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Take Charge – Treat Runny Nose, Cough, and Watery Eyes the Right Way!

A young couple came to the pharmacy the other day. The man looked miserable – with itchy, swollen, watery eyes, a stuffy nose and an awful cough. His girlfriend came to the pharmacy and said, “My boyfriend is sick and has been a baby about this and he snores at night!” What can I give her?

All of his symptoms were caused by histamines (which are released when we have a cold or allergies). Histamine can also cause hives (a bumpy, red, itchy rash). So, we treat them by taking an ANTIhistamine. The antihistamine neutralizes some or all of the histamines to alleviate our symptoms. Antihistamines come in many forms: oral, topical, nasal sprays, and eye drops.

These oral antihistamines can help relieve cold/allergy symptoms and hives…

The following are available over the counter:

1. Benadryl (diphenhydramine) -Best for rashes and taken at bedtime if patient cannot sleep due to cold/allergy symptoms (this will help symptoms and cause drowsiness).

2. Allergy to Dimetapp (brompheniramine)

3. Chlor-Trimeton (chlorpheniramine)

4. Tavist (clemastine) The above antihistamines work well but can cause a lot of sedation for most people (although some young children can become hyperactive). It has been estimated that up to 90% of Benadryl sold is used as a sleeping pill.

Helpful Hint: Diphenhydramine (the active ingredient in Benadryl) is used in most over-the-counter sleeping pills and can be used to treat motion sickness.

5. Claritine and Alavert (loratadine)

6. Zyrtec (cetirizine) The above two usually do not cause drowsiness. They are available in generics, in combination products with pseudophedrine (decongestants) and in formulations for children from 2 years old to adults.

The following antihistamines are available with a prescription…

7. Xyzal (levocetirizine) -Ideal for rashes and itchy skin due to allergies. It often causes drowsiness.

8. Allegra (fexofenadine) -Option for those that an over-the-counter antihistamine does not work or causes too much drowsiness. It is available in generic!

9. Clarinex (desloratadine) -It does not come in a generic and has not really been proven to help any more than the OTC generic Claritin.

If you have questions about how to deal with other allergy or cold symptoms, check out this other article.

Although all medications are antihistamines, they work differently for each person. You may need to try a few to see which one works for you.

Oral antihistamines are also used to treat acid reflux, motion sickness and dizziness…but that’s a story for another time.

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