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Treatment

Antihistamines

Sublingual Immunotherapy (SLIT) for indoor, outdoor, and food-related allergies

Targets the root cause of allergies by training your immune system over time

Convenient at-home treatment, shipped directly to you

Personalized formulas tailored to your specific allergy triggers

Clinician-guided care, prescribed and monitored by licensed Allergy Center providers

Starting at

$50/mo

Overview

Antihistamines block the effects of histamine, a chemical released during allergic reactions. They're a first-line treatment for allergic rhinitis, hives, and other allergic conditions.

types

otc

second Generation

  • Cetirizine (Zyrtec) - may cause some drowsiness
  • Loratadine (Claritin) - generally non-sedating
  • Fexofenadine (Allegra) - non-sedating

first Generation

  • Diphenhydramine (Benadryl) - sedating, short-acting
  • Useful for nighttime symptoms or acute reactions

prescription

options

  • Desloratadine (Clarinex) - non-sedating
  • Levocetirizine (Xyzal) - may cause some drowsiness
  • Rupatadine - for allergic rhinitis and chronic urticaria

advantages

May offer additional benefits or different side effect profiles

sedating

first Generation

  • Diphenhydramine, chlorpheniramine, brompheniramine
  • Cross blood-brain barrier, causing drowsiness
  • Useful for nighttime use
  • Can impair cognitive function and driving

considerations

Avoid during activities requiring alertness

non Sedating

second Generation

  • Cetirizine, loratadine, fexofenadine
  • Minimal to no drowsiness
  • Better for daytime use
  • Can be taken long-term

note

Some individuals may still experience drowsiness with cetirizine

dosing

tips

  • Take regularly for best results (not just when symptoms occur)
  • Can take 1-2 hours before known allergen exposure
  • Some work better when taken consistently
  • Follow package instructions or provider recommendations
  • Don't exceed recommended doses

timing

  • Morning dosing for daytime symptoms
  • Evening dosing if mild drowsiness is acceptable
  • Consistent timing improves effectiveness

uses

  • Allergic rhinitis (sneezing, runny nose, itchy eyes)
  • Urticaria (hives)
  • Allergic conjunctivitis
  • Mild allergic reactions

limitations

  • Less effective for nasal congestion (nasal steroids better)
  • May need combination with other medications
  • Not a substitute for epinephrine in anaphylaxis

Ready to Get Started?

Schedule a consultation to discuss your specific needs and create a personalized treatment plan.