如果你或你的孩子患有allergies, you know how important it is to have reliable, over-the-counter (OTC) allergy medicine at your disposal. OTC allergy medicines help relieve itchy, watery eyes, sneezing, and a runny nose, while OTC nasal steroid spray relieves these symptoms plus congestion.
Allergy medicines (also known as antihistamines) work by blocking the effects of histamine, a chemical our body releases when it detects something it perceives to be harmful, like an allergen or illness.When shopping for an OTC allergy medicine, it’s important to consider your symptoms, type of antihistamine, medication side effects, and age appropriateness. Additionally, you should determine the form of medication you want to take, such as a tablet, nasal spray, or eye drops.
We spoke to four board-certified allergists about how different allergy medicines work and what makes them effective. Then, our staff members and their families who take allergy medicine regularlytested our selected products at homeand shared their experiences with us via a survey. Specifically, they used the allergy eye drops every day for at least one week, taking note of how their eyes felt and how easy it was to administer the drops. When it came to the tablets, liquid, and nasal sprays, they used these medications for longer periods of time—some for months—to truly gauge their effectiveness on long-term relief from and prevention of allergy symptoms. In addition, a family physician on ourMedical Review Boardalso reviewed this article for medical accuracy and integrity surrounding allergy treatment and prevention for both kids and adults.
What to Look for in an OTC Allergy Medicine
Type of Antihistamine
With such a variety of antihistamines on the market, knowing which one to choose can be confusing. Our list features seven of the top types of antihistamines, including fexofenadine hydrochloride (HCl) (Allegra), cetirizine HCl (Zyrtec and Amazon Basic Care All-Day Allergy), loratadine (Claritin), fluticasone propionate (Flonase), diphenhydramine HCl (Benadryl), levocetirizine (Xyzal), and naphazoline HCl (Opcon-A).
According to Laura Chong, MD, board-certified allergist of the Oklahoma Allergy and Asthma Clinic, "The main side effect to be on the lookout for is [drowsiness], since it can cross the blood-brain barrier." In general, non-drowsy antihistamines are the best choice for most people. If you're looking for an OTC allergy medicine that won't make you sleepy, our best overall pick,Allegra Adult 24-Hour Non-Drowsy Antihistamine, is a great choice. Children over the age of 12 and adults can take one 180-milligram tablet per day but should be on the lookout for side effects, like dizziness or nausea. We also recommendClaritin 24-Hour Allergy MedicineandChildren's Claritin Chewables 24-Hour Allergy Reliefas effective, non-drowsy options.
While other allergy medicines likeZyrtec 24-Hour Children's Allergy SyrupandXyzal Allergy Tabletsdon't typically cause drowsiness, it can be experienced by a small percentage of people. When trying these medications, it's best to do so at night until you're sure they won't make you sleepy.
如果你怀孕了,仙特明,Xyzal,定一个re the "allergy medicines of choice," says Cliff Bassett, MD, spokesperson for the Asthma and Allergy Foundation of America, but "it's important to speak with your OB/GYN before using antihistamines and other allergy medicines."
Medicine Format
The four most common types of antihistamines are tablets, liquids, nasal sprays, and eye drops. Choosing which format to take primarily depends on your preference and the symptoms. Another important factor to consider is the age recommendation. "The antihistamine nasal spray can be used down to age 6, while the oral medications (liquid form) and eye drops with some products can be used down to age 2," says Dr. Chong. Some manufacturers also offer children's nasal spray that can be used starting at age 2, such asChildren's Flonase Sensimist.
Depending on which method of medication you decide to use, they each offer relief from those pesky allergy symptoms.
- Pill:Taken orally, pills are great for easing a runny nose and itchy/watery eyes. Some OTC pills may cause drowsiness, making you tired throughout the day.
- 喷鼻剂:A spritz of spray through your nostrils will help relieve any itching or congestion. With antihistamine nasal sprays, you may feel drowsy or have a bitter taste left behind in your mouth. This won't occur with steroid nasal sprays.
- Liquid:Also taken orally. Depending on the antihistamine, it may cause you to feel drowsy, but it will help relieve any allergy symptoms you're experiencing.
- Eye Drops:This format is available over the counter or through a prescription. They can help with itchy and red eyes, but headaches are a possible side effect.
Most young children prefer to take liquid medication, such asZyrtec 24-Hour Children's Allergy Syrup. If your kid likes chewables, thenChildren's Claritin Chewables 24-Hour Allergy Reliefwould be a great option for them.
According to New York-based allergist Aaron Westreich, MD, most people try oral antihistamines first. While these are helpful, intranasal steroids, such asFlonase Allergy Relief Nasal Spray, are his go-to allergy medication. "The nasal treatments are going to provide the most benefit when used consistently," says Dr. Westreich.
Allergy Symptoms
In addition to the medicine format, your symptoms will dictate the type of allergy medicine you take. If you’re experiencing itchy, watery eyes, sneezing, or a runny nose, Dr. Bassett shares that OTC allergy medicines can be helpful. If you have these symptoms along with congestion, he recommends an OTC nasal steroid spray, such asFlonase Allergy Relief Nasal Spray.
If your symptoms are isolated to your eyes, we recommend tryingBausch + Lomb Opcon-A. These eye drops are clinically proven to reduce itching and redness in the eyes and are described as “life-changing” by one of our editors who uses the drops.
If your allergies are induced by pets,Xyzal Allergy Tabletsmight work well for you. These tablets start working in just one hour and provide up to 24-hour relief from sneezing, runny nose, and itchy, watery eyes caused by animal dander.
When it comes to controlling your allergies, Dr. Westreich says that consistency is key. Taking your allergy medications as directed on a regular basis is the best way to stay on top of your symptoms.
Side Effects
Antihistamines have a broad range of side effects that largely depend on the type and dose you take. First-generation antihistamines, such asBenadryl Ultratabs, last about 4-6 hours and commonly cause drowsiness, fatigue, dry mouth, and clumsiness, which is why it’s not recommended to take Benadryl if you plan to operate a car or machinery.
Fortunately, many newer, second-generation antihistamines last longer and are non- or low-sedating, says Dr. Bassett, adding that “Zyrtec, Xyzal, Allegra, and Claritin (or their generic formulation) are less likely to have major side effects compared to older, first-generation antihistamines.”
Another option for an OTC allergy medicine with limited side effects isGenexa Allergy Care. Although its homeopathic formula and effectiveness haven't been evaluated by the U.S. Food and Drug Administration (FDA), its manufacturer says it's safe for kids as young as 3 years old and is meant to address symptoms like sneezing, congestion, runny nose, and an itchy throat and eyes.
Age-Appropriateness
The two populations that have to avoid certain antihistamines are children under the age of 2 and adults over the age of 65. This is because young children are more prone to side effects from antihistamines, including sedation, irritability, and gastrointestinal issues.
Adults over the age of 65 are more susceptible to the effects of antihistamines and are at risk of experiencing anxiety, confusion, sedation, blurred vision, urinary retention, and constipation. This is especially true when taking first-generation antihistamines.
Best Overall
Allegra Adult Non-Drowsy Antihistamine Tablets
Provides relief in just one hour
Non-drowsy formula
Safe for kids 12 and older
Pills are large and can be difficult to swallow
Can’t be taken with juice
Allegra Adult 24-Hour Allergy Relief is our top pick because it relieves symptoms in just one hour. It’s strong enough to tackle a runny nose, sneezing, and an itchy throat or eyes, and it works for both indoor and outdoor allergies. One of our editors, who suffers from severe allergies, describes it as very effective and says it makes her feel "almost human again."
Another great feature about the Allegra Adult 24-Hour is that it keeps your allergies at bay for an entire day. It also won’t make you drowsy, thanks to its active ingredient, fexofenadine HCl (which stands for hydrochloride, a salt used to make many different medicines). It should also last you more than two months, since this package comes with 70 pills.
When taking this antihistamine, you’ll find that the pills are on the larger side and may be difficult to swallow. When doing so, it’s important that you take it with water and not juice—specifically, apple juice—because it will decrease the effectiveness of fexofenadine due to a compound interaction.And as long as your kiddo is at least 12 years old, they can safely take this medication.
Price at time of publication: $26
Key Specs:
Form:Tablets |Active Ingredients:Fexofenadine HCl|Age Recommendation:12 years and up
对K最好ids
Zyrtec 24 Hr Children’s Allergy Syrup
Safe for kids 2 years old and up
Free from dyes and sugar
24-hour relief
Can make some kids feel sleepy
Most medications that relieve a runny nose aren't recommended for little kids, but Zyrtec 24-Hour Children's Allergy Syrup is safe for kids as young as 2 years old. According to one of our editors, this allergy medication is consistently great at relieving her 3-year-old's allergies and he experiences no side effects.
Although it's a non-drowsy formula, Zyrtec Children's can make some kids feel sleepy.If this happens to your child, we recommend giving it to them before bedtime. No matter when they take it, Zyrtec will quickly relieve their runny nose, sneezing, and itchy throat or eyes. Its yummy grape flavor is both dye- and sugar-free.
As an alternative, older kids (6 years and up) can tryZyrtec Children's 24 HR Dissolving Allergy Relief Tablets, which have a citrus flavor and dissolve under the tongue. This formula contains 10 mg of cetirizine HCl, while the syrup formula only contains 2.5 mg of the active ingredient per dose for younger kids.
Price at time of publication: $8
Key Specs:
Form:Syrup |Active Ingredients:Cetirizine HCl|Age Recommendation:2 years and up (syrup), 6 years and up (tablet)
对K最好ids Runner Up
Claritin Children's Claritin Chewables 24-Hour Allergy Relief
Safe for kids 2 years and up
Non-drowsy formula lasts up to 24 hours
Option of either bubblegum or grape flavor
No dye-free option
Contains aspartame
When testing Children's Claritin Chewables, we found it very effective in keeping allergies in check for kids who reportedly suffered from severe allergies. Its active ingredient, loratadine, is a non-drowsy antihistamine that relieves a runny nose, sneezing, and itchy throat or eyes caused by more than 200 different indoor and outdoor allergens, including dust, mold, pollen, and pet dander.
Children's Claritin provides allergy relief for up to 24 hours, which is especially helpful for those who put up a fight when it comes to taking medicine. Our editor's young child, who used to require a drink and snack when taking antihistamines, has no issues with the bubblegum or grape flavor and happily takes these chewables on his way to school.
It's important to note that these pink and purple chewables contain a few controversial ingredients. The first is artificial dyes, which some families prefer to avoid. The second is aspartame, which is a commonly used sugar substitute and is found in products like sugar-free soda. In July 2023, the International Agency for Research on Cancer (a research department of the World Health Organization) classified aspartame as possibly carcinogenic, which means it can cause cancer in humans.However, the amount of aspartame in Claritin is considered safe and well below the current acceptable daily intake established by the FDA.
Price at time of publication: $29
Key Specs:
Form:Chewables |Active Ingredients:Loratadine|Age Recommendation:2 years and up
Best Prescription-Strength
Zyrtec 24-Hour Allergy Relief Tablets
Starts working in as little as 20 minutes
Reduces inflammation in the nasal passages
Safe for kids 6 years and up
Can cause drowsiness in 14% of people
Zyrtec 24-Hour Allergy Relief Tablets are a favorite among allergy sufferers—and for good reason. Since 2008, it’s been available without a prescription and is safe for kids (age 6 and up) and adults alike. Best of all, it can start working in as little as 20 minutes after your first dose and lasts up to 24 hours.
One reason why Zyrtec works so well is that its active ingredient, cetirizine HCl, is highly effective in reducing inflammatory cells in those who have allergic rhinitis (hay fever). In doing so, Zyrtec helps curb an inflammatory response in the nasal passages, which helps prevent nasal allergy symptoms and even sinusitis.
When we put Zyrtec to the test, we found that we could spend hours outside without any allergy symptoms. Although we didn’t experience a single side effect, the manufacturer says that about 14% of people feel sleepy after taking it (despite it being a non-drowsy medication).We recommend taking Zyrtec before bedtime until you’re sure it won’t make you drowsy.
Price at time of publication: $22
Key Specs:
Form:Tablets |Active Ingredients:Cetirizine HCl|Age Recommendation:6 years and up
Best Eye Drops
博士伦& Lomb Opcon-A Allergy Eye Drops
Clinically proven to reduce itching and redness
Safe for kids (6 and up) and contact lens wearers
Easy to administer
Can cause a tingling sensation
As a contact lens wearer, one of our editors struggled to find relief for her itchy, dry eyes. The Opcon-A drops were reportedly “life-changing” for her as they completely removed any form of irritation from her eyes. Her partner also tested these drops and shared that they helped reduce redness throughout the day.
When testing these eye drops, we found they were easy to administer and didn’t drip down our face. We like that they address itchiness and redness, whereas other drops tend to relieve one or the other. If you wear contacts, just be sure to remove your lenses before applying these drops.
One thing to note about these drops is that they can cause a tingling sensation in your eyes. However, this is a temporary side effect and should disappear after your eye fully absorbs the drops. When needed, they can be administered up to four times per day and are even safe for kids ages 6 years and older.
Price at time of publication: $10
Key Specs:
Form:滴|Active Ingredients:Naphazoline HCl (0.02675%), Pheniramine maleate (0.315%)|Age Recommendation:6 years and up
Best Non-Drowsy
Claritin 24-Hour Allergy Reditabs
Small tablets are easy to swallow
Also available in a dissolvable format
Safe for 6 years and up
Contains cornstarch
Can take up to three hours to start working
The last thing you want when suffering from allergies is to also feel drowsy. Claritin 24-Hour Allergy Medicine is a non-drowsy antihistamine that relieves allergy symptoms caused by more than 200 different allergens, including pet dander, dust mites, pollen, and mold. It works equally well on both indoor and outdoor allergens, and its effects can last up to 24 hours.
The downside to Claritin is that it can take up to three hours before it starts working. Also, it contains cornstarch, which could be problematic if you or your child is allergic to corn. However, the tablets themselves are small and easy to swallow, and you can even opt for theClaritin RediTabs, which melt in your mouth.
After trying Claritin, we recommend it for those with mild allergies. We think Claritin is a good option if you need a non-drowsy antihistamine that will relieve both your indoor and outdoor allergies.
Price at time of publication: $30
Key Specs:
Form:Tablets |Active Ingredients:Loratadine|Age Recommendation:6 years and up
Best Nasal Spray
Flonase Allergy Relief Nasal Spray
Opens nasal passages to improve breathing
Provides 24-hour relief
Safe for 4 years and up
Not recommended for more than 6 months of use
If nasal congestion is your biggest woe, we recommend Flonase Allergy Relief Nasal Spray. In addition to reducing congestion, it also relieves and prevents itchy, watery eyes, sneezing, and an itchy, runny nose. Best of all, it works for up to 24 hours, which means your symptoms will be kept at bay while you sleep, too.
当谈到Flonase、一致性是关键to success. Although you likely won't have immediate relief, you'll start to notice your symptoms disappear around 12 hours after your first dose, with full effectiveness after 3-4 days of regular use. After that, your symptoms should be well controlled as long as you stick to this daily regimen.
重要的是要知道Flonase不是recommended for more than six months of use (or two months for children ages 2-11 years). However, this shouldn't be an issue as long as you only plan to use it during allergy season. Three of our editors experienced significant relief from sinus congestion after using Flonase, reporting that it opened their nasal passages and helped them breathe better.
Price at time of publication: $40 (pack of two)
Key Specs:
Form:Spray |Active Ingredients:Fluticasone propionate|Age Recommendation:4 years and up
Best All-Day Relief
GoodSense All Day Allergy
Full-year supply
Better value than major brands
Same active ingredient as Zyrtec
Can cause drowsiness in 14% of people
Contains corn and artificial dyes
One of the best parts about GoodSense All-Day Allergy is that it relies on the same active ingredient (cetirizine HCl) as Zyrtec at just a fraction of the price. For just $16, you can buy an entire year’s worth of this antihistamine, making it a far better value than other major brands.
In addition to indoor and outdoor allergies, Cetirizine HCl is also used to treat eczema, conjunctivitis, hives, insect bites, and food allergies.It’s safe for kids as young as 6 years old and its effects can last up to 24 hours. However, GoodSense All-Day Allergy contains cornstarch and artificial dyes, which may be a dealbreaker if you’re trying to avoid those ingredients.
While it’s typically referred to as a non-drowsy antihistamine, some people (about 14%) find that Cetirizine HCl makes them tired. That said, we recommend taking GoodSense All-Day Allergy before bedtime until you’re sure it won’t affect you.
Price at time of publication: $16
Key Specs:
Form:Tablets |Active Ingredients:Cetirizine HCl|Age Recommendation:6 years and up
Best Natural
Genexa Allergy Care
Made with clean ingredients
Flavored with organic açaí berry
Safe for 3 years and up
Non-drowsy formula
Maltodextrin is derived from corn
Not evaluated by the FDA
Genexa Allergy Care is proof that you can get relief from your allergy symptoms without artificial sweeteners, dyes, or flavors. We love that these chewable tablets are flavored with organic açaí berry and made without preservatives, parabens, or common allergens. To top it off, Genexa Allergy Care is certified organic, vegan, non-GMO, and gluten- and lactose-free. However, you should avoid it if you’re allergic to corn since its organic maltodextrin is derived from corn.
Genexa’s non-drowsy homeopathic blend is safe for kids as young as 3 years old. It addresses symptoms like sneezing, congestion, runny nose, and itchy throat and eyes, and is meant to be taken every 6-8 hours while symptoms are present. However, these claims are based on traditional homeopathic evidence and have not been evaluated by the FDA.
Price at time of publication: $19
Key Specs:
Form:Chewables |Active Ingredients:Homeopathic blend |Age Recommendation:3 years and up
Best for Nighttime
Benadryl Ultratabs Antihistamine Allergy Relief Tablets
Starts working in 15-30 minutes
Can help you sleep
Cheaper than other antihistamines
Only lasts 4-6 hours
Contains artificial dyes
If you’re looking for an antihistamine that will relieve your symptoms so you can sleep, we recommend Benadryl Ultratabs. This OTC medication starts working in as little as 15 minutes, relieving itchy, watery eyes, runny nose, itchy throat and nose, and sneezing. According to one of our editors, it is very effective at relieving her allergies, and she calls it an “absolute necessity for emergencies.”
Thanks to its small oval shape and special coating, Benadryl tablets are easy to swallow. However, these tablets do contain artificial dyes, which some families prefer to avoid.
While it’s important to eliminate your allergy symptoms so you can get a good night’s sleep, you probably won’t want to take Benadryl during the day. That’s because Benadryl contains diphenhydramine HCl, a first-generation antihistamine that crosses the blood-brain barrier. As a result, Benadryl can cause drowsiness, sedation, and fatigue, which may impair alertness, Dr. Bassett tells Verywell Family.In turn, this antihistamine may “affect important functions,” such as “learning and test performance in children” and “operation of machinery and cars in adults.”
Price at time of publication: $19
Key Specs:
Form:Tablets |Active Ingredients:Diphenhydramine HCl |Age Recommendation:6 years and up
Best for Pet Allergies
Xyzal Allergy Tablet
Starts working in one hour
Provides 24-hour relief
Year-round treatment
Can cause drowsiness
Not recommended for those over age 65
Your pet is part of your family, so the last thing you want is to be allergic to them. Thankfully, Xyzal Allergy Tablets provide 24-hour relief from sneezing, runny nose, and itchy, watery eyes caused by animal dander. It works just as well on both indoor and outdoor allergies and can even treat hives, including itchy skin and rashes.
Our editor shared that her allergies are so severe that some days she can’t even leave the house. But after taking Xyzal, she said she felt “almost human” again. Although it made her drowsy (which happens in about 6% of users), she would still recommend it to other allergy sufferers.
One thing to note about Xyzal is that it’s not recommended for those over the age of 65. This is because they are more susceptible to feeling drowsy after taking it, which puts them at a greater risk of falling. In general, Xyzal is safe for adults and children ages 12-64, and there’s aChildren’s Xyzalavailable for 2 years and up.
Price at time of publication: $38
Key Specs:
Form:Tablets |Active Ingredients:Levocetirizine |Age Recommendation:12-64 years
Best Budget
Amazon Basic Care All-Day Allergy
Same active ingredient as Zyrtec
Provides 24-hour relief
Year-round treatment
Not recommended for those over age 65
Amazon Basic Care All-Day Allergy provides the same level of relief as Zyrtec for a fraction of the price. One of our editors, who reportedly suffers from moderate seasonal allergies, calls it "a budget-friendly alternative to pricey name-brand medications" and says that it really helped her out.
For just $15, a bottle of Amazon Basic Care All-Day Allergy comes with 300 tablets that provide 24-hour relief from itchy throat, nose, and eyes, as well as runny nose, sneezing, and watery eyes. Another one of our editors takes it every day from March through September and loves that it’s cheaper than Zyrtec.
Although it’s not a common side effect, these tablets can cause drowsiness. Therefore, we recommend taking them at night until you know how they’ll affect you. Also, those who are over age 65 should check with their doctor before taking it because drowsiness can increase their risk of falling.
Price at time of publication: $15
Key Specs:
Form:Tablets |Active Ingredients:Cetirizine HCl |Age Recommendation:6 years and up; over age 65 should ask a doctor
How We Rated the Best OTC Allergy Medicines
4.8 to 5 stars:These are the best OTC allergy medicines we tested. We recommend them without reservation.
4.5 to 4.7 stars:These OTC allergy medicines are excellent—they might have minor flaws, but we still recommend them.
4.0 to 4.5 stars:We think these are great OTC allergy medicines, but others are better.
3.5 to 3.9 stars:These OTC allergy medicines are just average.
3.4 and below:We don't recommend OTC allergy medicines with this rating; you won't find any on our list.
How We Tested the Best OTC Allergy Medicines
Our research process began by speaking withAaron Westreich, MD, an allergist in New York who is board certified by the American Board of Pediatrics and the American Board of Allergy and Immunology. We also consulted withCliff Bassett, MD, founder and Medical Director of Allergy and Asthma Care of New York and spokesperson for the Asthma and Allergy Foundation of America (AAFA), and withLaura Chong, MD, board-certified allergist of the Oklahoma Allergy and Asthma Clinic. To learn more about allergy eye drops and how they can relieve ocular-related symptoms, we spoke withMasako Chen, MD, a fellowship-trained ophthalmologist who practices at Mount Sinai and is board certified by the American Board of Ophthalmology.
We then researched a variety of OTC allergy medicines varying in antihistamine type, form, age-appropriateness, and price. Then, our staff members tested these medications at home, paying attention to how well and quickly they worked to relieve their symptoms, ease of administration, and side effects. When appropriate, they also assisted their kids with testing different types of children’s allergy medicines, noting how well their kids liked the flavor, if the medication made them drowsy, and how well it managed their symptoms.
Why Trust Verywell Family
Laura Lu, MSis an experienced health writer who has a Master of Science degree in Health Communication. Her work has appeared in publications like The New York Times, Media Psychology, Brit+Co, and Parents.com, to name a few. As a kid, she was prone to sinusitis and has since discovered the power of allergy medicines in preventing these infections. When allergies or a cold hit her household, she’s been known to give her kidsChildren’s XyzalandFlonase Allergy Relief Nasal Sprayto relieve their sneezing, congestion, and runny nose.
Additional reporting by Katrina Cossey and Isis Briones.
Katrina Cosseyis a commerce writer for Verywell Family with nearly eight years of writing experience. Katrina’s background in journalism began at an Emmy Award-winning news station in Oklahoma before she obtained her B.A. in professional media. Her love for service journalism, helping others, and becoming a parent led to her commerce writing role, which allows her to research and recommend the best products for families, pregnant people, and kids of all ages.
As a seasoned health writer,Isis Brionesknows the importance of finding products that work best for you and your conditions. You can count on her to always provide a variety of recommendations from licensed medical professionals because she has tested and reviewed tons of products over the years to know everyone is different.