Table 3.
Overview of pharmacologic treatment options for 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 |
EN each nostril