Allergy medicine

A little over 8 million Canadians have allergies diagnosed after an allergy test. This eye watering (or itch inducing) number accounts for 27.3% of the population. If you’re one of them then chances are you’ve explored some of the allergy meds available. But probably not all.

Read on to find out more about what's available.

What is hayfever?

Bathroom cabinet with a white cross on a mint green circle on the half-open door, ready to hold your allergy medicine

Allergy medicine

A little over 8 million Canadians have allergies diagnosed after an allergy test. This eye watering (or itch inducing) number accounts for 27.3% of the population. If you’re one of them then chances are you’ve explored some of the allergy meds available. But probably not all.

Read on to find out more about what's available.

Relief for allergy symptoms vs long-term allergy medicine

Allergy medicine splits into two types; symptom relief and immunotherapy. Symptom relievers can make you feel better. But you’ll probably have to take them again when you breathe in more pollen, dust mite particles or pet dander. Allergy immunotherapy is a long-term treatment. The goal is no more allergy symptoms or that they’re much milder. Immunotherapy targets the underlying allergy by reprogramming your immune system. It teaches it to see harmless substances for what they actually are; harmless instead of a threat.

Advice about allergy medicine

Speak to your doctor to find out which treatment could be right for you. Not all types of allergy medicine are suitable for everyone. Your age and the severity of your allergy are factors. So are other medications you might be on.

Allergy medicine

Bathroom cabinet with a white cross on a mint green circle on the half-open door, ready to hold your allergy medicine

Relief for allergy symptoms vs long-term allergy medicine

Allergy medicine splits into two types; symptom relief and immunotherapy. Symptom relievers can make you feel better. But you’ll probably have to take them again when you breathe in more pollen, dust mite particles or pet dander. Allergy immunotherapy is a long-term treatment. The goal is no more allergy symptoms or that they’re much milder. Immunotherapy targets the underlying allergy by reprogramming your immune system. It teaches it to see harmless substances for what they actually are; harmless instead of a threat.

Advice about allergy medicine

Speak to your doctor to find out which treatment could be right for you. Not all types of allergy medicine are suitable for everyone. Your age and the severity of your allergy are factors. So are other medications you might be on.

A trip to the pharmacy for advice and OTC products may be enough for mild allergies or an occasionally itchy nose or eyes. Stronger symptom relievers need a prescription from a doctor. And you should always seek medical advice before giving a child any allergy medicine.

Antihistamine: the first allergy medicine

Antihistamine is one of the most common symptom-relief allergy medications. It’s been helping people manage allergy symptoms like a runny nose and itchy, watery eyes for over 75 years. Antihistamine blocks the histamine released when your body feels under attack. Histamine is a chemical in your body behind a lot of your cold-like symptoms.

Older types of antihistamine can cause drowsiness. Newer versions are less likely to. These second-generation antihistamines are preferred and recommended by Canadian medical societies. Take a tablet or drink a liquid and usually wait one to two hours to feel the effect. There are also nasal sprays, eye drops and creams.

Antihistamines like this nose spray and tablets are among the most commonly used allergy medicines used to relieve symptoms

A simple guide to

antihistamines

Corticosteroids: Nasal sprays and other allergy medicine

Corticosteroids are another common allergy medicine. They can help with conditions like hay fever (allergic rhinitis) or eczema (atopic dermatitis). Corticosteroids work by copying a hormone made by your body. They treat the inflammation that’s part of an allergic reaction.

Topical corticosteroids such as nasal sprays target a specific part of your body. You can also get a corticosteroid and antihistamine nasal spray in one. These reduce inflammation in your nose and may help with the itching and sneezing. Research has shown that some people with hay fever respond well to combined nasal sprays.

Systemic corticosteroids treat your whole body. They come either as pills or injections and are usually prescribed in more severe cases.

Other types of allergy medicine

Leukotriene receptor antagonists are another treatment for hay fever, available with a prescription.

Antihistamines like this nose spray and tablets are among the most commonly used allergy medicines used to relieve symptoms

A simple guide
to antihistamines

Corticosteroids: Nasal sprays and other allergy medicine

Corticosteroids are another common allergy medicine. They can help with conditions like hay fever (allergic rhinitis) or eczema (atopic dermatitis). Corticosteroids work by copying a hormone made by your body. They treat the inflammation that’s part of an allergic reaction.

Topical corticosteroids such as nasal sprays target a specific part of your body. You can also get a corticosteroid and antihistamine nasal spray in one. These reduce inflammation in your nose and may help with the itching and sneezing. Research has shown that some people with hay fever respond well to combined nasal sprays.

Systemic corticosteroids treat your whole body. They come either as pills or injections and are usually prescribed in more severe cases.

Antihistamines like this nose spray and tablets are among the most commonly used allergy medicines used to relieve symptoms

A simple guide to antihistamines

Corticosteroids: Nasal sprays and other allergy medicine

Corticosteroids are another common allergy medicine. They can help with conditions like hay fever (allergic rhinitis) or eczema (atopic dermatitis). Corticosteroids work by copying a hormone made by your body. 

They treat the inflammation that’s part of an allergic reaction.

Topical corticosteroids such as nasal sprays target a specific part of your body. You can also get a corticosteroid and antihistamine nasal spray in one. These reduce inflammation in your nose and may help with the itching and sneezing. Research has shown that some people with hay fever respond well to combined nasal sprays.

Systemic corticosteroids treat your whole body. They come either as pills or injections and are usually prescribed in more severe cases.

They can also ease lower respiratory symptoms like shortness of breath or wheezing. Leukotrienes are chemicals your body releases when the immune system detects your allergen. Research suggests leukotriene receptor antagonists may be more effective than antihistamines at night.

There are other drugs if the lower respiratory symptoms are the worst for you. Some work together with inhaled corticosteroids to target symptoms like a tight chest.

Other types of allergy medicine

Leukotriene receptor antagonists are another treatment for hay fever, available with a prescription. They can also ease lower respiratory symptoms like shortness of breath or wheezing. Leukotrienes are chemicals your body releases when the immune system detects your allergen. Research suggests leukotriene receptor antagonists may be more effective than antihistamines at night.

There are other drugs if the lower respiratory symptoms are the worst for you. Some work together with inhaled corticosteroids to target symptoms like a tight chest.

Did you know…?

  • Salt water or saline is a simple drug-free wayto ease itchy eyes and a blocked nose. You can buy a nasal spray or eye drops over the counter at the pharmacy. A saline nasal spray may also make allergy medicine like antihistamine more effective.
  • Taking certain allergy medicines from a couple of weeks before your pollen season may help keep your hay fever in check. Hopefully when you do come into contact with your trigger any symptoms will be milder.
  • Allergy medicine has a use-by datejust like food. Leftover antihistamines and corticosteroids could be older than you think. If so, they may not work and could even be unsafe.

Too much choice, right? Don’t worry, your doctor or pharmacist will know what is right for you. They can talk you through the different options.

How does symptom-relieving allergy medicine work?

Your immune system does a great job of protecting you from harmful viruses and other dangers. But sometimes it gets it wrong and that’s not so good for your health. An overactive immune system may mistake any number of things for a threat from cat dander to ragweed pollen. This is what leads to your uncomfortable allergy symptoms.

Think of allergy symptoms as a sign that your body is defending itself. Feeling itchy? That’s to make you scratch harmful substances off your skin. Congested or phlegmy? Your body is making more mucus to flush anything undesirable out of your nose. Watery eyes? It’s the same thing. Antihistamines, corticosteroids and leukotriene receptor antagonists are drugs that can counteract this allergic reaction.

Immunotherapy: Allergy medicine to retrain your body

If your symptom-relief medications aren't helping, speak to your doctor. They may suggest allergy immunotherapy as the next step. This is a treatment that helps desensitize you to whatever is causing your allergies. Immunotherapy targets the underlying cause not just your symptoms.

You’ll need to commit to treatment. Your allergy symptoms may improve within a few months but you must keep going for the full course to get the benefit. This means regular injections at the doctor’s office for three to five years. Or taking tablets under your tongue, first under medical supervision and then at home. Again the treatment can take three to five years.

When does nut allergy start?

Nut allergy commonly starts in childhood and kids often don’t grow out of it, unlike other early food allergies. Babies can even develop an allergy to peanuts as early as six months old. Tree nut allergy more often shows itself after the age of one, perhaps because kids may not have eaten them until then. By six years old the numbers for tree nuts and peanuts are similar. It is possible to become allergic to nuts as a grown-up but it’s less common.

Can you stop nut allergy before it starts?

Allergy seems to run in families. A child is more likely to react to tree nuts or peanuts if a parent or sibling does too. Egg allergy or having an allergic condition like severe eczema also increases the risk.

Researchers have been looking at whether introducing nuts earlier could help at-risk children. The guidelines now are to start giving babies peanut from six months old or before to encourage the immune system to accept the allergens in later life. Always talk to your healthcare provider first.

Babies can develop an allergy to peanuts as early as six months old. Tree nut allergy more often shows itself after the age of one. And kids often don’t grow out of these allergies.

Is it for me?

Try our quick quiz about allergy immunotherapy

Curly haired man in a yellow shirt blowing his nose - could immunotherapy be the right allergy medicine for him?
Curly haired man in a yellow shirt blowing his nose - could immunotherapy be the right allergy medicine for him?

Is it for me?

Try our quick quiz about allergy immunotherapy

How does this long-term allergy medicine work?

It might surprise you but immunotherapy is a bit like getting a vaccination and dates back to 1911. A small amount of your allergen is given to you – on purpose. Not once but over and over again. In time your body learns not to react so much or sometimes not at all.

The goal is that your allergen stops being a trigger. Research does show that people get fewer symptoms after allergy immunotherapy. The lasting effects vary from person to person. Symptoms return for some while others may find relief lasts for years.

What triggers can allergy medicine treat?

Symptom-relief medications don’t care what your trigger is. They tackle a runny nose, itchy watery eyes, skin reactions and so on no matter what caused them. You could be allergic to pollen, pets or dust mites and the meds will be the same.

Allergy immunotherapy is different. It’s allergen specific. That is, you get repeated tiny doses of your trigger. Immunotherapy can treat allergies such as:

  • Pollen (tree, grass and weed)
  • Mold
  • House dust mites
  • Cats, dogs and horses
  • Stings (bee and wasp)
Young girl in a red checked shirt tipping her head back as a grown-up puts allergy medicine for kids into her itchy eyes

Allergy medicine for kids

One treatment approach to pick a single allergen to ease the symptoms caused by many. Immunotherapy with one grass pollen can be effective in treating people sensitized to other grasses. In this case it’s clear the allergens are related. But the connection can also be less obvious. Sometimes it's about picking the allergen that's causing the most trouble.

For instance, you may have dust mite allergy and have mild to moderate symptoms all year. But then pollen season hits and your allergies are getting much worse. Even though symptoms are worst during the pollen months, treating the dust mite allergy can be the most effective way to tackle this combination and ease symptoms caused by other allergies. It's about dealing with the underlying main cause of allergy symptoms.

Can children take allergy medicine?

They can but it must be an allergy medicine specifically for kids. Antihistamines are available for kids over the age of one. You can buy mild versions without a prescription.

Young girl in a red checked shirt tipping her head back as a grown-up puts allergy medicine for kids into her itchy eyes

Allergy medicine for kids

One treatment approach to pick a single allergen to ease the symptoms caused by many. Immunotherapy with one grass pollen can be effective in treating people sensitized to other grasses. In this case it’s clear the allergens are related. But the connection can also be less obvious. Sometimes it's about picking the allergen that's causing the most trouble.

For instance, you may have dust mite allergy and have mild to moderate symptoms all year. But then pollen season hits and your allergies are getting much worse. Even though symptoms are worst during the pollen months, treating the dust mite allergy can be the most effective way to tackle this combination and ease symptoms caused by other allergies. It's about dealing with the underlying main cause of allergy symptoms.

Young girl in a red checked shirt tipping her head back as a grown-up puts allergy medicine for kids into her itchy eyes

Allergy medicine

for kids

One treatment approach to pick a single allergen to ease the symptoms caused by many. Immunotherapy with one grass pollen can be effective in treating people sensitized to other grasses. In this case it’s clear the allergens are related.

But the connection can also be less obvious. Sometimes it's about picking the allergen that's causing the most trouble.

For instance, you may have dust mite allergy and have mild to moderate symptoms all year. But then pollen season hits and your allergies are getting much worse. Even though symptoms are worst during the pollen months, treating the dust mite allergy can be the most effective way to tackle this combination and ease symptoms caused by other allergies. It's about dealing with the underlying main cause of allergy symptoms.

Can children take allergy medicine?

They can but it must be an allergy medicine specifically for kids. Antihistamines are available for kids over the age of one. You can buy mild versions without a prescription. But do speak to your doctor before giving children any allergy medicine. There are also OTC corticosteroids for young children. They may also be prescribed specific types for symptoms like a congested nose or dry skin.

Meanwhile Leukotriene modifiers may help children struggling with lower respiratory symptoms or hay fever. They’re available on prescription and come in different forms depending how old your child is.

Allergy immunotherapy is not usually available for children until the age of five. And there is evidence early immunotherapy may prevent the development of new allergies and allergic conditions as well as tackling current symptoms.

But do speak to your doctor before giving children any allergy medicine. There are also OTC corticosteroids for young children. They may also be prescribed specific types for symptoms like a congested nose or dry skin.

Meanwhile Leukotriene modifiers may help children struggling with lower respiratory symptoms or hay fever. They’re available on prescription and come in different forms depending how old your child is.

Allergy immunotherapy is not usually available for children until the age of five. And there is evidence early immunotherapy may prevent the development of new allergies and allergic conditions as well as tackling current symptoms.

What triggers can allergy medicine treat?

They can but it must be an allergy medicine specifically for kids. Antihistamines are available for kids over the age of one. You can buy mild versions without a prescription. But do speak to your doctor before giving children any allergy medicine. There are also OTC corticosteroids for young children. They may also be prescribed specific types for symptoms like a congested nose or dry skin.

Meanwhile Leukotriene modifiers may help children struggling with lower respiratory symptoms or hay fever. They’re available on prescription and come in different forms depending how old your child is.

Allergy immunotherapy is not usually available for children until the age of five. And there is evidence early immunotherapy may prevent the development of new allergies and allergic conditions as well as tackling current symptoms.

Allergy medicine: the side effects

Like all drugs, allergy medicine can cause side effects. Read with care the information leaflet that comes with antihistamine and corticosteroid medication. The latter may affect the area where you used the steroid or the whole body. It’s particularly important to watch your child’s reaction.

Immunotherapy side effects tend to happen at the start of treatment and reduce over time. Your immune system may give you hints that it’s fighting what it thinks is a harmful substance. Remember this is all part of the treatment. Tell your doctor if there are any side effects you’re concerned about.

Allergy medicine for severe reactions

The medical name for a severe systemic allergic reaction is anaphylaxis. Some allergies are more likely to cause it; antibiotics, aspirin and other medicines, food, insect venom and latex. It’s important to get treatment right away.

Corticosteroid nasal sprays are anti-inflammatory allergy medicine and can ease hay fever symptoms

A simple guide

to corticosteroids

Allergy medicine: the side effects

Like all drugs, allergy medicine can cause side effects. Read with care the information leaflet that comes with antihistamine and corticosteroid medication. The latter may affect the area where you used the steroid or the whole body. It’s particularly important to watch your child’s reaction.

Corticosteroid nasal sprays are anti-inflammatory allergy medicine and can ease hay fever symptoms

A simple guide to corticosteroids

Immunotherapy side effects tend to happen at the start of treatment and reduce over time. Your immune system may give you hints that it’s fighting what it thinks is a harmful substance. Remember this is all part of the treatment. Tell your doctor if there are any side effects you’re concerned about.

Allergy medicine for severe reactions

The medical name for a severe systemic allergic reaction is anaphylaxis. Some allergies are more likely to cause it; antibiotics, aspirin and other medicines, food, insect venom and latex. It’s important to get treatment right away.

Adrenaline auto-injectors are a treatment available on prescription to people with serious allergies. You must carry them with you at all times. Injectors can stop severe allergic reactions from becoming life-threatening.

There are different injectors. You’ll find helpful instructions on the side of each type. It’s a good idea to run through them with your family in case you have a severe reaction and need their help. Auto-injectors go out of date so check and renew yours when necessary. Sign up to expiry alert services. You'll get a text or email when your injector is about to expire.

Allergy medicine: the side effects

Like all drugs, allergy medicine can cause side effects. Read with care the information leaflet that comes with antihistamine and corticosteroid medication. The latter may affect the area where you used the steroid or the whole body. It’s particularly important to watch your child’s reaction.

Immunotherapy side effects tend to happen at the start of treatment and reduce over time. Your immune system may give you hints that it’s fighting what it thinks is a harmful substance. Remember this is all part of the treatment. Tell your doctor if there are any side effects you’re concerned about.

Allergy medicine for severe reactions

The medical name for a severe systemic allergic reaction is anaphylaxis. Some allergies are more likely to cause it; antibiotics, aspirin and other medicines, food, insect venom and latex. It’s important to get treatment right away.

Corticosteroid nasal sprays are anti-inflammatory allergy medicine and can ease hay fever symptoms

A simple guide
to corticosteroids

Adrenaline auto-injectors are a treatment available on prescription to people with serious allergies. You must carry them with you at all times. Injectors can stop severe allergic reactions from becoming life-threatening.

There are different injectors. You’ll find helpful instructions on the side of each type. It’s a good idea to run through them with your family in case you have a severe reaction and need their help. Auto-injectors go out of date so check and renew yours when necessary. Sign up to expiry alert services. You'll get a text or email when your injector is about to expire.

Allergy medications and testing

If you've never had a diagnosis, or your symptoms have changed, then you may need to consult an allergist. Your doctor can refer you for a skin prick or blood test to help identify your trigger.

Certain allergy medications can interfere with allergy test results. For example, you must stop antihistamines before a skin prick test. Let your family doctor know what meds you’re on before taking any test. They’ll tell you if you need to stop and for how long.

We’re here for you

If you’ve read all the way to the end of this article about allergy medicine, thank you. We’d love to know what you think. If you have any questions or would like to share your story of living with allergy, email us or head over to our Facebook page or Instagram.

klarify takes allergy science and makes it simple, and we have rigorous process for doing this. We use up-to-date and authoritative sources of information. Medical experts review our content before we share it with you. They and the klarify editorial team strive to be accurate, thorough, clear and objective at all times. Our editorial policy explains exactly how we do this.