What is best allergy medicine over counter


  • Common allergens

    The most common allergen is pollen, a powder released by trees, grasses and weeds that fertilize the seeds of neighboring plants. As plants rely on the wind to do the work for them, the pollination season sees billions of microscopic particles fill the air, and some of them finish up in people’s noses and mouths.

    Spring bloomers include ash, birch, cedar, elm and maple trees, plus numerous species of grass. Weeds pollinate in the tardy summer and drop, with ragweed being the most volatile.

    The pollen that sits on brightly colored flowers is rarely responsible for hay fever because it is heavier and falls to the ground rather than becoming airborne.

    Bees and other insects carry flower pollen from one flower to the next without ever bothering human noses.

    Mold allergies are diverse. Mold is a spore that grows on rotting logs, dead leaves and grasses. While dry-weather mold species exist, numerous types of mold thrive in moist, rainy conditions, and release their spores overnight.

    What is best allergy medicine over counter

    During both the spring and drop allergy seasons, pollen is released mainly in the morning hours and travels best on dry, warm and breezy days.


    Symptoms

    The symptoms of allergic rhinitis may at first feel love those of a freezing. But unlike a freezing that may incubate before causing discomfort, symptoms of allergies generally appear almost as soon as a person encounters an allergen, such as pollen or mold.

    Symptoms include itchy eyes, ears, nose or throat, sneezing, irritability, nasal congestion and hoarseness.

    People may also experience cough, postnasal drip, sinus pressure or headaches, decreased sense of smell, snoring, sleep apnea, fatigue and asthma, Josephson said. [Oral Allergy Syndrome: 6 Ways to Avoid an Itchy, Tingling Mouth]

    Many of these symptoms are the immune system’s overreaction as it attempts to protect the vital and sensitive respiratory system from exterior invaders. The antibodies produced by the body hold the foreign invaders out, but also cause the symptoms characteristic of allergic responses.

    People can develop hay fever at any age, but most people are diagnosed with the disorder in childhood or early adulthood, according to the Mayo Clinic.

    Symptoms typically become less severe as people age.

    Often, children may first experience food allergies and eczema, or itchy skin, before developing hay fever, Josephson said. «This then worsens over the years, and patients then develop allergies to indoor allergens love dust and animals, or seasonal rhinitis, love ragweed, grass pollen, molds and tree pollen.»

    Hay fever can also lead to other medical conditions. People who are allergic to weeds are more likely to get other allergies and develop asthma as they age, Josephson said.

    But those who get immunotherapy, such as allergy shots that assist people’s bodies get used to allergens, are less likely to develop asthma, he said.


    Pollen count

    How do scientists know how much pollen is in the air? They set a trap. The trap — generally a glass plate or rod coated with adhesive — is analyzed every few hours, and the number of particles collected is then averaged to reflect the particles that would pass through the area in any 24-hour period.

    What is best allergy medicine over counter

    That measurement is converted to pollen per cubic meter. Mold counts work much the same way.

    A pollen count is an imprecise measurement, scientists confess, and an arduous one — at the analysis stage, pollen grains are counted one by one under a microscope. It is also highly time-consuming to discern between types of pollen, so they are generally bundled into one variable. Given the imprecise nature of the measurement, entire daily pollen counts are often reported simply as low, moderate or high.

    The American Academy of Allergy, Asthma & Immunology provides up-to-date pollen counts for U.S.

    states.


    Hay fever treatments

    Dr. Sarita Patil, an allergist with Massachusetts General Hospital’s Allergy Associates in Boston, talked to Live Science about strategies for outdoor lovers with seasonal allergies.

    Patil suggested figuring out exactly what type of pollen you’re allergic to, and then avoiding planning outdoor activities during peak pollinating times in the months when those plants are in bloom.

    What is best allergy medicine over counter

    Numerous grasses, for example, typically pollinate in tardy spring and early summer and release most of their spores in the afternoon and early evening.

    Her other strategies: Be capable to identify the pollen perpetrator by sight; monitor pollen counts before scheduling outdoor time; go exterior at a time of day when the plants that make you go achoo are not pollinating; and wear protective gear love sunglasses, among other tips. [7 Strategies for Outdoor Lovers with Seasonal Allergies]

    Allergy sufferers may also select to combat symptoms with medication designed to shut below or trick the immune sensitivity in the body.

    Whether over-the-counter or prescription, most allergy pills work by releasing chemicals into the body that bind naturally to histamine — the protein that reacts to the allergen and causes an immune response — negating the protein’s effect.

    Other allergy remedies attack the symptoms at the source. Nasal sprays contain athletic ingredients that decongest by soothing irritated blood vessels in the nose, while eye drops both moisturize and reduce inflammation. Doctors may also prescribe allergy shots, Josephson said.

    For kids, allergy medications are tricky. A 2017 nationally representative poll of parents with kids between ages 6 and 12 found that 21% of parents said they had trouble figuring out the correct dose of allergy meds for their child; 15% of parents gave a kid an adult form of the allergy medicine, and 33% of these parents also gave their kid the adult dose of that medicine.

    Doctors may also recommend allergy shots, a neti pot that can rinse the sinuses, or a Grossan Hydropulse — an irrigating system that cleans the nose of pollens, infection and environmental irritants, Josephson said.

    Alternative and holistic options, along with acupuncture, may also assist people with hay fever, Josephson said.

    People can also avoid pollen by keeping their windows closed in the spring, and by using air purifiers and air conditioners at home.

    Probiotics may also be helpful in stopping those itchy eyes and runny noses. A 2015 review published in the journal International Forum of Allergy and Rhinology found that people who suffer from hay fever may benefit from using probiotics, or «good bacteria,» thought to promote a healthy gut. Although the jury is still out on whether probiotics are an effective treatment for seasonal allergies, the researchers noted that these gut bacteria could hold the body’s immune system from flaring up in response to allergens — something that could reduce allergy symptoms.

    [5 Myths About Probiotics]

    Additional resources:

    This article was updated on April 30, 2019, by Live Science Contributor Rachel Ross.

    As of 2017[update] brands included: Actalor, Actidin, Aerotina, Alaspan, Alavert, Albatrina, Alerdina, Alerfast, Alergan, Alergiano, Alergiatadina, Alergin Ariston, Alergipan, Alergit, Alergitrat L, Aleric Lora, Alermuc, Alernitis, Alerpriv, Alertadin, Alertine, Aleze, Algac, Algecare, Algistop, Alledryl, Aller-Tab, Allerfre, Allerget, Allergex Non Drowsy, Allergyx, Allerhis, Allernon, Allerta, Allertyn, Allohex, Allor, Allorat, Alloris, Alor, Analor, Anhissen, Anti-Sneeze, Antial, Antil, Antimin, Ao Hui Feng, Ao Mi Xin, Ao Shu, Ardin, Atinac, Avotyne, Axcel Loratadine, Bai Wei Le, Bang Nuo, Bedix, Belodin, Benadryl, Besumin, Bi Sai Ning, Bi Yan Tong, Biliranin, Biloina, Biolorat, Bollinol, Boots Hayfever Relief, Boots Hooikoortstabletten, Boots Once-a-Day Allergy Relief, Carin, Carinose, Chang Ke, Civeran, Clara, Claratyne, Clarid, Clarihis, Clarihist, Clarilerg, Clarinese, Claritin, Claritine, Clarityne, Clarityne SP, Clarotadine, Clatatin, Clatine, Clear-Atadine, Clear-Atadine Children’s, Clistin, Contral, Cronitin, Da Sheng Rui Li, Dao Min Qi, Dayhist, Debimin, Desa, Devedryl, Dexitis, Dimegan, Dimens, Dimetapp Children’s ND Non-Drowsy Allergy, Doliallérgie Loratadine, Effectine, Eladin, Elo, Emilora, Encilor, Eradex, Erolin, Ezede, Fei Ge Man, Finska, Flonidan, Flonidan Control, Florgan, Folerin, Frenaler, Fristamin, Fu Lai Xi, Fucole Minlife, Genadine, Glodin, Gradine, Halodin, Helporigin, Hisplex, Histaclar, Histafax, Histalor, Horestyl, Hua Chang, Hysticlar, Igir, Immunix, Immunex, Inclarin, Inversyn, Jin Su Rui, Jing Wei, Ke Mi, Klarihist, Klinset, Klodin, Kui Yin, Lallergy, Larotin, Latoren, Laura, LD, Lei Ning, Lesidas, Liberec, Lisaler, Logadine, Logista, Lohist, Lolergi, Lolergy, Lomidine, Lomilan, Loptame, Lora, Lora-Lich, Lora-Mepha Allergie, Loracare, Loracil, Loraclear, Loradad, Loraderm, Loradin, Loradine, Lorado Pollen, Loradon, Lorafix, Lorahexal, Lorahist, Lorakids, Loralab-D, Loralerg, Loralivio, Loramax, Loramin, Loramine, Loran, Lorange, Loranil, Lorano, Loranox, Lorantis, LoraPaed, Lorastad, Lorastamin, Lorastine, Lorastyne, Lorat, Loratab, Loratadim, Loratadin, Loratadina, Loratadine, Loratadinum, Loratadyna, Loratan, Loratin, Loraton, Loratrim, Loratyne, Lorchimin, Lordamin, Lordinex, Loremex, Loremix, Lorfast, Lorid, Loridin, Lorihis, Lorimox, Lorin, Lorine, Loristal, Lorita, Loritex, Loritin, Lorly, Lormeg, Lorsedin, Lortadine, Losta, Lostop, Lotadin, Lotadine, Lotarin, Lotin, Megalorat, Mildin, Min Li Ke, Minlife, Mintapp, Mosedin, Mudantil L, Nasaler, Neoday, Niltro, Non-Drowsy Allergy Relief, Nosedin, Noseling, Novacloxab, NT-Alergi, Nufalora, Nularef, Numark Allergy, Omega, Oradin, Oradine, Oramine, Orin, Orinil, Pollentyme, Pressing, Pretin, Primorix, Profadine, Pulmosan Aller, Pylor, Rahistin, Ralinet, Ramitin, Refenax, Restamine, Rhinigine, Rihest, Rinalor, Rinconad, Rinityn, Rinolan, Riprazo, Rityne, Roletra, Rotadin, Rui Fu, Run Lai, Rupton, Sensibit, She Tai, Shi Nuo Min, Shi Tai Shu, Shu Rui, Shun Ta Xin, Silora, Sinaler, Sohotin, Soneryl, Sunadine, Symphoral, Tabcin, Tai Ming Ke, Ticevis, Tidilor, Tinnic, Tirlor, Toral, Triaminic, Tricel, Tuulix, Urtilar, Utel, Vagran, Winatin, Xanidine, Xepalodin, Xian Ning, Xin Da Yue, Xing Yuan Jia, XSM, Xue Fei, Yi Fei, Yi Shu Chang, Yibang, Zhengshu, Zhi Min, Zifar, Zoratadine, and Zylohist.[26]

    As of 2017[update], in a combination drug with pseudoephedrine, it was available under the brands: Airet, Alavert D-12, Aldisa SR, Alerfast D, Alergical LP, Alergin Plus Ariston, Alerpriv D, Alledryl-D, Allerpid, Aseptobron Descongestivo, Bai Wei Qing, Benadryl 24 D, Ciprocort D, Claridex, Claridon, Clarinase, Clarinase Repetab, Claritine Athletic, Claritin Allergy + Sinus, Clarityne, Clarityne D, Clarityne-D, Clear-Atadine, Coderin, Cronase, De-Cold, Decidex Plus, Decongess I, Defonase, Demazin NS, Dimegan-D, Effectine D, Ephedrol, Fedyclar, Finska-LP, Frenaler-D, Hui Fei Shun, Ke Shuai, Claritin-D, Larotin D, Lertamine, Lohist-Extra, Lora Plus, Loralerg D, Loranil-D, Loratin D, Loratin Plus, Lordinex D, Loremix D, Lorexin-D, Lorfast-D, Loridin-D, Lorinase, Minlife -P, Mosedin plus sr, Narine Repetabs, Nasaler Plus, Nularef-D, Oradin Plus, Pretin-D, Primorix-D, Rhinos SR, QiKe, Rinomex, Sinaler D, Sudamin, Sudolor, Tricel-D, Zhuang Qi, Zoman-D, and Zoratadine-P.[26]

    As of 2017[update], in a combination drug with paracetamol, it was available as Sensibit D and in combination with paracetamol and pseudoephedrine, it was available as: Atshi, Clariflu, and Trimed Flu.[26]

    As of 2017[update], in a combination drug with betamethasone, it was available as Celestamincort, Celestamine NF, Celestamine NS, Celestamine* L, Ciprocort L, Claricort, Clarityne cort, Corticas L, Cortistamin-L, Histafax Compuesto, Histamino Corteroid L, Labsalerg-B, Lisaler Beta, and Sinaler B, and in combination with betamethadol with available as Nularef Cort.[26]

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      Allegra and Zyrtec are both antihistamines, but is one more effective or less likely to cause sedation than the other?

      Allegra has the lowest risk of sedation out of every antihistamines so is preferred if an antihistamine is needed for people working in safety-critical jobs.

      Even though Zyrtec is 3.5 times more likely to cause sedation than Allegra, it is still much less sedating than some older antihistamines such as promethazine.

      Other differences:

      1. Studies own not compared the effects of Allegra and Zyrtec for conditions such as postnasal drip, but research suggests intranasal antihistamines such as azelastine are more effective.
      2. Allegra should not be taken with grapefruit juice.

        Zyrtec has no reported food interactions.

      3. Several studies own found cetirizine (Zyrtec) to be more effective than fexofenadine (Allegra) at relieving symptoms of allergic rhinitis and urticaria, and it appears to own a longer duration of action.
      4. Allegra works within two hours and Zyrtec works within one hour.
      5. Zyrtec and Allegra should not be taken at the same time, instead, if symptoms are persisting, it is better to take another drug with a diverse mechanism of action.

      Allegra is a brand name for the drug fexofenadine and Zyrtec is a brand name for the drug cetirizine.

      Both fexofenadine and cetirizine are favorite antihistamines with numerous similarities but there are some significant differences.

      Which is more sedating? Allegra or Zyrtec?

      Allegra (fexofenadine) and Zyrtec (cetirizine) are second-generation antihistamines. Second-generation antihistamines were first developed in the 1990s to provide allergy relief without the unwanted side effect of sedation common to first-generation antihistamines such as promethazine and diphenhydramine. However, it soon became apparent that not every second-generation antihistamines were equal when it came to not causing drowsiness or affecting other thought processes.

      Cetirizine is significantly more likely than fexofenadine to cause drowsiness.

      Fexofenadine (Allegra), even in dosages exceeding those recommended, is the least sedating of every second-generation antihistamines, so is considered the antihistamine of choice for people in safety-critical jobs such as airline pilots.

      Which is more effective for Allergic rhinitis?

      Trials own shown both Allegra (fexofenadine) and Zyrtec (cetirizine) are significantly more effective than placebo (a pretend pill) for reducing symptoms associated with allergic rhinitis, hay fever, and other allergies. Trials own not consistently shown that one antihistamine is more effective than another; however, one trial reported cetirizine produced a 26% greater reduction in the number of allergic rhinitis symptoms at 12 hours and 14% greater reduction in symptoms overall compared with fexofenadine.

      Cetirizine also appeared more effective for symptoms such as runny nose, sneezing, itchy/watery eyes, and itchy nose, mouth or throat. Cetirizine was slightly more likely (0.8%) than fexofenadine to cause drowsiness. Another trial reported similar findings (33% greater reduction in allergic rhinitis symptoms) and also found cetirizine had a longer duration of effect.

      Intranasal or ophthalmic (into the eye) antihistamines own a quicker onset of action than oral antihistamines (within about 15 minutes); however, they need to be istered several times daily.

      In people with allergic rhinoconjunctivitis and predominantly eye symptoms, ophthalmic antihistamines work much quicker (within 3 to 15 minutes) and are much more effective than any other form of treatment. Intranasal antihistamines are as effective as intranasal cromolyn, intranasal nedocromil, and leukotriene modifiers in seasonal allergic rhinitis; however, are not as effective at relieving nasal congestion and other symptoms as intranasal glucocorticoids.

      Allegra Vs Zyrtec for urticaria and other skin reactions

      All second generation antihistamines, including Allegra and Zyrtec, are effective for acute and chronic urticaria, although more trials own been conducted in people with chronic urticaria.

      One trial found cetirizine to be more effective than fexofenadine at relieving symptoms in 97 patients with chronic urticaria with 51.9% of participants taking cetirizine reporting themselves as symptom-free after 28 days of treatment compared with only 4.4% of participants taking fexofenadine. Partial improvement was reported by 36.5% of people assigned cetirizine (42.2% assigned fexofenadine) and 11.5% experienced no improvement with cetirizine (53.3% with fexofenadine). No difference in side effects was noted between the two.

      Allegra Vs Zyrtec for Postnasal Drip

      Post nasal drip may happen for various reasons — allergies (particularly to dairy), colds or flu, various drugs (including birth control pills and high blood pressure tablets), freezing temperatures, bright lights, hormonal changes and spicy foods.

      Thin postnasal drip secretions caused by allergies may be treated with antihistamines.

      Second-generation antihistamines such as Allegra and Zyrtec may offer better relief than older-type antihistamines such as promethazine (older antihistamines tend to thicken post-nasal secretions). Intranasal antihistamines, such as azelastine, own a faster onset of action (15 minutes) and appear more effective than oral antihistamines although require more frequent istration. Other treatments include decongestants, cromolyn, and corticosteroid nasal sprays.

      In the treatment of post nasal drip caused by nonallergic causes, oral second-generation antihistamines are not extremely effective.

      However, the intranasal antihistamine azelastine is effective. Azelastine improves every rhinitis symptoms including nasal congestion, postnasal drip, sneezing and sleeping difficulty. The most common side effect is a metallic aftertaste; however, this is more likely at higher dosages and tends to dissipate with continued use.

      Allegra Vs Zyrtec To Relieve Freezing Symptoms

      Second-generation antihistamines (such as Allegra and Zyrtec) own limited effectiveness at relieving symptoms of freezing such as a runny nose and sneezing (only 45% of adults felt better after using them compared to 35% with placebo [a pretend pill]).

      Effects were only noticeable if used within the first two days of a freezing, use of antihistamines made no difference thereafter.

      Allegra Vs Zyrtec: istration

      The antihistamine effects of Allegra and Zyrtec final for at least 24 hours, therefore, they are both given once daily. Fexofenadine, the athletic ingredient of Allegra works within two hours. Cetirizine, the athletic ingredient of Zyrtec works within one hour.

      Allegra Vs Zyrtec: Side Effects, Interactions and Price

      Side effects are generally mild with second-generation antihistamines and include a headache and rarely dry mouth, and nausea.

      Zyrtec is 3.5 times more likely than Allegra to cause sedation; however, Zyrtec is still much less sedating than older antihistamines such as promethazine.

      Side effects are generally mild with second-generation antihistamines and include a headache and rarely dry mouth, and nausea. Every the second generation antihistamines currently on the market appear free from adverse cardiovascular effects. Few major interactions own been reported with either Allegra or Zyrtec; however, there is the possibility that side effects such as sedation, confusion, and mental alertness may be enhanced if given with other drugs with this side effect.

      Grapefruit juice appears to decrease the rate and extent of absorption of fexofenadine (Allegra) by about 30%.

      Cetirizine (Zyrtec) has no reported interactions with grapefruit or grapefruit products. More studies are needed to determine if there are any interactions between second generation antihistamines and herbal products and other types of food. Always speak with your doctor of pharmacist before using any drugs in combination.

      Cost is similar for 30 Allegra and 30 Zyrtec tablets and both are available as generics.

      See also:Drugs.com Compare Tool — Allegra vs Zyrtec

      References

      1. Banfield C, Gupta S, Marino M, et al.

        Grapefruit juice reduces the oral bioavailability of fexofenadine but not desloratadine. Clin Pharmacokinet. 2002;41(4):311-8.

      2. Day JH1, Briscoe MP, Rafeiro E, et al. Comparative efficacy of cetirizine and fexofenadine for seasonal allergic rhinitis, 5-12 hours postdose, in the environmental exposure unit. Allergy Asthma Proc. 2005 Jul-Aug;26(4):275-82.
      3. Mann RD, Pearce GL, Dunn N, Shakir S. Sedation with “non-sedating” antihistamines: four prescription-event monitoring studies in general practice.

        BMJ?: British Medical Journal. 2000;320(7243):1184-1187.

      4. Sharma M, Bennett C, Cohen SN, Carter B. H1-antihistamines for chronic spontaneous urticaria. Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD006137. DOI: 10.1002/14651858.CD006137.pub2
      5. Meltzer EO, Caballero F, Fromer LM, Krouse JH, Scadding G. Treatment of congestion in upper respiratory diseases. International Journal of General Medicine.

        2010;3:69-91.

      6. Handa S, Dogra S, Kumar B. Comparative efficacy of cetirizine and fexofenadine in the treatment of chronic idiopathic urticaria.J Dermatolog Treat. 2004 Jan;15(1):55-7.
      7. Post-Nasal Drip. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/content/post-nasal-drip
      8. Slater JW1, Zechnich AD, Haxby DG.Second-generation antihistamines: a comparative review.Drugs.

        What is best allergy medicine over counter

        1999 Jan;57(1):31-47. http://www.ncbi.nlm.nih.gov/pubmed/9951950

      9. Simon FER, Simons KJ. H1 Antihistamines: Current Status and Future Directions. The World Allergy Organization Journal. 2008;1(9):145-155. doi:10.1186/1939-4551-1-9-145.
      10. Hampel F, Ratner P, Mansfield L, et al. Fexofenadine hydrochloride, 180 mg, exhibits equivalent efficacy to cetirizine, 10 mg, with less drowsiness in patients with moderate-to-severe seasonal allergic rhinitis. Ann Allergy Asthma Immunol. 2003 Oct;91(4):354-61.

      Itchy eyes, a congested nose, sneezing, wheezing and hives: these are symptoms of an allergic reaction caused when plants release pollen into the air, generally in the spring or drop.

      Numerous people use hay fever as a colloquial term for these seasonal allergies and the inflammation of the nose and airways.

      But hay fever is a misnomer, said Dr.

      What is best allergy medicine over counter

      Jordan Josephson, an ear, nose and throat doctor and sinus specialist at Lenox Hill Hospital in New York City.

      «It is not an allergy to hay,» Josephson, author of the book «Sinus Relief Now» (Perigee Trade, 2006), told Live Science. «Rather, it is an allergy to weeds that pollinate.»

      Doctors and researchers prefer the phrase allergic rhinitis to describe the condition. More than 50 million people experience some type of allergy each year, according to the Asthma and Allergy Foundation of America.

      In 2017, 8.1% of adults and 7.7% of children reported own allergic rhinitis symptoms, according to the Centers for Disease Control and Prevention (CDC). Worldwide, between 10 and 30% of people are affected by allergic rhinitis, Josephson said.

      In 2019, spring arrived early in some parts of the country and later in others, according to the National Phenology Network (NPN). Spring brings blooming plants and, for some, lots of sneezing, itchy, watery eyes and runny noses.

      According to NPN data, spring reared its head about two weeks early in areas of California, Nevada and numerous of the Southern and Southeastern states. Much of California, for example, is preparing for a brutal allergy season due to the large quantity of winter rain.

      What is best allergy medicine over counter

      On the other hand, spring ranged from about one to two weeks tardy in the Northwest, the Midwest and the Mid-Atlantic U.S. [Watch a Massive ‘Pollen Cloud’ Explode from Late-Blooming Tree]


      Tests & diagnosis

      A physician will consider patient history and act out a thorough physical examination if a person reports having hay-fever-like symptoms. If necessary, the physician will do an allergy test. According to the Mayo Clinic, people can get a skin-prick test, in which doctors prick the skin on a person’s arm or upper back with diverse substances to see if any cause an allergic reaction, such as a raised bump called a hive.

      [7 Strange Signs You’re Having an Allergic Reaction]

      Blood tests for allergies are also available. This test rates the immune system’s response to a specific allergen by measuring the quantity of allergy-causing antibodies in the bloodstream, according to the Mayo Clinic.


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