Allergy Medical Therapy

Allergy symptoms can often be relieved through the use of over-the-counter or prescription medications and nasal sprays. Medical therapy provides short-term relief and may be enough of a solution for people with seasonal allergies or those whose symptoms are not severe.

If your symptoms do not improve with the use of medications, you should consult with an allergist over alternative treatments such as immunotherapy.


Skin test being administered -Allergy Testing
Antihistamines are often the go-to drug for treating allergy symptoms. They work by reducing or blocking histamines, chemicals produced by the immune system that are responsible for many common allergy symptoms including runny nose, stuffy nose and itchy, watery eyes. They are available in tablets, capsules, liquids, nasal sprays and eye drops. Antihistamines can cause side effects such as drowsiness, dry mouth, dizziness and nausea, though newer generation antihistamines have fewer side effects. Popular antihistamines include:

  • Allergra (Fexofenadine)

  • Benadryl (Diphenhydramine)

  • Claritin (Loratadine)

  • Chlor-Trimeton (Chlorpheniramine)

  • Zyrtec (Cetirizine)

  • Clarinex (Desloratadine)

  • Xyzal (Levocetirizine)


When your allergy symptoms include a stuffed-up nose, you’re better off using a decongestant for relief. Decongestants shrink swollen blood vessels and tissues that line the nose. They can be found in pills, liquids, nasal sprays and nose drops and are available over-the-counter or by prescription. Decongestants may increase anxiety or cause sleeping difficulty. If you have a medical condition such as glaucoma, high blood pressure, heart disease, thyroid disorder, diabetes or enlarged prostate, consult with a doctor before using. Common decongestants include:

  • Afrin, Dristan (Oxymetazoline)

  • Sudafed (Pseudoephedrine)

In addition, many antihistamines also contain a decongestant, such as:

  • Allegra-D

  • Claritin-D

  • Tavist-D

Nasal Corticosteroids

Nasal corticosteroids are nasal sprays that help to reduce inflammation of the nasal lining associated with allergies. They can be extremely effective at relieving symptoms, but may cause nosebleeds, nasal dryness and sore throat. Nasal corticosteroids are generally safe to use long-term. They are usually available by prescription only. Common brands include:

  • Flonase (Fluticasone)

  • Nasonex (Mometasone)

  • Nasacort (Triamcinolone)

  • Rhinocort (Budesonide)

  • Sensimyst (Fluticasone)

Decongestant Nasal Sprays

Decongestant nasal sprays are generally available over-the-counter. They provide short-term relief from nasal allergy symptoms but wear off quickly. Overuse can lead to a “rebound effect” in which symptoms worsen. Patients are advised not to use decongestant nasal sprays for longer than three days. Popular brands include:

  • Afrin

  • Dristan

  • Vicks Sinex

Eye Drops

Allergy eye drops help relieve the symptoms of eye allergies. If you are experiencing itchy or watery eyes, a burning sensation in the eyes, redness and swelling, you can benefit from either over-the-counter or prescription eye drops. They are available in several different types including antihistamines, anti-inflammatory, decongestants, mast cell stabilizers and lubricating eye drops. Some of the more common brands include:

  • Clear Eyes (Naphazoline)

  • Visine (Tetrahydrozoline)

  • Refresh, Systane (Ocular Lubricant)

  • Claritin Eye, Alaway, Zaditor (Ketotifen)

  • Alamast (Pemirolast)

  • Opcon-A, Naphcon A (Naphazoline/Pheniramine)

Leukotriene Inhibitors

These prescription medications block another allergy mediator called leukotriene. They can help with nasal allergies, asthma and skin allergies. Possible side effects include mood changes.

Mast Cell Inhibitors

Mast cell inhibitors are medications that prevent allergy symptoms such as runny nose or itchy, watery eyes from occurring. They work by inhibiting the release of histamines the immune system produces in response to allergens such as pollen. They are available in the form of nasal sprays and eye drops, and must be taken a week or two before the start of allergy season, and continued on a daily basis for the duration of the season. Nasalcrom (nasal cromolyn) is a common mast cell inhibitor.

Asthma Inhalers

Inhalers are the most common and effective way to deliver drugs to the lungs. Bronchodilators work to suppress allergic lung diseases (shortness of breath, asthma, wheezing) by loosening constricted airways while anti-inflammatory (inhaled steroids) drugs prevent asthma attacks and reduce the swelling and mucus production in the airways. Some of the more common types of inhalers include:

  • Short Acting Beta Agonists (SABA): Ventolin, ProAir, Proventil and Xopenex

  • Inhaled Corticosteroids/Long Acting Muscarinic Antagonists (ICS/LABA): Advair, Dulera, Symbicort and Breo

  • Inhaled corticosteroids (ICS): Flovent, Qvar and Pulmicort

  • Long Acting Muscarinic Antagonists (LAMA): Spiriva

Call The Allergy Center at Sacramento Ear, Nose & Throat at (916) 736-6644 for more information or to schedule an appointment