What do you guys recommend for Alergies

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J Lucas

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Dear Non_Specific_Totally_Random_Pharmacist_X

I have very bad allergies, what is honestly the best allergy medicine regardless of cost. Willing to try anything that will clear my chronic allergies.
Thanks in advance..

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I don't think we want to broadcast your medical history online. And, we would need alot of personal information to give you a recommendation that is tailored to your needs. Why not call your local pharmacy and ask them for a recommendation?
 
J Lucas said:
Dear Non_Specific_Totally_Random_Pharmacist_X

I have very bad allergies, what is honestly the best allergy medicine regardless of cost. Willing to try anything that will clear my chronic allergies.
Thanks in advance..

Claritin is good if money is no object. If you are counting pennies I like Tavist, the original without all the added crap. It is a good drug and causes a minimum of drowsiness.
 
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J Lucas said:
Dear Non_Specific_Totally_Random_Pharmacist_X

I have very bad allergies, what is honestly the best allergy medicine regardless of cost. Willing to try anything that will clear my chronic allergies.
Thanks in advance..

First of all, vitamin C (helps prevent mast cell degranulation). Then, sudafed or tavist.
 
There's a wide spectrum of allergy drugs and "the best" doesn't really mean anything. The best medicine for you is different than from someone else because chemical reactions with pollen and junk react differently with your body than someone else's body.

I have horrible allergies and went through every over the counter allegy medicine I could get ahold of. And here's my two cents....

When you buy allergy medicine, look at the active ingredient. If you take this medicine and it doesn't work very well, don't get another drug with the same active ingredient the next time you go; most likely it will work the exact same as the aforementioned drug. Example: Claritin-D and Sudafed both have active ingredients of Pseudoephedrine. One is in a compound with sulfate, the other with hydrochloride. I've found they pretty much react the same way.

Other main ingredients to look for are diphenhydramine (HCl or sulfate) and clemastine fumarate.

I am currently taking Rynatan which has Azatadine Maleate as the main ingredient and it has worked very well for me.

I would suggest you get together all of the names of the over the counter medicine you've tried and take them with you to your doctor and tell him/her "look, I've taken these and they haven't worked. What else is there for me out there?"

It is really hard to find the right allergy medicine. It took me two months of watery eyed, snot running misery before I found the right one for me.
 
asteline nasal spray works like magic for me..
 
Please keep in mind J Lucas that if you do have any drug allergies, medical conditions, or are taking any other medications that you should run anything you try by a healthcare professional that knows your medical history. I worry that we could miss an interaction if we don't have the answers to these questions. And, we would also need to know what you had tried before to know what might not be worth trying. It would also be helpful to know what triggers your allergies (dust, mold, pollen, pet dander, etc). We would also want to know what your most troublesome symptoms were (congestion/aches or sneezing/itching/watery eyes or both groups of symptoms). I presume by chronic allergies you mean that they occur year round.

I did a bit of hunting and here is what I came up with. If I made an error, someone please correct me.

The corticosteroid nasal sprays (Flonase, Nasonex are newest - all are by prescription) are generally more effective than oral antihistamine tablets or capsules (some OTC, some by prescription) for seasonal allergies. For year round problems, the situation is reversed: oral antihistamines are generally most effective. Astelin, which kwakster928 mentioned, is a prescription antihistamine nasal spray. Claritin (loratadine) is the only 2nd generation antihistamine available over the counter. The first generation antihistamines generally lead to drowsiness, while the second generation is much less likely to make you drowsy. Most people just can't take the side effects of the 1st generation antihistamines. There are alot of other options out there, so if OTC Claritin doesn't work for you, I would really urge you to see a doctor and try a prescription drug.

When I was dinking around I found this interesting tidbit on UpToDate.... "licorice ingestion prolongs QT-intervals and may potentially have additive drug antihistamine effects." So licorice = good for those with allergies. And, licorice = bad for those on QT prolonging drugs or with pre-existing arrythmias. Who would have thought!
 
vafcarrot said:
When you buy allergy medicine, look at the active ingredient. If you take this medicine and it doesn't work very well, don't get another drug with the same active ingredient the next time you go; most likely it will work the exact same as the aforementioned drug. Example: Claritin-D and Sudafed both have active ingredients of Pseudoephedrine. One is in a compound with sulfate, the other with hydrochloride. I've found they pretty much react the same way.

.


I'm sure you already know this but for those others reading this that may not know anything about drugs....
pseudoephedrine is not the only active ingredient in claritin-d it is meerly the decongestant and plain ole claritin doesn't have it and sudafed is not for allergies, just to relieve sinus pressure.
 
Well I dont have any other allergies except to pollen or whatever it is that makes me sneeze out of control. Sometimes I feel like im allergic to outside but thats another story. I found success with the older perscription claritin but the new OTC claritin doesnt work as good. Allegra-D 180 mg seems to be the best right now for me but it takes awhile to work and it seems it makes me dependent on it. Its just dangerous for me to be driving around and start sneezin so hard that my eyes close and imdoing 60 on the highway....Ive never tried asteline but I have tried flonase, Im not sure about you guys but I HATE squirting or spraying anything up my nose....
 
The prescription Claritin and the OTC Claritin contain the same strength of the same active ingredient - loratadine. They should work exactly the same. Did you take Claritin or Claritin-D on prescription? Maybe the Claritin-D would help morer than plain Claritin. It sounds like you need the decongestant since you are on Allegra-D instead of regular Allegra.

Some insurance plans will still pay for the Claritin-D or generic loratadine. If you have insurance you can call the number on your card to find out if it is covered. If Claritin-D works for you, you may not have to bear the entire burden of the cost.

It sounds to me as if you have seasonal allergies? Do you only have flare-ups during pollen season?
 
bananaface said:
Some insurance plans will still pay for the Claritin-D or generic loratadine. If you have insurance you can call the number on your card to find out if it is covered. If Claritin-D works for you, you may not have to bear the entire burden of the cost.
I haven't seen an insurance plan that pays for any form of claritin in a long time. From what I understand, that was one of the major reasons that claritin made the rx to otc switch (pressure from ins companies who wanted to save $$$).
 
Yes, I only get allergies when its warm..

bananaface said:
The prescription Claritin and the OTC Claritin contain the same strength of the same active ingredient - loratadine. They should work exactly the same. Did you take Claritin or Claritin-D on prescription? Maybe the Claritin-D would help morer than plain Claritin. It sounds like you need the decongestant since you are on Allegra-D instead of regular Allegra.

Some insurance plans will still pay for the Claritin-D or generic loratadine. If you have insurance you can call the number on your card to find out if it is covered. If Claritin-D works for you, you may not have to bear the entire burden of the cost.

It sounds to me as if you have seasonal allergies? Do you only have flare-ups during pollen season?
 
I guess if a plan doesn't pay for Claritin-D (which they probably won't) you could get loratadine on prescription and buy OTC pseudoephedrine since it is just a combination of the two.

You have to bill the generic (loratadine) to most insurance plans. They don't like to pay extra for brand. Are you seeing the generic loratadine covered in your area, JD? I could just be seeing it here since alot of my patients are on state sponsored health plans.
 
Don't care about cost? Then the answer is cocaine!

banana-you're seeing it covered because of the state. Just like they cover MVI, rubbers, and anything else the doctor wants to write for (suppressing welfare rant...) PBM's won't cover OTC's (except for HealthPartners and Prilosec OTC, which is still a cost saving measure)-because they don't have to-it is not in the contract.

vafcarrot has it right. I never clicked with Allegra, but Zyrtec and Claritin worked. On a side note-anybody have a reason why Flonase really stepped up their ad campaigns? I do-I heard the FDA gave Flonase permission to go OTC last week.
 
flonase sucked for me. it didn't do anything for like 2 weeks. i felt like i was allergic to flosenase itself. hehe. anyone tried clarinax(?) that one also sucked too. every time i took it, gave me symptoms of cold. glad to see that that drugs is not mentioned. Asteline all the way!!! very exensive though paied $54 bucks! holy smokes that's with insurance plan. maybe i should apply for medicaid it is in their formulatory, while i have to fork out my hard earn money they get it for FREE!! which pisses me off indefinitely!!
 
I have been told that with some of the insurance plans where say you have $1000 for drugs for a year that you have put in (i think its tax free), you can buy OTC medications. They just don't really tell you that. Sorry I can't remember what those accounts are called and I don't know if all of them do it. We were just told that in our OTC class and told that most people don't know that.
 
Not all of my patients who are getting loratadine covered are on straight public assistance. The state contracts with a variety of PBMs (Premera Blue Cross, Molina, United Healthcare, and so on). I am seeing their plans carry the loratadine on their plan formularies. These plans also include patients who do not have secondary coverage in the form of state assistance. Employers can buy into the state sponsored plans, which is why I am seeing non-indigent peoples with loratadine on their insurance formularies. This may not be the case in other areas of the country. I don't believe that I was quite clear before, so I thought I'd clarify.
 
bbmuffin said:
I have been told that with some of the insurance plans where say you have $1000 for drugs for a year that you have put in (i think its tax free), you can buy OTC medications. They just don't really tell you that. Sorry I can't remember what those accounts are called and I don't know if all of them do it. We were just told that in our OTC class and told that most people don't know that.


This is through your employer it's a pretax "cafeteria plan." You put money into an account and you can use that money to cover OTC, copay, etc throughout th eyear. However, you have to plan ahead...decide how much you want put it during the year based on how much you think you'll need to cover those costs. At the end of the year, whatever money is not used you lose.

There is a similar plan for day care/elderly parent care as well..
 
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