The medicines below are used to treat allergic rhinitis. Ask your doctor if there are any other steps you need to take. Use medicine as your doctor tells you. If you have any questions or concerns, call your doctor.
There are many types of medicines to ease symptoms. Your doctor may have you take more than one type. This is because they work in different ways. Talk to your doctor or pharmacist about which combinations are safe.
Oral Decongestants and Antihistamine Combinations
Mast Cell Stabilizer for the Nose
Antihistamines block or lower the action of a certain chemical released by the immune system. Blocking it helps lessen allergy symptoms. These can be in a pill or nose spray.
Some problems are:
Decongestants clear a stuffy nose by making blood vessels smaller. Antihistamines block or lower the action of a certain chemical released by the immune system.
Some problems are:
These are sprayed or breathed into the nose. They will ease a stuffy nose and other problems with allergies.
Some problems are:
Cromolyn is preventative. It changes how the body responds to allergens. It's best to use this before you're exposed to an allergen or the start of allergy season.
Some problems are:
This can also prevent allergy symptoms. It works by lowering the numbers of a certain chemical that leads to inflammation.
Some problems are:
The US Food and Drug Administration advises this medicine should have a label warning. This is because of a link between taking it and having thoughts of taking your own life. If you have any of these thoughts, call your doctor right away. Don't stop taking this on your own. Talk to your doctor first.
Many of these are older and can cause drowsiness. But both loratadine and cetirizine are newer and don't cause this problem.
These don't cause drowsiness:
Antihistamines block or lower the action of a certain chemical released by the immune system. Blocking it helps lessen allergy symptoms.
Some problems are:
Decongestants clear a stuffy nose by making blood vessels smaller.
If you are taking medicines:
Allergy shots. American College of Allergy, Asthma & Immunology website. Available at: https://www.aaaai.org/conditions-and-treatments/library/allergy-library/allergy-shots-(immunotherapy). Accessed February 14, 2020.
Allergic rhinitis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/allergic-rhinitis. Updated July 9, 2018. Accessed February 14, 2020.
Allergic rhinitis treatment. Asthma and Allergy Foundation of America website. Available at: https://www.aafa.org/allergy-treatments/. Updated March 2018. Accessed February 14, 2020.
5/6/2010 DynaMed Systematic Literature Surveillance. https://www.dynamed.com/condition/allergic-rhinitis. Segall N, Gawchik S, Georges G, Haeusler JM. Efficacy and safety of levocetirizine in improving symptoms and health-related quality of life in US adults with seasonal allergic rhinitis: a randomized, placebo-controlled study. Ann Allergy Asthma Immunol. 2010;104(3):259-267.
Last reviewed September 2019 by
EBSCO Medical Review Board Marcin Chwistek, MD
Last Updated: 12/9/2020