Allergies can hit suddenly and ruin your day. You don’t always need a prescription to feel better—simple steps and the right over-the-counter medicines often bring fast relief. Below I’ll walk you through clear options, quick fixes, and when to get medical help.
Antihistamines ease sneezing, itching, and runny nose. Common OTC choices: cetirizine (usually 10 mg once daily), loratadine (10 mg once daily), and fexofenadine (often 120–180 mg once daily). Cetirizine can make some people drowsy; loratadine and fexofenadine are less likely to do that. If one antihistamine doesn’t control symptoms, a different one might—your body responds uniquely.
For nasal congestion, pseudoephedrine is effective but can't be used long-term; expect side effects like jitteriness or increased heart rate. Oxymetazoline nasal spray works fast for stuffy nose but should only be used for 3 days to avoid rebound congestion. Saline nasal rinses are safe and help clear pollen and mucus without drugs.
Intranasal steroid sprays (fluticasone, budesonide) reduce inflammation and work best when used regularly for several days. They’re a top choice for moderate or persistent symptoms. If OTC options fail, allergy shots or prescription pills can reduce symptoms over months and sometimes offer lasting benefit.
If you’re pregnant, choose carefully: saline rinses are safe, and some steroid nasal sprays are commonly recommended by doctors. Decongestant pills and sprays have limits during pregnancy—check our guide on nasal sprays in pregnancy before taking anything.
Kids need medication dosed for their age and weight. Never give adult-strength pills to a child. For asthma or wheeze linked to allergies, talk to a pediatrician—rescue inhalers and specific prescriptions may be necessary.
Non-drug steps matter. Avoid triggers when possible: keep windows closed on high-pollen days, use a HEPA filter, shower after being outdoors, and wash bedding weekly in hot water. For pet allergies, create pet-free bedrooms and wipe down surfaces often.
When to see a doctor: if you have trouble breathing, tight throat, facial swelling, or symptoms that don’t improve with OTC meds. Also see a specialist if symptoms hurt your sleep, work, or daily life—there are effective treatments beyond pills and sprays.
Want more detail? Read our guides on fexofenadine alternatives, pregnancy-safe nasal sprays, and allergy prevention tips for home. Small changes plus the right medicine usually get you back to feeling normal fast.