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.
It may also allow drainage of fluid from the middle ear. 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.
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. If your symptoms last more than two weeks, see a doctor.
The following medication can be prescribed to help relieve the symptoms of an inner ear infection: Antihistamines - desloratadine (Clarinex), or over-the-counter options such as loratadine (Claritin), diphenhydramine (Benadryl), or fexofenadine (Allegra).
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.
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.
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.
“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.”
Decongestants and Antihistamines
A decongestant like Sudafed (pseudoephedrine) or an antihistamine like Benadryl (diphenhydramine) can help relieve some of the symptoms of an infection. They will cure the cause of your middle ear fluid build-up if related to a dysfunction or swollen Eustachian tube.
If the Eustachian tubes become inflamed – typically due to illness or allergies – mucus or fluid can build up. This improper drainage causes the pressure, fullness, pain, and/or hearing changes that characterize the condition.
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.
Eustachian tube dysfunction (ETD) can be treated primarily with a combination of time, autoinsufflation (eg, an Otovent), and oral and nasal steroids (budesonide, mometasone, prednisone, methylprednisolone). The results of one study suggest that intranasal steroid sprays alone do not help eustachian tube dysfunction.
Conclusions: Eustachian tube dysfunction may be due to underlying inhalant and/or food allergies. Even patients with refractory cases of patulous eustachian tube and eustachian tube obstruction who have not responded to traditional medical and surgical management may do well on specific allergy therapy.
“Zyrtec is found to be more potent, or stronger, in laboratory studies, compared with Claritin,” says Dr. Kung. “It also reaches a higher concentration in the skin, which can be more helpful for skin-related allergies. However, Zyrtec has a greater chance of making you sleepy while taking it.”
However, for some people, the side effects of antihistamine medications used to treat allergy symptoms can occasionally include tinnitus.
Take an oral decongestant such as Sudafed, which can dry up the fluid in the ear that causes the pain.
Sometimes, your eustachian tubes can become blocked due to colds, allergies or infections. Clogged eustachian tubes may resolve on their own or with the use of decongestants, antibiotics or other medications.
Blocked eustachian tubes often get better on their own. For adults, decongestants that you take by mouth or spray into your nose may be helpful. If you have allergies, the doctor may prescribe a steroid medicine that you spray into your nose. Follow the instructions carefully.
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.
Prednisone should start to work within a couple hours, but it may be a couple days before you see its full effects.
Pseudoephedrine is an ingredient found in oral decongestants. Oral decongestants are used in the treatment of eustachian tube dysfunction (ETD) and can help decrease peritubal edema provoked by allergies or URI.