Benadryl. The first-generation antihistamine diphenhydramine is the main active ingredient in Benadryl. Benadryl helps relieve runny nose, sneezing, itchy or watery eyes, and nose or throat itching.
Allergists recommend long-acting, non-sedating antihistamines — ones that won't make you sleepy — for everyday use. Though you may know them by their brand names, the generic versions tackle the same problems: Cetirizine (Zyrtec®, Aller-Tec®, Wall-Zyr®). Fexofenadine (Allegra®, Aller-ease®, Aller-Fex®, Wal-Fex®).
Cetirizine is the most potent antihistamine available and has been subjected to more clinical study than any other.
Claritin and Zyrtec are popular over-the-counter antihistamines. Doctors consider them safe and effective treatments for minor allergies. Both are second-generation antihistamines. These cause less drowsiness than first-generation antihistamines.
Greg Panico, a spokesman for Janssen Pharmaceutica, which is owned by Johnson and Johnson, said that the withdrawal was a voluntary business decision. “The decision to voluntarily discontinue it recognises that the allergy marketplace is crowded with a number of other drugs,” Mr Panico said.
Telfast contains fexofenadine hydrochloride, which is a non-drowsy antihistamine. Telfast 180 mg is used in adults and adolescents of 12 years and older to relieve the symptoms that occur with long term allergic skin reactions (chronic idiopathic urticaria) such as itching, swelling and rashes.
Cetirizine has the fastest onset of action among the newer antihistamines. Fexofenadine does not impair psychomotor or cognitive skills and shows no dose-related increase in sedation but has a slower onset of action than diphenhydramine and cetirizine.
Pros: Zyrtec is a renowned antihistamine that's known for performing faster (“starts working at hour 1”) than some of its competitors. This makes it exceptionally useful if you're desperate for quick relief from common symptoms of allergic rhinitis (also known as hay fever), like a runny nose and watery eyes.
Diphenhydramine is an antihistamine medicine that relieves the symptoms of allergies. It's known as a drowsy (sedating) antihistamine and is more likely to make you feel sleepy than other antihistamines.
It's important to note that long-term use of first-generation antihistamines, like Benadryl, may increase the risk of dementia and cognitive decline, research suggests. And there's always a risk of taking too much of an antihistamine, especially with long-term use.
Depending on your symptoms, you can take antihistamines: Every day, to help keep daily symptoms under control. Only when you have symptoms. Before being exposed to things that often cause your allergy symptoms, such as a pet or certain plants.
You shouldn't take prescription antihistamines if you also are taking certain other prescription medicines. These include erythromycin (an antibiotic), or certain medicines used to treat fungal infections. These include itraconazole or ketoconazole.
For many people with allergies, symptoms are the worst around 4 a.m. to 6 a.m. Taking an antihistamine at bedtime may help you or your child feel better in the morning during allergy season.
You should not use Zyrtec-D if you have narrow-angle glaucoma, severe high blood pressure (hypertension), severe coronary artery disease, if you are unable to urinate, or if you are allergic to hydroxyzine (Atarax, Vistaril). Do not use this medicine if you have taken an MAO inhibitor in the past 14 days.
Do not take 2 antihistamines together unless recommended by your doctor.
Summary. Natural antihistamines may help you control your seasonal allergies. Common ones are stinging nettle, vitamin C, quercetin, butterbur, bromelain, and probiotics. Some alternative practices—such as acupuncture, nasal irrigation, and exercise—may also help you manage symptoms.
So what can older adults safely take for allergy relief? Wozniak: Newer antihistamines such as Claritin® (loratadine) and Allegra® (fexofenadine) tend to be safer and better tolerated.
If there is no histamine, then antihistamines can't relieve symptoms. If antihistamines aren't working for you and you have allergy-like symptoms, it may not be a bad allergy season—but instead something non-allergic you're reacting to.
Cetirizine and fexofenadine reduced TSSC scores (p < 0.001) and individual symptoms (p < 0.05) more than placebo. However, cetirizine was more effective than fexofenadine (p < 0.05) for runny nose and sneezing (12 hours and overall), itchy/watery eyes (12 hours), and itchy nose/throat/palate (overall).
For relief of the symptoms of urticaria, the usual dosage for adults and children over 12 years of age is one Telfast 180mg tablet daily when required. Do not take more than the recommended dose and remember, this medicine is for you.
Telfast 180mg can be taken daily for relief from seasonal hayfever allergy symptoms. As allergy symptoms often peak in the morning, fast-acting (within 1 hour) treatments such as Telfast 180mg can help provide relief from seasonal hayfever allergy when you need it most.
Xyzal is one of the newer, third-generation antihistamines used to treat allergies. It is available OTC and by prescription.