Skip to main content

Table 3 Overview of pharmacologic treatment options for allergic rhinitis

From: Allergic rhinitis

  Usual adult dose Usual pediatric dose
Oral antihistamines (second generation)  
Cetirizine (Reactine) 1-2 tablets (5 mg) once daily
1 tablet (10 mg) once daily
5-10 mL (1-2 teaspoons) once daily (children’s formulation)
Desloratadine (Aerius) 1 tablet (5 mg), once daily 2.5-5 mL (0.5-1.0 teaspoon) once daily (children’s formulation)
Fexofenadine (Allegra) 1 tablet (60 mg) every 12 hours (12-hour formulation)
1 tablet (120 mg), once daily (24-hour formulation)
Not currently indicated for children under 12 years of age
Loratadine (Claritin) 1 tablet (10 mg), once daily 5-10 mL (1-2 teaspoons) once daily (children’s formulation)
Intranasal corticosteroids  
Beclomethasone (Beconase) 1-2 sprays (42 µg/spray) EN, twice daily 1 spray (42 µg/spray) EN, twice daily
Budesonide (Rhinocort) 2 sprays (64 μg/spray) EN, once daily or 1 spray EN, twice daily 2 sprays (64 μg/spray) EN, once daily or 1 spray EN, twice daily (do not exceed 256 μg)
Ciclesonide (Omnaris) 2 sprays (50 µg/spray) EN, once daily Not indicated for children under 12 years of age
Fluticasone furoate (Avamys) 2 sprays (27.5 µg/spray) EN, once daily 1 spray (27.5 µg/spray) EN, once daily
Fluticasone propionate (Flonase) 2 sprays (50 µg/spray) EN, once daily or every 12 hours (for severe rhinitis) 1-2 sprays (50 µg/spray) EN, once daily
Mometasone furoate (Nasonex) 2 sprays (50 µg/spray) EN, once daily 1 spray (50 µg/spray) EN, once daily
Triamcinolone acetonide (Nasacort) 2 sprays (55 µg/spray) EN, once daily 1 spray (55 µg/spray) EN, once daily
Leukotriene receptor antagonists  
Montelukast 1 tablet (10 mg), once daily Not currently approved for patients under 15 years of age
  1. EN: each nostril.