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Table 3 Overview of pharmacologic treatment options for allergic rhinitis

From: Allergic rhinitis

  Usual adult dose Usual pediatric dose
Oral antihistamines (second generation)
 Bilastine (Blexten) 1 tablet (20 mg) once daily For children ≥ 12 years of age: 1 tablet (20 mg) once daily
Not recommended for children < 12 years of age
 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 h (12-h formulation)
1 tablet (120 mg), once daily (24-h formulation)
Not currently indicated for children < 12 years of age
 Loratadine (Claritin) 1 tablet (10 mg), once daily 5–10 mL (1–2 teaspoons) once daily (children’s formulation)
 Rupatadine (Rupall) 1 tablet (10 mg) once daily For children ≥ 12 years: 1 tablet (10 mg) once daily
For children 2–11 years and body weight 10–25 kg: 2.5 mL (0.5 teaspoon) once daily
For children 2–11 years and body weight > 25 kg: 5 mL (1.0 teaspoon) once daily
Intranasal corticosteroids
 Beclomethasone (Beconase) 1–2 sprays (50 µg/spray) EN, twice daily 1 spray (50 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 < 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 h (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
Combination intranasal corticosteroid/antihistamine nasal spray
 Fluticasone propionate/azelastine hydrochloride (Dymista) 1 spray EN, twice daily For children ≥ 12 years of age: 1 spray EN, twice daily
Not recommended for children < 12 years of age
Leukotriene receptor antagonists
 Montelukast 1 tablet (10 mg), once daily Not currently approved for patients < 15 years of age
  1. EN each nostril