Leukotriene blockers. Montelukast (Singulair®), was originally developed for asthma approximately 10 years ago, and is approved for the treatment of allergic rhinitis in children as young as 6 months of age. Studies show that this medication is not as good at treating allergies as the oral anti-histamines, but may be better at treating nasal congestion. In addition, the combination of montelukast and an oral anti-histamine may be better at treating allergies than either medication alone.
Montelukast may be of particular benefit for children with mild asthma and allergies, since it is indicated for both medical conditions. The medication must be taken daily for best effects, and usually takes a few days before it starts working. Side effects are mild and include headaches, abdominal pains and fatigue.
Allergy Shots
Allergy shots, or immunotherapy, have been shown to be particularly helpful in childhood allergies. These are not typically considered in children less than 5 years of age, and many cases need to be individualized based on the maturity and cooperativeness of the child.Recent studies show that allergy shots, when administered in children for allergic rhinitis, may prevent the development of asthma, both during and 3 years after immunotherapy.
Learn more about allergy shots and when they should be considered.
Note: All prescribed and over-the-counter medications should be used only as directed by prescription, package labeling or as instructed by the child's physician.
Sources:
- 1. Dykewicz MS, Fineman S, editors. Diagnosis and Management of Rhinitis: Complete Guidelines of the Joint Task Force on Practice Parameters in Allergy, Asthma and Immunology.
- 2. American Academy of Allergy, Asthma and Immunology.
- 3. American College of Allergy, Asthma and Immunology.
- 4. Peters-Golden. Ann Allergy Asthma Immunol. 2005;94:609-618.
- 5. Meltzer E, et al. J Allergy Clin Immunol. 2000;105:917-22.
- 6. Mõller et al. J Allergy Clin Immunol. 2002;109:251.
DISCLAIMER: The information contained in this site is for educational purposes only, and should not be used as a substitute for personal care by a licensed physician. Please see your physician for diagnosis and treatment of any concerning symptoms or medical condition.
