AAAAI Allergy & Asthma Medication Guide

Last updated: November 2008

Allergy Medications

Generic name

Brand Name

Class

Use

Dosage

Tips and Product Link

Acrivastine

Semprex-D Capsules

Antihistamine
Decongestant
Rx

Allergic rhinitis

Age 12 and above, one capsule every 4 to 6 hours.

Do not take if you have high blood pressure or narrow angle glaucoma.

May cause sedation.

Pregnancy Category C

Brompheniramine

This generic medication appears in several combination products under a variety of different names.

Antihistamine

OTC

Allergic rhinitis and other allergies

Read package label or discuss the proper dosing with your physician.

Children under 6: discuss use with physician.

Available by itself as well as in combination with decongestants.

May cause sedation.

Pregnancy Category C

 

carbinoxamine

Palgic 4mg Tablets

Palgic Liquid (4mg/5 mL)

generic

Antihistamine

Seasonal and perennial allergic rhinitis

Other allergies

Tablets:
Adults:1 to 2 tablets, 3 to 4 times a day
Age 6 to adult: 1 to 1½  tablets; 3 to 4 times a day

Liquid:
Adults: 1-2 teaspoons; 3 to 4 times a day.
Children older than 6: 1 to 1 ½ teaspoons; 3 to 4 times a day.

Ask physician for dose under 6.

Do not use under age 2.

Palgic Web site

Pregnancy Category C

May cause sedation.

Be careful about carbinoxamine in combination products: FDA and Carbinoxamine.

Cetirizine

Adults:

  • Zyrtec

Children:

  • Zyrtec Allergy Syrup
  • Zyrtec Chewable 5mg
  • Zyrtec Chewable 10mg
  • Zyrtec Hives Relief Syrup

Antihistamine

 

OTC

Seasonal and perennial allergic rhinitis

 

Chronic urticaria

Children:
6 to 12 months: 1/2 tsp. (2.5 mg) once a day.
1 to 5 years: 1/2 tsp. [2.5 mg] Once or twice a day.
6 to 11 years: 1 or 2 tsp. [5 or 10 mg] Once a day.

May cause mild sedation.

With or without food.

Zyrtec Web site

Pregnancy Category B

Also appears as the generic cetirizine tablets and syrup as well as store brands of cetirizine.

12 and older: 5 or 10 mg once a day.

Zyrtec-D 12 Hour

Antihistamine
Decongestant
OTC

Seasonal and perennial allergic rhinitis

Age 12 and older:
One tablet twice daily.

Combination of antihistamine (cetirizine) and a decongestant (pseudoephedrine).

Zyrtec-D Package Insert

Pregnancy Category C

Not to be used by people with high blood pressure or narrow angle glaucoma.

Chlorpheniramine

Sold as
Chlor-Trimeton and under various store brand names or in combination products.

Antihistamine
OTC

Allergic rhinitis and other allergies

Discuss proper adult dosing with your physician.

Under age 6: Discuss use with physician.

This is available by itself as well as in combination with decongestants.

May cause sedation.
                     
Pregnancy Category C

Clemastine

Generic 1.34 Tab
Generic 2.68 Tab
Generic Syrup 0.5mg/5 mL
Tavist Allergy

Antihistamine

OTC (Syrup & 1.34mg tab)

Rx (2.68 tab)

Allergic rhinitis

Urticaria

Children: 1 tsp twice a day.
Adults: 1.34 to 2.68 one to three times daily.

May cause sedation.

Tavist can appear as a part
 of several combination products.

Pregnancy Category B

 

Cyproheptadine

 

Generic Syrup
2mg/5mL

Antihistamine

Rx

Allergic rhinitis

Urticaria

Children:
2 to 6 years old:
0.25 mg/kg/day increasing to total of 2mg every 8 to 12 hours.

Age 7 to 14:
Can increase to 4 mg every 8 to 12 hours.

May cause sedation.

Weight gain is side-effect.

Has anti-serotonin action besides antihistamine effect.

No web link available.

Pregnancy Category B

Generic tablets
4 mg

Adults:
Allergic rhinitis 4 mg up to 3 times a day.
Urticaria: 4 mg/3 times a day up to 0.5 mg/kg/day.

Desloratadine

Clarinex 5mg Tablets
Clarinex 5mg Reditab
Clarinex 2.5mg Reditab
Clarinex 2.5mg/5 mL Syrup

Antihistamine

Rx

Seasonal allergic rhinitis:
Age 2 and older

Perennial allergic rhinitis: 6 months and older

Chronic urticaria:
6 months and older

Age 12 and older: 5 mg daily.

Age 6 to 11: 2.5mg daily.

Age 6 to 11 months: 2 mL = 1.0 mg daily.

Non-sedating.

Clarinex Web site

Desloratadine is a refined version of loratadine (Claritin).

Pregnancy Class C

Clarinex-D 12 Hour
Clarinex-D 14 Hour

Antihistamine/decongestant

Rx

Seasonal allergic rhinitis age 12 and older

Age 12 and older:
Clarinex-D 12 Hour: 1 tablet every 12 hours.

Clarinex-D 24 Hour: 1 tablet once a day.

This is an extended release tablet of a combination of Clarinex with pseudoephedrine so that nasal congestion is reduced.

Caution with conditions such as heart disease, high blood pressure and glaucoma.

Pregnancy Category C

Clarinex and Clarinex D Web site

diphenhydramine

Available as:

  • Generic
  • Benadryl
  • Various combination products

Antihistamine

OTC
Rx (50mg)

Seasonal allergic rhinitis

Urticaria

Motion sickness

Insomnia

Age 2 to 6:
Under physician’s supervision.

Age 6 to 12:
12.5 to 25 mg every 4 to 6 hours.

Adults:
25 to 50 mg every 4 to 6 hours.

May cause sedation.

Found in many combination products.

Pregnancy Category B

Benadryl Web site

fexofenadine

Allegra
30, 60 and 180 mg tablets

Allegra ODT 30 mg

Allegra Oral Suspension 30mg/5mL

Fexofenadine (generic)
30, 60 and 180 mg tablets

Antihistamine

Rx

Seasonal allergic rhinitis

Chronic urticaria

Allegra Tablets:

  • Seasonal allergic rhinitis
  • Chronic urticaria
    • 12 and older
      • 60 mg twice daily or 180 mg once a day
    • Age 6 to 11:
      • 30 mg twice a day

Allegra ODT:

  • Seasonal allergic rhinitis
  • Chronic urticaria:
    • Age 6 to 11:
      • One 30 mg ODT twice a day

Allegra Oral Suspension:

  • Seasonal allergic rhinitis
    • Age 2 to 11:
      • 30 mg twice a day
  • Chronic urticaria
    • Age 6 months to 2 years:
      • 15 mg twice a day
    • Age 2 to 11:
      • 30 mg twice a day

 

Non-sedating

Allegra Web site

Avoid taking Allegra with fruit juices such as apple, orange and grapefruit.

Best taken with water.

Allegra ODT can be taken without water.

Pregnancy Category C

Allegra-D 12 Hour

Allegra-D 24 hour

Antihistamine
Decongestant

Rx

Seasonal allergic rhinitis

Age 12 and older:
One tablet twice a day

The 24-hour tablet is one a day.

Non-sedating

Allegra-D Package Insert

Not to be used by people with high blood pressure or narrow angle glaucoma.

Pregnancy Category C

Hydroxyzine

Hydroxyzine HCl:
Tablets: 10,25  and 50 mg
Hydroxyzine HCl Syrup: 10 mg/5 mL

Hydroxyzine pamoate and Vistaril:
Capsules 10, 25 and 50 mg
Oral Suspension: 25 mg/5 Ml

 

 

Antihistamine

Rx

Itching associated with skin allergies

Under 6: Discuss with physician.

Ages 6 to 12: 12.5 to 25 mg every 6 to 8 hours.

Age 12 and older: 25 to 50 mg every 6 to 8 hours.

Very sedating

Also used for anxiety, nausea, sedation, insomnia.

Atarax = hydroxyzine HCl

Vistari = hydroxyzine pamoate

Vistaril Information from Pfizer

No pregnancy category, discuss with physician.

levocetirizine

Xyzal 5mg Tablet
Xyzal Oral Solution
(2.5mg = 5 mL)

Antihistamine

Rx

Seasonal and perennial allergic rhinitis

Chronic urticaria

Age 6 to 11: 1 teaspoon (5 mL) or ½ tablet once a day in PM.

Age 12 and older:
2 teaspoons (10mL) or 1 tablet each PM.

Xyzal is a refined version of cetirizine (Zyrtec).

Sedating

Pregnancy Category B

Xyzal Web site

Adjust dose with kidney disease.

 

Loratadine

Alavert Tablets
Claritin Tablets
Claritin RediTabs
Claritin Syrup
Generic versions

Antihistamine

OTC

Allergic rhinitis

Chronic urticaria

Age 2 to 6:  5 mg daily.
Age 7 and above: 10 mg daily.

Non-sedating

Alavert Web site

Claritin Web site

Pregnancy Category B

Claritin-D 12 Hour
Claritin-D 24 Hour

Antihistamine
Decongestant
OTC

Allergic rhinitis

Claritin D12 Hour: Age 12 and above, one tablet twice daily.
Claritin D24 Hour: One tablet daily in the AM.

These are combinations of loratadine with pseudoephedrine.

Do not take if you have high blood pressure.

Claritin-D Information

Pregnancy Category C

Montelukast

Singulair
4 mg Chewable
4 mg Oral Granules
5 mg Chewable
10 mg Tablet

Leukotriene antagonist

Seasonal allergic rhinitis
(age 2 and older).

Perennial allergic rhinitis
(age 6 months and older).

Age 6 to 23 months: Use granules, 4mg daily.

Age 2 to 5: One oral granule packet or 4 mg chewable tablet once a day.

Age 6 to 14: One 5 mg tablet once
Daily.

Age 15 and above: One 10 mg tablet once daily.

Oral granules to be mixed with applesauce, carrots, rice or ice cream.

4 and 5 mg tablets are chewable.

This is the same medication that is also approved for asthma control.

Singulair Web site

Pregnancy Category B

 



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