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What is the best medication for allergies?

By Daniel More, MD, About.com

Updated: October 8, 2007

About.com Health's Disease and Condition content is reviewed by our Medical Review Board

Question: What is the best medication for allergies?

Answer: There are numerous medications available for the treatment of allergy symptoms. In general, a medication that works particularly well for one person may not work for another, especially when the allergy symptoms are different. That being said, there has been numerous studies published comparing the effects of antihistamines, nasal steroids, and antileukotriene medications (such as Singulair).

Nasal steroid sprays, such as Flonase (fluticasone), Nasonex (mometasone) and various others, show the best efficacy in treating allergic rhinitis. The downside to these medications is that for best effect, they need to be used regularly. And, while many people don't like the idea of spraying a medicine in their nose, the benefit of symptom relief is worth the trouble. Nasal sprays can also help eye allergies, although studies on this effect are inconsistent.

Anthistamines, such as Zyrtec (cetirizine), Allegra (fexofenadine) and Clarinex (desloratadine), are also very effective therapies for the treatment of allergies. These medications tend to work quite well on an as-needed basis, with an improvement of symptoms within an hour or two of taking the medication. Oral antihistamines also work quite well for the treatment of eye allergies. And, of course, there's nothing easier than swallowing a pill to treat your allergies.

Singulair (montelukast) is a medication that works similar to an antihistamine, but blocks another chemical mediator of allergies, called leukotrienes. This medication is indicated for the treatment of allergies and asthma, but is not a great medication for either. I tend to prescribe Singulair in conjunction with another medication, such as an antihistamine.

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Source:

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.

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.

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