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| ORAL ALLERGY TREATMENTS: OTC | ||||
|---|---|---|---|---|
| Generic | Brand | Strength | Form | Dose |
| ANTIHISTAMINE (FIRST GENERATION H1 ANTAGONIST) |
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| chlorphenir– amine maleate |
Chlor-Trimeton | 4mg | tabs | Children: <6yrs: not recommended. 6−11yrs: 2mg every 4−6hrs; max 12mg/24hrs. Adults: 4mg every 4−6hrs; max 24mg/24hrs. |
| clemastine fumarate | Tavist Allergy | 1mg | scored tabs | Children: Not recommended. Adults: 1mg every 12hrs. |
| diphenhy– dramine HCl |
Benadryl Allergy | 25mg | caps; tabs; liq-filled softgels1 |
Children: <6yrs: Individualize. 6−12yrs: 12.5−25mg every 4−6hrs; max 150mg/day. Adults: 25−50mg every 4−6hrs; max 300mg/day. |
| 12.5mg/ 5mL |
liq1,2,3,5 | |||
| PediaCare Children’s Allergy | 12.5mg/ 5mL |
liq5 | Children: <4yrs: do not use. 4−5yrs: not recommended. 6−11yrs: 5mL every 4hrs; max 6 doses/24hrs. | |
| ANTIHISTAMINE (SECOND GENERATION H1 ANTAGONIST |
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| cetirizine | Children’s Zyrtec Allergy Syrup | 1mg/mL | syrup1,3 | Adults and Children: Chew tabs: May take with or without water. For doses <5mg: use syrup. <2yrs: not recommended. 2−6yrs: Initially 2.5mg once daily; max 5mg once daily or 2.5mg every 12hrs. ≥6yrs: Initially 5−10mg once daily. ≥65yrs: use chew tabs or syrup: 5mg once daily. Hepatic or renal impairment: Individualize. |
| Children’s Zyrtec Chewable | 5mg, 10mg | chew tabs | ||
| Zyrtec | 10mg | tabs | ||
| Zyrtec Hives Relief | 10mg | tabs | Adults and Children: <6yrs: not recommended. ≥6yrs: initially 5−10mg once daily. ≥65yrs: use syrup: 5mg once daily. Hepatic or renal impairment: Individualize. | |
| Zyrtec Liquid Gels |
10mg | liq-filled gels | Adults and Children: <6yrs: not recommended. ≥6yrs: 10mg once daily. Hepatic or renal impairment: Individualize | |
| fexofenadine HCl | Allegra | 60mg, 180mg | tabs | Children: Use Children’s Allegra. Adults: 180mg once daily or 60mg twice daily. Renal impairment: Initially 60mg once daily. |
| Children’s Allegra | 30mg | tabs | Children: <6yrs: not recommended. ≥6yrs: 1 tab every 12hrs; max 2 tabs/24hrs. Adults: 2 tabs every 12hrs; max 4 tabs/24hrs. |
|
| 30mg | ODT | Children: <6yrs: not recommended. ≥6yrs: Place tab on tongue and allow to disintegrate with or without water. 1 tab every 12hrs; max 2 tabs/24hrs. Adults: 2 tabs every 12hrs; max 4 tabs/24hrs. |
||
| 30mg/ 5mL |
susp | Children: <2yrs: not recommended. ≥2yrs: 5mL every 12hrs; max 10mL/24hrs. Adults: 10mL every 12hrs; max 20mL/24hrs. |
||
| levocetirizine dihydrochloride |
Children’s Xyzal Allergy 24HR | 2.5mg/ 5mL |
liq soln5 | Adults and Children: <2yrs: not recommended. 2–5yrs: max 1.25mg (2.5mL) once daily in the PM. 6–11yrs: max 2.5mg (5mL) once daily in the PM. ≥12yrs: 2.5mg–5mg once daily in the PM based on symptom severity. Max: 5mg/day. |
| Xyzal Allergy 24HR | 5mg | tabs | ||
| loratadine | Alavert ODT | 10mg | ODT4 | Adults and Children: <6yrs: not recommended. ≥6yrs: Dissolve on tongue; swallow with or without water. 10mg once daily. |
| Children’s Claritin | 5mg | chew tabs | Adults and Children: <2yrs: not recommended. 2−5yrs: 5mg once daily. ≥6yrs: 10mg once daily or 5mg twice daily. Hepatic or renal insufficiency: See literature. RediTabs: Dissolve on tongue; swallow with or without water. Liqui‑Gels: Swallow whole. | |
| 1mg/mL | syrup1,2,3 | |||
| Claritin | 10mg | tabs | ||
| Claritin Liqui‑Gels | 10mg | liquid-filled caps | ||
| Claritin Reditabs 12-Hour | 5mg | ODT | ||
| Claritin Reditabs 24-Hour | 10mg | ODT | ||
| Claritin Hives Relief | 10mg | tabs | Adults and Children: <6yrs: not recommended. ≥6yrs: 10mg once daily. Hepatic or renal insufficiency: See literature. | |
| ANTIHISTAMINE + SYMPATHOMIMETIC | ||||
| cetirizine HCl/ pseudoephe– drine HCl |
Zyrtec-D 12 Hour | 5mg/ 120mg |
ext‑rel tabs | Children: Not recommended. Adults: Swallow whole. 1 tab twice daily. Hepatic or renal impairment (CrCl ≤31mL/min): 1 tab once daily. |
| chlorphenira– mine maleate/ pseudoephe– drine HCl |
Sudafed Sinus & Allergy | 4mg/ 60mg |
tabs | Children: <6yrs: Individualize. 6−11yrs: ½ tab every 4−6hrs as needed; max 4 doses/24hrs. Adults: 1 tab every 4−6hrs as needed; max 4 doses/24hrs. |
| fexofenadine HCl/ pseudoephe– drine HCl |
Allegra-D 12 Hour | 60mg/ 120mg |
ext‑rel tabs | Children: Not recommended. Adults: Swallow whole. Take on an empty stomach. 1 tab twice daily. Renal impairment: Initially 1 tab once daily. |
| Allegra‑D 24 Hour | 180mg/ 240mg |
ext‑rel tabs | Children: Not recommended. Adults: Swallow whole. Take on an empty stomach. 1 tab once daily. Renal insufficiency: Not recommended. |
|
| loratadine/ pseudoephe– drine sulfate |
Alavert D‑12 Hour | 5mg/ 120mg |
ext‑rel tabs | Children: Not recommended. Adults: Swallow whole. 1 tab every 12hrs. |
| Claritin‑D 12 Hour | 5mg/ 120mg |
ext‑rel tabs | Children: Not recommended. Adults: Swallow whole. 1 tab every 12hrs. Renal insufficiency (CrCl <30mL/min): 1 tab once daily. |
|
| Claritin‑D 24 Hour | 10mg/ 240mg |
ext‑rel tabs | Children: Not recommended. Adults: Swallow whole. 1 tab daily. Renal insufficiency (CrCl <30mL/min): 1 tab every other day. |
|
| triprolidine HCl/ pseudoephe– drine HCl |
Sudafed Sinus Nighttime | 2.5mg/ 60mg |
tabs | Children: <6yrs: Individualize. 6−11yrs: ½ tab every 4−6hrs as needed; max 4 doses/24hrs. Adults: 1 tab every 4−6hrs as needed; max 4 doses/24hrs. |
| NOTES | ||||
|
Key: ext-rel = extended-release; liq = liquid; ODT = orally disintegrating tablets; susp = suspension; sust‑rel = sustained-release; 1 = dye-free; 2 = alcohol-free; 3 = sugar-free; 4 = contains phenylalanine; 5 = contains sodium (see product monograph for sodium content). Not an inclusive list. Please see drug monographs or visit www.eMPR.com. (Rev. 7/2017) |
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