Obat Bebas Dan Resep Dokter Untuk Alergi

Pemberian obat alergi untuk penderita alergi bukan jalan keluar utama yang terbaik. Pemberian
obat jangka panjang adalah bentuk kegagalan mengidentifikasi dan menghindari penyebab.

 Oral antihistamines (pil dan sirup) Over-the-counter oral antihistamines loratadine

(Claritin) and cetirizine (Zyrtec). Desloratadine (Clarinex) and levocetirizine (Xyzal) are
available by prescription. Fexofenadine (Allegra) is available both over-the-counter and
by prescription. diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton) dan
clemastine (Tavist)
 Antihistamine nasal sprays azelastine (Astelin, Astepro) and olopatadine (Patanase).
 Antihistamine eyedrops ketotifen (Zaditor, Alaway, others) and pheniramine (Visine-
A, Opcon-A, others). emedastine (Emadine) and olopatadine (Patanol, others).

1. Over-the-counter: Allegra, Benadryl, Claritin, Chlor-Trimeton, Dimetane, Zyrtec, and

Tavist. Ocu-Hist is an OTC eye drop.\
2. Oral : Clarinex and Xyzal are oral medications. Astelin is a prescription nasal
antihistamine spray dan antihistamine eye drops Patanol and Elestat and Optivar.

Allergy Medications:
Older (generasi pertama) antihistamines:

 Diphenhydramine (Benadryl)
 Chlorpheniramine
 Brompheniramine
 Carbinoxamine (Palgic)
 Clemastine (Tavist Allergy)
 Cyprohepatdine
 Hydroxyzine (Vistaril)

Newer (generasi kedua) antihistamines:

 Cetirizine (Zyrtec)
 Desloratadine (Clarinex)
 Fexofenadine (Allegra)
 Loratadine (Claritin)
  Levocetirizine (Xyzal)

Antihistamine semprot hidung:

 Azelastine (Astelin, Astepro)

 Olopatadine (Patanase)

Kombinasi Antihistamine/decongestant

 Acrivastine (Semprex-D)
 Zyrtec-D
 Allegra-D
 Claritin-D

Teytes Mata Alergi :

 Azelastine (Optivar)
 Emadastine (Emadine)
 Naphazoline/pheniramine (Naphcon-A, Opcon-A, Visine-A)
 Epinastine (Elestat)
 Ketotifen (Zaditor, Alaway)
 Olopatadine (Patanol, Pataday)
 Loteprednol (Alrex, Lotemax)
 Naphazoline (AK-Con, Casocon, Albalan)
 Cromolyn (Crolom)
 Lodoxamine (Alomide)
 Nedocromil (Alocril)
 Pemirolast (Alamast)
 Ketorolac (Acular)

Korticosteroid Hidung:

 Budesonide (Rhinocort Aqua)

 Ciclesonide (Omnaris)
 Flunisolide
 Fluticasone furoate (Veramyst)
 Fluticasone propionate (Flonase)
 Mometasone furoate (Nasonex)
 Triamcinolone acetonide (Nasacort AQ)
 Beclomethasone dipropionate (Beconase AQ)

Steroids Hidung:

 Beconase, Flonase, Nasocort, Nasonex, Rhinocort, Veramyst, Qnasl, Zetonna, generic

fluticasone
Inhaled steroids :

 Azmacort, Flovent, Pulmicort, Asmanex, Q-Var, Alvesco, Aerobid

 Advair and Symbicort a

Eye drops steroid:

 Alrex, Dexamethasone.

Oral steroids:

 Deltasone, prednisone.

Mast cell stabilizers:

 Cromolyn sodium (Nasalcrom nasal spray)

Leukotriene drugs used for allergies:

 Montelukast (Singulair)

Nasal anticholinergics:

 Ipratropium bromide (Atrovent nasal spray)

Decongestants (Nasal):

 Oxymetazoline (Afrin)

Oral Decongestan
 Oral decongestants pseudoephedrine (Sudafed). Claritin-D, Phenylephrine
 Nasal decongestant sprays dan drops phenylephrine (Neo-Synephrine, others) and
oxymetazoline (Afrin, others).
 Decongestant tetes mata tetrahydrozoline (Visine others) and naphazoline (Clear Eyes,
others).
 kombinasi decongestant dan antihistamin: Allegra-D, Zyrtec-D

Obat Kombinasi
 Allegra-D, Claritin-D, Zyrtec-D, Benadryl Allergy and Sinus, Tylenol Allergy and Sinus.
 Semprex-D
 Naphcon, Vasocon, Zaditor, Patanol, Optivar

Steroids
  Nasal corticosteroid sprays fluticasone (Flonase), mometasone (Nasonex), budesonide
(Rhinocort Aqua), triamcinolone (Nasacort AQ) and beclomethasone (Beconase AQ),
fluticasone (Veramyst) and ciclesonide (Omnaris).
 Inhaled corticosteroids fluticasone (Flovent Diskus, Flovent HFA), budesonide
(Pulmicort Flexhaler), mometasone (Asmanex Twisthaler), beclomethasone (Qvar) dan
ciclesonide (Alvesco).
 Corticosteroid eyedrops dexamethasone (Maxidex, others), fluorometholone (FML)
and prednisolone (Pred Forte, Pred Mild).
 Corticosteroid skin creams hydrocortisone (Cortaid, others) dan triamcinolone
(Kenalog).
 Oral corticosteroids (pills dan sirup) prednisone (Prednisone Intensol) dan prednisolone
(Prelone)

Autoinjectable epinephrine
 Twinject, EpiPen and EpiPen Jr.

Mast Cell Stabilizers

 Intal, Tilade, Crolom, Alomide, Alocril, Opticrom, Alamast, Nasalcrom
 Mast cell stabilizer eyedrops cromolyn (Crolom), lodoxamide (Alomide), pemirolast
(Alamast), nedocromil (Alocril).

Leukotriene Modifiers
 Accolate (zafirlukast), Singulair (monteleukast), Zyflo (zileuton)

Topical steroids untuk alergi kulit:

 Aclometasone
 Fluocinolone
 fluocinonide (Lidex, Vanos)
 Hydrocortisone
 triamcinolone (Allernaze, Aristospan 5 mg, Aristospan Injection 20 mg, Kenalog 10
Injection, Nasacort AQ)
 desonide (DesOwen)
 flurandrenolide (Cordran Lotion, Cordran Tape)
 fluticasone (Advair Diskus, Advair HFA, Cutivate Cream, Cutivate Lotion, Cutivate
Ointment)
 mometasone (Asmanex Twisthaler, Elocon Ointment, Elocon, Nasonex, Elocon Lotion)
 prednicarbate (Dermatop Ointment, Dermatop Emollient Cream)
 Amcinonide
 betamethasone valerate (Luxiq, Cultivate Cream)
 desoximetasone (Topicort)
  diflorasone (Psorcon E Emollient Cream)
 halcononide (Halog Cream, Halog-E Cream)
 betamethasone dipropionate (Halog Ointment)
 clobetasol propionate (Halog Solution)
 halobetasol propionate (Ultravate Cream, Ultravate Ointment, Cortaid)

Penggolongan menurut USA system

The USA system menggunakan 7 kelas, yang diklasifikasikan oleh kemampuan mereka untuk
menyempitkan kapiler. Kelas I adalah yang terkuat atau superpotent. Kelas VII adalah yang
paling lemah dan paling ringan.

Group I

Sangat poten dan kuat potensinya 600 kali lebihkuat dibandingkan hydrocortisone

 Clobetasol propionate 0.05% (Dermovate)

 Betamethasone dipropionate 0.05% (Diprolene)
 Halobetasol proprionate 0.05% (Ultravate, Halox)
 Diflorasone diacetate 0.05% (Psorcon)

Group II

 Fluocinonide 0.05% (Lidex)

 Halcinonide 0.05% (Halog)
 Amcinonide 0.05% (Cyclocort)
 Desoximetasone 0.25% (Topicort)

Group III

 Triamcinolone acetonide 0.5% (Kenalog, Aristocort cream)

 Mometasone furoate 0.1% (Elocon ointment)
 Fluticasone propionate 0.005% (Cutivate)
 Betamethasone dipropionate 0.05% (Diprosone)

Group IV

 Fluocinolone acetonide 0.01-0.2% (Synalar, Synemol, Fluonid)

 Hydrocortisone valerate 0.2% (Westcort)
 Hydrocortisone butyrate 0.1% (Locoid)
 Flurandrenolide 0.05% (Cordran)
 Triamcinolone acetonide 0.1% (Kenalog, Aristocort A ointment)
 Mometasone furoate 0.1% (Elocon cream, lotion)

Group V
  Triamcinolone acetonide 0.1% (Kenalog, Aristocort,kenacort-a vail, cream, lotion)
 Fluticasone propionate 0.05% (Cutivate cream)
 Desonide 0.05% (Tridesilon, DesOwen ointment)
 Fluocinolone acetonide 0.025% (Synalar, Synemol cream)
 Hydrocortisone valerate 0.2% (Westcort cream)

Group VI

 Alclometasone dipropionate 0.05% (Aclovate cream, ointment)

 Triamcinolone acetonide 0.025% (Aristocort A cream, Kenalog lotion)
 Fluocinolone acetonide 0.01% (Capex shampoo, Dermasmooth)
 Desonide 0.05% (DesOwen cream, lotion)

Group VII

Kelas terlemah dari steroid topikal. Memiliki permeabilitas lipid yang lemah, dan tidak dapat
menembus membran mukosa baik.

 Hydrocortisone 2.5% (Hytone cream, lotion, ointment)

 Hydrocortisone 1% (Many over-the-counter brands)

Penggolongan Steroid Topical sesuai Potensinya

Nama merek dagang Nama Generik
CLASS 1—Potensi sangat kuat
Clobex Lotion/Spray/Shampoo, 0.05% Clobetasol propionate
Cormax Cream/Solution, 0.05% Clobetasol propionate
Diprolene Ointment, 0.05% Betamethasone dipropionate
Olux E Foam, 0.05% Clobetasol propionate
Olux Foam, 0.05% Clobetasol propionate
Temovate Cream/Ointment/Solution, 0.05% Clobetasol propionate
Ultravate Cream/Ointment, 0.05% Halobetasol propionate
Vanos Cream, 0.1% Fluocinonide
Psorcon Ointment, 0.05% Diflorasone diacetate
Psorcon E Ointment, 0.05% Diflorasone diacetate
CLASS 2—Potensi Kuat
Diprolene Cream AF, 0.05% Betamethasone dipropionate
Elocon Ointment, 0.1% Mometasone furoate
Florone Ointment, 0.05% Diflorasone diacetate
Halog Ointment/Cream, 0.1% Halcinonide
Lidex Cream/Gel/Ointment, 0.05% Fluocinonide
Psorcon Cream, 0.05% Diflorasone diacetate
Topicort Cream/Ointment, 0.25% Desoximetasone
Topicort Gel, 0.05% Desoximetasone
CLASS 3—Potensi Sedang Kuat
Cutivate Ointment, 0.005% Fluticasone propionate
Lidex-E Cream, 0.05% Fluocinonide
Luxiq Foam, 0.12% Betamethasone valerate
Topicort LP Cream, 0.05% Desoximetasone
CLASS 4—Potensi Sedang Kuat
Cordran Ointment, 0.05% Flurandrenolide
Elocon Cream, 0.1% Mometasone furoate
Kenalog Cream/Spray, 0.1% Triamcinolone acetonide
Synalar Ointment, 0.03% Fluocinolone acetonide
Westcort Ointment, 0.2% Hydrocortisone valerate
CLASS 5—Potensi Sedang Lemah
Capex Shampoo, 0.01% Fluocinolone acetonide
Cordran Cream/Lotion/Tape, 0.05% Flurandrenolide
Cutivate Cream/Lotion, 0.05% Fluticasone propionate
DermAtop Cream, 0.1% Prednicarbate
DesOwen Lotion, 0.05% Desonide
Locoid Cream/Lotion/Ointment/Solution, 0.1% Hydrocortisone
Pandel Cream, 0.1% Hydrocortisone
Synalar Cream, 0.03%/0.01% Fluocinolone acetonide
Westcort Cream, 0.2% Hydrocortisone valerate
CLASS 6—Potensi Sedang
Aclovate Cream/Ointment, 0.05% Alclometasone dipropionate
Derma-Smoothe/FS Oil, 0.01% Fluocinolone acetonide
Desonate Gel, 0.05% Desonide
Synalar Cream/Solution, 0.01% Fluocinolone acetonide
Verdeso Foam, 0.05% Desonide
CLASS 7—Potensi Lemah
Cetacort Lotion, 0.5%/1% Hydrocortisone
Cortaid Cream/Spray/Ointment Hydrocortisone
Hytone Cream/Lotion, 1%/2.5% Hydrocortisone
Micort-HC Cream, 2%/2.5% Hydrocortisone
Nutracort Lotion, 1%/2.5% Hydrocortisone
Synacort Cream, 1%/2.5% Hydrocortisone

Immunomodulators untuk alergi kulit:

 Pimecrolimus (Elidel)
 Tacrolimus (Protopic)