j.jaci.2007.02.005
    5. Miraglia Del Giudice M, et al. Resveratrol plus carboxymethyl-β-glucan reduces nasal symptoms in children with pollen-induced allergic rhinitis. Curr Med Res Opin. 2014;30(10):1931-5.DOI: 10.1185/03007995.2014.938731
    6. Sousa-Pinto B, et al. Allergic Rhinitis and Its Impact on Asthma (ARIA)-EAACI Guidelines-2024-2025 Revision: Part I-Guidelines on Intranasal Treatments. Allergy. 2026;81(4):954-976.DOI: 10.1111/all.70131
    7. Vieira RJ, et al. Allergic Rhinitis and Its Impact on Asthma (ARIA)-EAACI Guidelines-2024-2025 Revision: Part II-Guidelines on Oral and Ocular Treatments. Allergy. 2026;81(6):1947-1970.DOI: 10.1111/all.70305
    8. Wzorek-Łyczko K, et al. The anti-infective effect of β-glucans in children. Int J Vitam Nutr Res. 2024;94(3-4):296-307.DOI: 10.1024/0300-9831/a000793
    9. Bobovčák M, et al. Effect of Pleuran (β-glucan from Pleurotus ostreatus) supplementation on cellular immune response after intensive exercise in elite athletes. Appl Physiol Nutr Metab. 2010;35(6):755-62.DOI: 10.1139/H10-070
    10. Minov J, et al. Effects of Pleuran (Β-Glucan from Pleurotus Ostreatus) Supplementation on Incidence and Duration of COPD Exacerbations. Open Access Maced J Med Sci. 2017;5(7):893-898.DOI: 10.3889/oamjms.2017.198
    11. Jesenak M, et al. Novel Chewable Pleuran-Based Supplement Decreases Respiratory Tract Infections in Children: A Randomised Controlled Trial. Adv Ther. 2025;42(12):6132-6149.DOI: 10.1007/s12325-025-03393-3

    Frequently Asked Questions

    Can pleuran treat hay fever?
    It has not been tested in hay fever. The only pleuran data on allergy are blood markers in children with recurrent infections and asthma results in some age groups, so it should not replace standard treatment.
    What did the children's allergy-marker trial find?
    Pleuran lowered blood eosinophils and kept total IgE stable, more clearly in children with atopy. Nasal symptoms were not measured.
    Do other beta-glucans help allergic rhinitis?
    Small trials of other beta-glucans found lower nasal inflammation markers and, for one specially dispersed form, fewer cedar-pollen symptoms. The same glucan in ordinary form did nothing, so results depend on the exact product.
    What should I use first for allergic rhinitis?
    The ARIA-EAACI 2024-2025 guidelines suggest an intranasal corticosteroid, alone or combined with an intranasal antihistamine, and prefer intranasal corticosteroids over oral antihistamines. Discuss the options with your clinician.
    Is it safe to try alongside my allergy medicines?
    We found no reported interactions with antihistamines or nasal steroids, and pleuran was well tolerated in trials. Avoid it if you have a mushroom allergy.

    Medical Disclaimer

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    Individual results may vary. The statements on this website have not been evaluated by the Food and Drug Administration. Products and information are not intended to diagnose, treat, cure, or prevent any disease.