1. Avoid exposure to allergen
2. If there are excessive secretions and sneezing add:

• Histal 10mg orally once a day

3. If there is nasal obstruction add :

• Xylomet 0.1% spray/drop 2-3 drops in each nostrils up to 3 times daily not more than 7 days

Loratadine

Available forms:

• Loratan, clara, histal, Klarihist, Loreen, Lorine Lohist, Ramitin:10mg tab, 5mg/5ml syrup
• Tidilor, Claritine, Lorax :10mg tab, 1mg/1ml syrup
• Loratin, Restamine:10mg tab
• Lostamin: 5mg/5ml syrup

Indications:

• Relief of symptoms associated with allergic rhinitis, such as sneezing, nasal discharge (rhinorrhea) as well as ocular itching and burning.
• indicated for the relief of symptoms and signs of chronic urticaria and other allergic dermatologic disorders.

Dose:

• Adults and children 6 years and older who weigh more than 30kg : 1 x tablet once daily
• Adults and children over 12 years of age: 2 teaspoons (10 ml), once a day, with or without food.
• The dosage for children aged 2-12 is by weight:
• Body weight over 30 kg: 2 teaspoons (10 ml), once a day, with or without food.
• Body weight of 30 kg or less: one teaspoon (5 ml), once a day, with or without food.

Pregnancy and breast-feeding :

As a precautionary measure, it is preferable to avoid the use of Loratadine Tablets during pregnancy. Loratadine is excreted in breast milk so preferable to avoid the use in lactation

side effect:

• drowsiness  
• headache
• increased appetite 
• difficulty sleeping.

Otrivine

Otrivine Nasal Spray contains the active ingredient xylometazoline hydrochloride which helps to open up and clear the nasal passages by reducing the excessive nasal secretions and returning the swollen blood vessels to their normal size.

 Used in :

• nasal congestion (blocked nose, including colds)
• allergic rhinitis
• sinusitis.
• Not used>5 days Cause rebound congestion

Pregnancy : not  recommended

Available forms:

• Otrivin 0.1% spray/drop , .05% spray /drop
• Decozal 0.1% spray/drop , .05% spray /drop
• Xylomet 0.1% spray

Dose:

Adult

• 0.1% Nasal drop 2-3 drops in each nostrils up to 3 times daily

Child>6y

• 0.05% Nasal drop 2-3 drops in each nostrils up to 3 times daily

Child 6months-6y

• 0.05% Nasal drop 1drops in each nostrils up to 3 times daily