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Spring Allergies: The Best Meds & 4 Natural Secret Weapons *ONLINE ONLY*

March 2025

By Suzy Cohen R.Ph.

For fast relief, many people turn to OTC antihistamines like cetirizine (Zyrtec) or loratadine (Claritin). Cetirizine works quickly but can cause drowsiness so it should be taken at night, while loratadine is non-drowsy but may take slightly longer to kick in. Both block histamine, the chemical responsible for sneezing and itching. These are available nationwide.

Nasal sprays like fluticasone (Flonase) reduce inflammation and congestion, but they take a few days to work and may cause nosebleeds if overused. This is effective for mild-to-moderate allergies, but if symptoms persist, you may need stronger support.

If OTC meds aren’t cutting it, your doctor may prescribe montelukast (Singulair), which blocks leukotrienes, another inflammation trigger that your body makes when faced with pollen. It’s great for asthma-related allergies, but some people experience mood changes or vivid dreams. Ask your doctor about that one.

Antihistamines come in two generations and a lot of people don’t know that. The first-generation (like diphenhydramine/Benadryl) work fast but cause drowsiness. That’s why it got rebranded as a sleep aid! It’s great for nighttime relief but not for daytime function. The second-generation medications (like cetirizine, loratadine, and fexofenadine) provide longer-lasting, non-drowsy relief. They’re better for daily use but can still cause dryness or headaches.

Some people live on these medications. You should know that taking antihistamines or steroid nasal sprays year-round can deplete essential nutrients, what I call the “drug mugging” effect. Here’s what to watch for:

• Antihistamines: Can lower vitamin C and zinc, both crucial for immunity.

• Nasal steroids: May reduce vitamin D, leading to weakened bones and increased infections.

• Montelukast: Can impact magnesium and B vitamins, affecting mood and energy. If you rely on these meds daily, consider supplementing with what they deplete, your body will thank you.

I love weaving in natural options for allergy relief, consider the following:

1. Vitamin C: Acts as a natural antihistamine, reducing sneezing and itching.

2. Vitamin D: Keeps your immune system balanced.

3. B Complex: Helps regulate histamine and supports energy.

4. Catalase: Helps detox oxidative stress, which can worsen allergy symptoms.

If OTC meds aren’t helping or your symptoms include wheezing, facial swelling, or sinus infections (like sinus fungal balls, which I’ve written about before), it’s time to see a doctor. You don’t have to suffer all season! If you’re interested in a deeper dive into this topic, I’ve written a longer, more comprehensive blog on my website at suzycohen.com.

This information is not intended to treat, cure, or diagnose your condition. Always consult your physician for all medical matters. Visit www.SuzyCohen.com. ©2025 Suzy Cohen, R.Ph. Distributed by Dear Pharmacist, Inc.