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If you suffer from allergies, you know the symptoms all too well—sneezing, watery eyes, runny nose, and itchy skin. These symptoms are actually caused by your own immune system reacting too strongly to something that’s usually harmless, like pollen, dust, or pet dander. The good news? Allergy medications are designed to calm that overreaction and help you feel better fast.
In this article, we'll break down how common allergy meds work, the types available over the counter at pharmacies, and what you should know before using them.
An allergy is your body’s way of trying to protect you from something it mistakenly sees as a threat. When you come into contact with an allergen—such as pollen or mold—your immune system produces a chemical called histamine. This chemical causes inflammation and triggers symptoms like:
Sneezing
Coughing
Runny or stuffy nose
Itchy or watery eyes
Skin rashes or hives
Allergy medications are designed to block or reduce the effects of these immune chemicals, making you feel more comfortable.
Allergy medications work in a variety of ways, depending on the type of symptoms and the part of the immune system they target. The most common types include:
These are some of the most widely used allergy medications. Antihistamines block the effects of histamine, the chemical responsible for most allergy symptoms.
What they help with:
Sneezing
Runny nose
Itchy eyes
Hives
How they work: Antihistamines bind to histamine receptors in your body, preventing histamine from causing inflammation and other allergic symptoms.
Antihistamines come in two main types:
First-generation: Often cause drowsiness
Second-generation: Usually non-drowsy and longer-lasting
Your pharmacist can help you choose the right one for your needs.
Decongestants target nasal congestion by shrinking swollen blood vessels in the nose, making it easier to breathe.
What they help with:
Stuffy nose
Sinus pressure
Swelling in nasal passages
How they work: These medications constrict blood vessels, which reduces inflammation in nasal tissues.
Important note: Decongestants are typically for short-term use and may raise blood pressure or cause restlessness in some people. Always ask your pharmacist before using them—especially if you have a heart condition or take other medications.
These are anti-inflammatory sprays that you use directly in the nose. They are especially effective for long-term management of nasal allergy symptoms.
What they help with:
Runny or congested nose
Sneezing
Postnasal drip
How they work: They reduce inflammation inside the nasal passages by calming the immune response over time. They don’t provide immediate relief, but they work best with regular use.
These medications help prevent the release of histamine from mast cells, which are part of the immune system.
What they help with:
Eye and nasal allergies
Mild symptoms
How they work: By stopping mast cells from releasing histamine, these medications reduce the chance of an allergic reaction starting in the first place.
They are more preventive than reactive and may take several days to become fully effective.
Some allergy medications combine an antihistamine with a decongestant to target multiple symptoms at once.
Why use a combo?
Provides both quick relief and long-lasting effects
Reduces need for multiple medications
These are especially helpful for patients experiencing both sneezing and nasal congestion.
Understanding what causes your symptoms can help you and your pharmacist choose the best medication. Common allergens include:
Pollen (trees, grass, weeds)
Dust mites
Pet dander
Mold spores
Insect stings
Certain foods or medications (though food allergies require different care)
Knowing your specific trigger helps determine whether you need a fast-acting antihistamine, a daily nasal spray, or something else entirely.
Choosing the right allergy medication depends on your symptoms, how often you experience them, and your overall health. Here are a few helpful tips:
They can recommend options based on your health history and current medications.
If you’re just sneezing, an antihistamine might be enough. If your nose is blocked, you may need a decongestant or nasal spray.
Some medications cause drowsiness, while others are better for daytime use. Look for “non-drowsy” labels for daytime relief.
Some medications are meant for short-term relief, while others are safe for daily, long-term use.
While over-the-counter allergy medications help many people, sometimes it's best to speak with your doctor or allergist. Seek medical advice if you:
Have symptoms that don’t improve with OTC meds
Have asthma or other breathing problems
Experience severe allergic reactions
Need long-term allergy management
Your provider may suggest allergy testing, prescription options, or long-term treatment plans like immunotherapy.
Allergy medications play a big role in helping your body manage an overactive immune response to harmless triggers. Whether you’re dealing with seasonal pollen or year-round pet dander, understanding how these medications work can help you make the best choice for relief.
Your local pharmacy is a great place to start. Pharmacists are trained to recommend safe and effective products, answer questions, and help you find what works best for your body and lifestyle.