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Treating allergies can involve different medications, including steroids and allergy shots, but usually the first

thing to try is an antihistamine. How Antihistamines Treat Allergies When your body comes into contact with whatever your allergic trigger is -- pollen, ragweed, pet dander, dust mites, for example -- it makes chemicals called histamines. They cause the tissue in your nose to swell (making it stuffy), your nose and eyes to run, and your eyes to itch. Sometimes you may also get an itchy rash on your skin, called hives. Antihistamines reduce or block histamines, so they stop allergy symptoms. Antihistamines work well to relieve symptoms of different types of allergies, including seasonal (hay fever), indoor, and food allergies, but they can't relieve every symptom. To treat nasal congestion, your doctor may recommend taking a decongestant. Some drugs combine an antihistamine and decongestant. What Types of Antihistamines Are Available? Antihistamines come in different forms, including tablets, capsules, liquids, nasal sprays, and eyedrops. Some are only available by prescription. Others you can buy over the counter (OTC) at your local pharmacy. Examples of prescription antihistamines include: Astelin, Astepro (azelastine) nasal sprays Atarax, Vistaril (hydroxyzine) Clarinex (desloratadine) Cyproheptadine (generic only) Emadine (emadastine) eyedrops Livostin (levocabastine) eyedrops Optivar (azelastine) eyedrops Palgic (carbinoxamine) Xyzal (levocetirizine) Examples of OTC antihistamines: Allegra (fexofenadine) Benadryl (diphenhydramine) Dimetane (brompheniramine) Claritin, Alavert (loratadine) Tavist (clemastine) Chlor-Trimeton (chlorpheniramine) Zyrtec (certirizine) Eyedrops likes Emadine and Livostin treat symptoms of eye allergies, including itchy, watery eyes. Some medications, like Allegra-D, Claritin-D, and Zyrtec-D, combine an antihistamine and a decongestant to relieve congestion. Side Effects of Antihistamines Antihistamines can cause side effects, and some cause more side effects than others. Drugs such as Benadryl, Chlor-Trimeton, and Tavist and belong to an older group known as "first-generation" antihistamines. They tend to cause more side effects, particularly drowsiness. Newer-generation antihistamines such as Allegra, Clarinex, and Zyrtec and have fewer side effects, so they may be a better choice for some people.

Some of the main side effects of antihistamines include: Dry mouth Drowsiness Dizziness Nausea and vomiting Restlessness or moodiness (in some children) Trouble urinating or not being able to urinate Blurred vision Confusion If you're taking an antihistamine that causes drowsiness, try to take it before bedtime. Dont take it during the day before driving or operating heavy machinery. Read the label before you take an allergy drug. Antihistamines may interact with other medications you are taking. Talk to your doctor first if you have an enlarged prostate, heart disease, high blood pressure, thyroid problems, kidney or liver disease, a bladder obstruction, or glaucoma. Also check with your doctor if you are pregnant or nursing.

http://www.webmd.com/allergies/guide/antihistamines-for-allergies

Antihistamines for Severe Allergic Reactions


Antihistamine pills such as diphenhydramine (Benadryl) or chlorpheniramine (Chlor-Trimeton) are included in allergy kits to stop or reduce itching, hives, sneezing and wheezing, and other symptoms caused by an allergic reaction. They are not a substitute for an epinephrine shot. Many allergic symptoms, such as hives and wheezing, occur when a chemical called histamine is released as part of the allergic reaction to an allergen.Antihistamine medicines block the release of histamine. Antihistamines can make people sleepy or make it harder for them to concentrate. These medicines should be used carefully by people who need to drive or operate heavy machinery. Other side effects include dry mouth, nauseaand vomiting, restlessness or irritability (especially in children), inability to urinate, and blurred vision. Don't give antihistamines to your child unless you've checked with the doctor first.
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Peppermint oil is derived from the peppermint plant, a cross between water mint and spearmint, that thrives in Europe and North America. Peppermint oil is commonly used as flavoring in foods and beverages and as a fragrance in soaps and cosmetics. But peppermint oil also is used for a variety of health conditions and can be taken orally in dietary supplements containing low doses. Low concentrations can also be applied to the skin. When used as directed, dietary supplements and skin preparations... Read the Peppermint Oil article > >

Allergy Medications
In general there is no cure for allergies, but there are several types of medications available -- both over-thecounter and prescription -- to help ease and treat annoying symptoms like congestion and runny nose. These allergy drugs includeantihistamines, decongestants, combination drugs, corticosteroids, and others. Allergy shots, which gradually increase your ability to tolerate allergens, are also available. Antihistamines Antihistamines have been used for years to treat allergy symptoms. They can be taken as pills, liquid, nasal spray, or eye drops. Over-the-counter (OTC) antihistamine eye drops can relieve red itchy eyes, while nasal sprays can be used to treat the symptoms of seasonal or year-round allergies. Examples of antihistamines include:
Managing

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Over-the-counter: Allegra, Benadryl,Claritin, Chlor-Trimeton,


Dimetane, Zyrtec, and Tavist. Ocu-Hist is an OTC eye drop.

Prescription: Clarinex and Xyzal are oral medications. Astelin is a


prescription nasal antihistamine spray and prescription antihistamine eye drops include Patanol andElestat and Optivar.

Does your child miss school due to allergies? If so, you're not alone. Seasonal allergies are believed to affect as many as 40% of U.S. children. On any given day, about 10,000 of those children miss school because of their allergies. That's a total of more than 2 million lost school days every year. Even if your child doesn't miss school, allergies can get in the way of a productive school day, so managing allergies at school is an important part of caring for your child's health. Read the Managing Allergies at School article > >

How Do Antihistamines Work? When you are exposed to an allergen , for example ragweed pollen, it triggers your immune system. People with allergies demonstrate an exaggerated immune response. Immune system cells known as "mast cells" release a substance called histamine, which attaches to receptors in blood vessels, causing them to enlarge. Histamine also binds to other receptors causing redness, swelling, itching, and changes in secretions. By blocking histamine and keeping it from binding to receptors, antihistamines prevent these symptoms. What Are the Side Effects of Antihistamines? Many older over-the-counter antihistamines may cause drowsiness. Newer, non-sedating second and third generation antihistamines are available over-the-counter or by prescription. Decongestants Decongestants relieve congestion and are often prescribed along with antihistamines for allergies. They can come in nasal spray, eye drop, liquid, or pill form. Nasal spray and eye drop decongestants should be used for only a few days at a time since long-term use can actually make symptoms worse. Pills and liquid decongestants may be taken longer safely. Some examples of decongestants include:

Sudafed tablets or liquid, Neo-Synephrine and Afrin nasal sprays, and some Visine eye drops are available
over the counter. Combination decongestant and antihistaminemedications such as Allegra-D or Zyrtec-D can be prescribed or bought over the counter.

How Do Decongestants Work? During an allergic reaction, tissues in your nose may swell in response to contact with the allergen. That swelling produces fluid and mucous. Blood vessels in the eyes can also swell, causing redness. Decongestants work by shrinking swollen nasal tissues and blood vessels, relieving the symptoms of nasal swelling, congestion, mucus secretion, and redness. What Are the Side Effects of Decongestants? Decongestants may raise blood pressure, so they typically are not recommended for people who have blood pressure problems or glaucoma. They may also causeinsomnia or irritability and restrict urinary flow.

Combination Allergy Drugs Some allergy drugs contain both an antihistamine and a decongestant to relieve multiple allergy symptoms. Other drugs have multiple effects aside from just blocking the effects of histamine, such as preventing mast cells from releasing other allergy inducing chemicals. Some examples of combination allergy medicines include:

Over-the-counter: Allegra-D, Claritin-D, Zyrtec-D, Benadryl Allergy and Sinus,Tylenol Allergy and Sinus. Prescription: Semprex-D for nasal allergies. Naphcon, Vasocon, Zaditor,Patanol, and Optivar for
allergic conjunctivitis. Also, Dymista combines an antihistamine with a steroid for in a nasal spray for seasonal nasal allergies.

Steroids Steroids, known medically as corticosteroids, can reduce inflammation associated with allergies. They prevent and treat nasal stuffiness, sneezing, and itchy, runny nose due to seasonal or year-round allergies. They can also decrease inflammation and swelling from other types of allergic reactions. Systemic steroids are available in various forms: as pills or liquids for serious allergies or asthma, locally acting inhalers for asthma, locally acting nasal sprays for seasonal or year-round allergies, topical creams for skin allergies, or topical eye drops for allergic conjunctivitis. In addition to steroid medications, your physician may decide to prescribe additional types of medications to help combat your allergic symptoms. Steroids are highly effective drugs for allergies, but they must be taken regularly, often daily, to be of benefit -even when you aren't feeling allergy symptoms. In addition, it may take one to two weeks before the full effect of the medicine can be felt. Some steroids include:

Nasal steroids: Beconase, Flonase, Nasocort, Nasonex, Rhinocort, Veramyst, Qnasl, Zetonna, and generic
fluticasone are used to treat nasal allergy symptoms.

Inhaled steroids : Azmacort, Flovent, Pulmicort, Asmanex, Q-Var, Alvesco, and Aerobid are used to treat
asthma. Advair and Symbicort are inhaled drugs called bronchodilators that combine a steroid with another drug to treat asthma. Inhaled steroids are available only with a prescription. Eye drops: Alrex and Dexamethasone.

Oral steroids: Deltasone, also called prednisone.

What Are the Side Effects of Steroids? Steroids have many potential side effects, especially when given orally, systemically, and for a long period of time. Side effects of steroids with short-term use include:

Weight gain
Fluid retention High blood pressure Potential steroid side effects with long-term use include: Growth suppression Diabetes Cataracts of the eyes Bone thinning osteoporosis Muscle weakness Side effects of inhaled steroids may include cough, hoarseness, or fungal infectionsof the mouth. Bronchodilators Bronchodilators are inhaled drugs used to control asthma symptoms and are available only with a prescription. A short-acting bronchodilator is used to provide quick relief for asthma symptoms during an attack. Long-acting bronchodilators can provide up to 12-hours of relief from asthma symptoms, which is helpful to people who suffer from nighttime asthma problems.

How Do Bronchodilators Work? Bronchodilators relax the muscle bands that tighten around the airways. This rapidly opens the airways, letting more air in and out of the lungs, improving breathing. Bronchodilators can also help clear mucus from the lungs. As the airways open, the mucus can move more freely and is then more easily expelled. Generally one or two puffs of an inhaler relieve the wheezing and chest tightness associated with a mild attack. It may be necessary to take more puffs for severe attacks. You should speak with your health care provider about developing an asthma plan. Some types of bronchodilators include:

Ventolin, Proventil, Pro-Air


Xopenex Maxair

What Are the Side Effects of Bronchodilators? Bronchodilators are potent drugs. If overused, they can cause dangerous side effects such as high blood pressure and a fast heartbeat.

Mast Cell Stabilizers Mast cell stabilizers can be used to treat mild to moderate inflammation in the bronchial tubes and other allergy symptoms. These medications can also be used to prevent asthma symptoms during exercise and can be given before exposure to an allergen when it cannot be avoided. Mast cell stabilizers are available as inhalers for asthma, eyedrops for allergic conjunctivitis, and nasal sprays for nasal allergy symptoms. Like with many drugs, it may take several weeks before the full effects are felt. Some examples of mast cell stabilizers include: Intal Tilade Crolom Alomide Alocril Opticrom Alamast Nasalcrom How Do Mast Cell Stabilizers Work? Mast cell stabilizers work by preventing the release of histamine from mast cells (cells that make and store histamine). Some of these drugs also have important anti-inflammatory effects, but typically they are not as effective as steroids. What Are the Side Effects Mast Cell Stabilizers? Throat irritation, coughing or skin rashes sometimes can occur with inhaled mast cell stabilizers. Some people associate a bad taste with the use of Tilade. Using a spacer to take the medicine and drinking juice following treatment may decrease the taste. Mast cell stabilizers in the form of eye drops may cause burning, stinging, or blurred vision when they are administered. Leukotriene Modifiers Leukotriene modifiers are used to treat asthma and nasal allergy symptoms. They can be prescribed along with other drugs. These medications are available only with a doctor's prescription and come as pills, chewable tablets, and oral granules. Examples of leukotriene modifiers include: Accolate (zafirlukast) Singulair (monteleukast) Zyflo (zileuton)

How Do Leukotriene Modifiers Work? Leukotriene modifiers block the effects of leukotrienes, chemicals produced in the body in response to an allergic reaction.

What Are the Side Effects of Leukotriene Modifiers? Side effects of these drugs are rare, especially for Accolate and Singulair, but may include:

Stomach pain or stomach upset


Heartburn Fever Stuffy nose Cough Rash Headache Irritability Behavioral issues

Other Over-The-Counter Products Some simple over-the-counter products can help with allergy symptoms. They include: Salt-water solution, or saline, is available as a nasal spray to relieve mild congestion, loosen mucus, and prevent crusting. These sprays contain no medicine. Artificial tears, which also contain no medicine, are available to treat itchy, watery, and red eyes. Immunotherapy Immunotherapy, or allergy shots, may be the most effective form of treatment if you suffer from allergies more than three months of the year. These shots expose you to gradually increasing levels of the offending allergen to help your immune system build tolerance. See our full article on allergy shots for more information.