Benadryl (diphenhydramine) is the strongest and most effective first-generation antihistamine, says Roberto Garcia-Ibáñez, M.D., a board-certified allergist and immunologist at The Allergi Group in Tampa, Florida. It's often administered in the emergency room to treat an allergic reaction, he adds.
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®).
“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.”
Telfast, and other prescription-only antihistamine tablets, work in the same way as over-the-counter antihistamines, but are stronger and intended to help with more severe symptoms. You can request Telfast through our online service, without having to see a doctor face to face.
“Claritin is a 24-hour antihistamine that works in the same way as Zyrtec, however, research has found that Claritin may be less potent than Zyrtec and therefore less effective,” explains Dr. Parikh. Although potential side effects may also be minimized as a result, she adds.
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.
A nonprescription oral antihistamine, such as loratadine (Alavert, Claritin, others), cetirizine (Zyrtec Allergy, others) or diphenhydramine (Benadryl Allergy, others), may help relieve itching. Consider whether you might prefer a type that doesn't cause drowsiness. Ask your pharmacist about options.
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.
Most antihistamines can be bought from pharmacies and shops, but some are only available on prescription.
Both medications are used to treat the same symptoms, including sneezing, runny nose, itchy eyes, itchy throat, and hives. In a clinical trial, both medications appeared to be equally effective in treating allergy symptoms.
Since both medications have a common core chemical structure, Zyrtec and Xyzal generally have the same level of effectiveness, onset of action, and range of allergy symptoms treated. Xyzal is slightly less drowsy, so if drowsiness is an issue with your allergy medicine, Xyzal is better than Zyrtec.
Studies have shown equal effectiveness for Zyrtec and Claritin for allergic rhinitis and urticaria. Studies have not compared the effects of Zyrtec and Claritin for conditions such as postnasal drip, but research suggests intranasal antihistamines such as azelastine are more effective.
Though the newer antihistamines all appear to be equally safe and effective, some people may respond better to one than another. So if, for example, cetirizine doesn't seem to help, try fexofenadine or loratadine, Hong says.
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. Symptoms of nonallergic rhinitis include: Sneezing. Runny or stuffy nose.
Taking more than your usual dose is unlikely to harm you. If you take an extra dose, you might get some of the common side effects. If this happens or you're concerned, contact your doctor.
For the relief of the symptoms of hayfever, the usual dosage for adults and children over 12 years of age is one Telfast 120 mg tablet daily when required, or one Telfast 180 mg tablet daily, when required.
There are three strengths of fexofenadine tablet available - 30 mg, 120 mg and 180 mg. The 30 mg strength is for treating hay fever in children aged 6-12 years; the 120 mg strength is for treating adults with hay fever; and the 180 mg strength is for chronic urticaria.
Louis report that allergens in the environment often are to blame for episodes of acute itch in eczema patients, and that the itching often doesn't respond to antihistamines because the itch signals are being carried to the brain along a previously unrecognized pathway that current drugs don't target.
Hydroxyzine is used in adults and children to relieve itching caused by allergic skin reactions. It is also used alone or with other medications in adults and children to relieve anxiety and tension.
First generation antihistamines, while very effective at controlling symptoms, are often associated with symptoms in older adults such as anxiety, confusion, sedation, blurred vision, reduced mental alertness, urinary retention and constipation.
Xyzal is one of the newer, third-generation antihistamines used to treat allergies.
Taking too much antihistamine can lead to adverse side effects and a potential antihistamine overdose. Antihistamines are a class of medication that treat allergy symptoms, such as sneezing, runny nose, and itching. As with any medication, taking too much can be harmful.