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Which of the symptoms listed below are you experiencing right now?
Pharmacist

Lady with allergy symptoms


Choose your allergy symptoms from the list below and see what is recommended.















Selection require a decongestant.
Pharmacist
An antihistamine will take of this.
Pharmacist
Symptom need a pain relief medication.
Pharmacist
A cough suppresant and / or something to loosen up the mucus is needed.
Pharmacist

 

Eye allergy relief eye drops will be needed.
Pharmacist
Symptoms require a decongestant and pain relief medications
Pharmacist
Symptoms require antihistamine and a pain reliever.
Pharmacist
Selections calls for cough/chest congestion and pain relief medications
Pharmacist
Better off with an eye allergy and a pain reliever.
Pharmacist
Symptoms require an antihistamine and a decongestant.
Pharmacist
Need an antihistamine and a cough relief medication.
Pharmacist
Symptoms require oral antihistamine with allergy relief eye drops.
Pharmacist
A decongestant and cough relief medications will be adequate.
Pharmacist
Need a decongestant and eye drops for the itch eyes.
Pharmacist
Eye drops for itchy eyes and cough relief medications should do it.
Pharmacist
Symptoms require antihistamine, decongestant and a pain reliever.
Pharmacist
Need an antihistamine, pain reliever and something for cough.
Pharmacist
Symptoms require an antihistamine, eye drops and a pain reliever.
Pharmacist
Selection require a decongestant, cough and pain relievers.
Pharmacist
Symptoms require a decongestant, eye drops and a pain reliever.
Pharmacist
Selection require an eye drop, cough and pain relievers.
Pharmacist
Need an antihistamine, decongestant and cough relief medication.
Pharmacist
Need an antihistamine, decongestant and an eye drop.
Pharmacist
Symptoms require an antihistamine, cough and allergy relief eye drops.
Pharmacist
Need a decongestant, cough and allergy relief eye drops.
Pharmacist
Will need an antihistamine, decongestant, cough and pain relievers.
Pharmacist
Need an antihistamine, decongestant, allergy eye drops and pain reliever.
Pharmacist
Need an antihistamine, allergy eye drops, cough and pain relievers.
Pharmacist
Need a decongestant, eye drops, cough and pain relief medications.
Pharmacist
Need an antihistamine, decongestant, cough relief and allegy eye drops.
Pharmacist
Okay.
You must have this allergy really bad.
Pharmacist

Your best bet would be to visit the nearest urgent care clinic. if you don't think so, here is what I recommend to use over-the-counter.

Talk about pain, antihistamine, cough, decongestant and itchyeyes relief.

 

Something to prevent or boost your resistance to allergy?

 

Preventive measures


 

Prevent exposure

Obviously, if you don't want to have symptoms, you will take preventing exposure to allergens seriously.

  • Get an app that shows you the pollen calendar and pollen counts in your area. Use it as a guide to prepare for outside activities.

  • Use allergy mask or something similar if you need to mow the lawn or do some gardening.

  • Smear petroleum jelly in the nasal passages when outdoors to trap pollen and prevent it from getting to the inner lining of the nose.

  • Wear sunglasses when outdoors if the pollen count is high.

  • Keep windows closed.

Intranasal steroids

This is the most effective preventive treatment. It is also the best choice if symptoms are moderate to severe.

The real benefit comes with daily use. Start about a week before the allergy season.

Know that you can start it anytime, but full beneficial effect may take up to 7 days of daily use.

The goal is to use it daily until the allergy season is over for effective and enjoyable allergy season.

Antihistamine

Take first thing in the morning before you step outside for effective prevention.

Remember, you have to get the antihistamine in there to block the histamine receptors before the histamine starts causing havoc.

 

All of these?
You must have this allergy really bad.
Pharmacist

Your best bet would be to visit the nearest urgent care clinic. if you don't think so, here is what I recommend to use over-the-counter.

Send to nearest urgent care.

 

None of these?
We must have left something out.

If you think you have allergy:

Please go back and choose the symptom(s) that you feel closely relate to what you have or might have had and let's recommend something for you.

Remember, there is no cure for allergy. All we can do is manage the symptoms.

 

Decongestants

 

A decongestant will relieve the blocked or stuffy nose.

Lady with itchy nose

Decongestants cause the blood vessels in the lining of the nose and sinuses to narrow. This reduces the stuffy nose or sinus congestion.

Go to the pharmacy counter and ask for pseudoephedrine.

We do not recommend phenylephrine tablets. They don't work.

Because an antihistamine will not relieve stuffy nose and a decongestant will not help with a runny nose, you may need a combination of both an antihistamine and a decongestant if you alternate between a runny and stuffy nose.

Go to the pharmacy counter and ask for something + D. Use the product comparison page of this app to choose a good combination that will fit your needs.

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Antihistamine

 

Contact with allergen cause mast cells in the nose, eyes, throat to release more histamine than usual.

Girl rubbing the eye

The results are itchy eyes, throat, runny nose, sneezing, red, watery eyes.

So you need an antihistamine to block histamine from reaching the cells to cause these symptoms.

Antihistamines are most effective when taken before you come in contact with the allergen.

If you are just starting out, you may have to try 2 or more types of antihistamine to find which will work best for you. So buy the pack of 5 tabs. This way if it does not work, you can switch to another antihistamine and not waste your money. Manufacturers know this. That is why they make packs of 5 tablets.

Compare antihistamines using the comparison part of this app to see which will work best for you. A quick link to the comparison table is given at the end of this page.

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Pain / Fever reducer

 

Inflammation and swelling of the sinuses and severe nasal congestion can lead to sinus pressure. This cause headaches, facial or sinus pain.

Woman with sinus pressure

It is usually better to take a decongestant along with a pain-relief medicine for headache or sinus pain.

You need to take care of the underlying cause of this pain before it will really go away.

Acetaminophen is preferred if it is just a headache.

Ibuprofen or naproxen is preferred if you have inflammation of the sinuses causing facial pain with a headache.
These also have anti-inflammatory properties compared to acetaminophen.

Combinations of pain-relief + decongestant is a good choice. Go to the pharmacy counter and ask for naproxen + D, or ibuprofen + D. Skip the ones in the cold medicine aisle. 

 

 

Cough Relief

 

Mucus dripping down the throat from the back of the nose (post nasal drip) will trigger the cough reflex.

Girl coughing

We normally do not recommend a cough medication for allergy situations. Because if you do not take care of what is causing it, you will keep coughing. Sometimes just drinking water is more effective than a cough medicine when it comes to allergy symptoms.

Lady coughing

Here are situations that will warrant getting a cough medicine:

  • Cough wakes you up at night.
    Dextromethorphan will suppress the cough for a good night's sleep.
    Diphenhydramine or doxylamine can suppress the cough while making you sleep.


  • Mucus has accumulated giving a feeling of chest congestion.
    You will need to thin the mucus so you can cough it out.
    Guaifenesin with drinking a lot of water should help with this.

 

 

 

Allergy Relief Eye Drops

 

Pollen or other allergens getting to the surface of the eyes can trigger histamine release leading to itchy, watery and even swollen eyes.

Woman using eye-drops

You will need antihistamine eye drops.

 

First choice

ketotifen fumarate opthalmic solution.
This work for up to 12 hours on a single dose and is more effective but more expensive. It is worth the cost. But don't sweat it if you can't afford it. Go with the second choice. You just have to use it more often.

Second choice:

Eye drops that end with a cap "A". Naphcon A®, visine A®, opcon A® and so on (A stands for Allergy).

They last for 4 to 6 hours. So be sure to carry them with you.
Choose this only if the first choice is too expensive for you.

 

See the product comparison section of this app for a good way to choose an allergy relief eye drops.

 

 

Steroidal Nasal Sprays

 

Intranasal steroids (INS) have anti-inflammatory properties.

Woman using nasal spray

The inside of your nose can easily become inflamed as a result of pollen or other allergens.

A steroidal nasal spray will relieve symptoms like runny nose, stuffy nose, sneezing, itchy nose by reducing or preventing this inflammation.

They are recommended for moderate to severe allergic rhinitis.

OK, how do you know you have moderate to severe allergic rhinitis?

You know if symptoms are:

  • Getting more difficult to tolerate.
  • Getting so bad that it is hard to function at school, home or work.
  • Interfering with your sleep.
  • Making you change antihistamines because one is no longer working as good.
  • Making you put off activities like mowing, gardening or sports.

If any one of these apply to you, add intranasal steroids to your regimen.  

Good examples are triamcinolone acetonide, fluticasone nasal spray. If one is not working for you after a month or 2, switch to a different ingredient type. For instance, if Flonase® is not working for you, switch to Nasacort®.

 

 

Multi-Symptoms

 

 

Worth doing

 

Allergy mask

Wear an allergy mask if you are going to mow the lawn, work in the garden do other outside chores around the house.

You will be surprised to see how much it helps.

Shower

Those green or yellow pollen sitting on your car during allergy season, they are also on your hair, skin, clothing and so on. You need to wash more often.

Your hair attracts more pollen than you can imagine. This include changing clothes more often.

 

 

Last updated by pharmacist on 02/25/2019 at 04:04:pm

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You can compare antihistamines or decongestants using our comparison table to see which will work best for you.


Antihistamine Decontestant

 

 

 

Know this about the safe and effective use of this recommendation.
Article photo

Lady with allergy symptoms

Our disclaimer

  • Recommendation is the opinion of a registegreen US Pharmacist currently practicing as a community pharmacist.
  • Recommendation is not an attempt to discuss all possible self care or treatment approach to this health challenge.
  • The responsibility of the recommending pharmacist is limited to this question:
    "If a patient presents with these symptoms, what will you recommend and why?"
    It is not an attempt to publish an article on the treatment of any condition. Just what would you tell a patient who present with so and so in the usual course of your practice.
  • The pharmacist image presented in this article may or may not be the actual image of the authoring pharmacist.
    Because we insist on using articles written by currently practicing community pharmacists, these pharmacists may choose to remain anonymous especially if they are employed by an employer to avoid being pressugreen to recommend a particular product to drive sales.
  • Please read the policies and terms of use for self-care OTC, selfcarepharmacist.com and it's affiliates by clicking on the button below.

 

 

 

 

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