Theoretically, antihistamines may reduce the congestion of mucous membranes and decrease obstruction of tubes lined by mucous membrane, such as the Eustachian tube. An open Eustachian tube would allow the middle ear pressure to equalize to ambient air pressure. It may also allow drainage of fluid from the middle ear.
Over-the-counter options are also available. If ETD is caused by allergies, antihistamines such as Benadryl and Zyrtec may help you find relief. OTC pain relievers like Tylenol and Advil may also help relieve mild pain caused by ETD.
We prefer non-drowsy antihistamines such as Claritin, Zyrtec, and Xyzal so you can keep your eyes open during the day. You can look for their generic counterparts — loratadine, cetirizine, and levocetirizine — which are, once again, just as effective and cheaper.
“The first line of defense for those experiencing muffled hearing or clogged ears due to allergies is over-the-counter antihistamines,” says Patel. “Medications like Claritin, Zyrtec and their generic bottles can begin working within a few days.”
Over-the-counter medications can help if allergies are causing eustachian tube dysfunction. Try antihistamines (like cetirizine or diphenhydramine) to ease your symptoms. If you have discomfort, pain relievers — such as acetaminophen or ibuprofen — can help.
Blocked eustachian tubes can be relieved by nasal sprays and antihistamine tablets, which reduce inflammation and congestion. Recurrent eustachian tube dysfunction requires the surgical placement of tubes in the eardrum, which allows pressure to equalize in the middle ear.
If your ears are plugged, try swallowing, yawning or chewing sugar-free gum to open your eustachian tubes. If this doesn't work, take a deep breath and try to blow out of your nose gently while pinching your nostrils closed and keeping your mouth shut. If you hear a popping noise, you know you have succeeded.
Pseudoephedrine is used to relieve nasal or sinus congestion caused by the common cold, sinusitis, and hay fever and other respiratory allergies. It is also used to relieve ear congestion caused by ear inflammation or infection.
All ZYRTEC® medicines start working at hour 1 on the first day you take it.
Do allergy medicines help ear infections? No. Allergy medicines — such as antihistamines and decongestants — are often used to dry out excess fluids in the body. The latest clinical guidelines from the American Academy of Family Physicians do not recommend using antihistamines or decongestants for ear infections.
Eustachian tube massage
Using firm, steady pressure, slide your finger down until you feel a groove between your ear lobe and jaw. Trace that groove all the way down your neck to your collarbone using the same firm pressure. Repeat this process three times on each side, three times a day.
The treatment for ETD is aimed at opening up the eustachian tube in the back of the nose. The main treatment is using a steroid nasal spray to help shrink the tissue where the ear drains. Nasal steroid (Flonase, Nasonex, Nasacort) – 2 sprays into each nostril twice daily.
NASAL STEROID SPRAYS. These sprays decrease swelling in your nose and your Eustachian tubes to help them pop open. Nasal steroid sprays must be used everyday to be effective and often take 5-7 days before you will notice their benefit.
Is it safe to take Zyrtec every day? Yep. "When taken in the recommended doses, antihistamines can be taken daily. This is especially true with Zyrtec, since it doesn't show decreasing effectiveness if used daily," says Sima Patel, MD, an allergist at New York Allergy & Sinus Centers.
Sandoz issued a voluntary recall of 1,023,430 units of Zyrtec (10 mg) capsules as a result of failed impurities and a specification being reported for impurity at the 21-month stability time point, according to an FDA Enforcement Report.
Try to leave 10 to 12 hours between doses. So, one first thing in the morning, and one before bedtime. For children between 2 to 5 years of age, the dose is 2.5mg, twice a day.
If mucous membrane congestion is caused by allergy then anti‐allergy medications such as antihistamines may work to reduce congestion and similarly improve Eustachian tube dysfunction.
When your sinuses are blocked, or irritated, your Eustachian tubes can become blocked as well. This is why sinus medication can help you clear your ears. Antihistamines (Chlophenarimine, Entex, ternafdine (Seldane) will help. Also, decongestants as discussed above and nasal steroids can help.
A saltwater gargle can aid in reducing mucus in both the nose and the ears. It is also an easy remedy. To use a saltwater gargle, a person needs to add a little salt to some water and mix them together. Once mixed, they should gargle the salt water for a few seconds then spit it out.
The most common cause of Eustachian tube dysfunction is when the tube become swollen (inflamed) and mucus or fluid builds up. This can be caused by a cold, the flu, a sinus infection, or allergies. Some people are at greater risk for Eustachian tube dysfunction.
Chronic eustachian tube dysfunction is the condition where the eustachian tubes are in a seemingly endless state of being blocked. They may be closed for months on end, leading to long-term symptoms of inner-ear pain and hearing difficulty.
Elevation (aka sleeping upright)
Sleeping sitting up can allow fluid in your ear to drain easier, as well as easing pressure and pain in your middle ear – the likely source of the infection itself. Try propping yourself up on a stack of pillows, or better yet sleep in a reclining sofa or armchair.
You may be able to open the blocked tubes with a simple exercise. Close your mouth, hold your nose, and gently blow as if you are blowing your nose. Yawning and chewing gum also may help. You may hear or feel a "pop" when the tubes open to make the pressure equal between the inside and outside of your ears.
Eustachian tube dysfunction usually resolves in a few days to two weeks without treatment. You can take certain actions to open up the tubes, such as swallowing, yawning, or chewing gum.