Oral Allergy Treatments: Rx

ORAL ALLERGY TREATMENTS: Rx
Generic Brand Strength Form Dose
ALLERGEN EXTRACT
short ragweed pollen allergen extract (Ambrosia artemisiifolia) Ragwitek 12 Amb a 1‑U sub
lingual tabs
Adults and Children: <5yrs: not established. Initiate ≥12wks before onset of ragweed pollen season and continue throughout season. Give 1st dose under physician supervision; observe ≥30mins for severe allergic reaction; if tolerated, subsequent doses may be taken at home. 5–65yrs: 1 tab daily. Allow complete dissolution under the tongue before swallowing. Avoid food or beverage for 5mins after dosing.
timothy grass pollen allergen extract Grastek 2800 BAUs sub
lingual tabs
Adults and Children: <5yrs: not established.
Initiate at least 12wks before onset of grass pollen season and continue throughout season. Give 1st dose under physician supervision; observe ≥30mins for signs/symptoms of a severe allergic reaction; if tolerated, subsequent doses may be taken at home. ≥5−65yrs: one tab daily.
ANTIHISTAMINE
(FIRST GENERATION H1 ANTAGONIST)
carbinoxamine maleate 4mg scored tabs Adults: 4−8mg orally 3−4 times daily.
Children: <2yrs: Contraindicated.
2−5yrs: 0.2−0.4mg/kg/day in 3−4 divided doses. 6−11yrs: 2−4mg 3−4 times daily.
4mg/
5mL
oral soln
Karbinal ER 4mg/
5mL
ext-rel oral susp Adults and Children: <2yrs: contraindicated.
2–3yrs: 3.75–5mL (3–4mg) every 12hrs; 4–5yrs: 3.75–10mL (3–8mg) every 12hrs; 6–11yrs: 7.5–15mL (6–12mg) every 12hrs. ≥12yrs: 7.5–20mL (6–16mg) every 12hrs.
cyprohepta
dine HCl
4mg scored tabs Adults: ≥14yrs: Initially 4mg 3 times daily; usual range 12−16mg/day; max 0.5mg/kg per day.
Children: <2yrs: not recommended. 2−6yrs: 2mg 2−3 times per day; max 12mg daily. 7−14yrs: 4mg 2−3 times per day; max 16mg daily.
hydroxyzine HCl 10mg, 25mg, 50mg tabs Adults: 25mg 3−4 times daily.
Children: <6yrs: 50mg daily. ≥6yrs: 50−100mg daily. Both in divided doses.
10mg/
5mL
syrup
hydroxyzine pamoate Vistaril 25mg, 50mg caps Adults: 25mg 3−4 times daily.
Children: <6yrs: 50mg daily. ≥6yrs: 50−100mg daily. Both in divided doses.
ANTIHISTAMINE
(SECOND GENERATION H1 ANTAGONIST)
desloratadine 2.5mg, 5mg ODT* Adults and Children: Dissolve on tongue; swallow with or without water. <6yrs: use other forms. 6−11yrs: 2.5mg once daily. ≥12yrs: 5mg once daily. Renal or hepatic impairment: Initially 5mg every other day.
Clarinex 5mg tabs Adults: 5mg once daily. Renal or hepatic impairment: Initially 5mg every other day.
Children: Use other forms.
0.5mg/
mL
syrup Adults and Children: <6mos: not recommended.
6−11mos: 1mg (2mL). 1−5yrs: 1.25mg (2.5mL). 6−11yrs: 2.5mg (5mL). ≥12yrs: 5mg (10mL). All: Once daily.
LEUKOTRIENE RECEPTOR ANTAGONIST
montelukast (as sodium) Singulair 10mg tabs Adults and Children: Take granules by mouth within 15min of opening packet; may dissolve in 5mL of cold or room temperature baby formula or breast milk, or mix in spoonful of soft applesauce, carrots, rice, or ice cream.
<6mos w/perennial allergic rhinitis or <2yrs w/seasonal allergic rhinitis: not established.
6−23mos: one 4mg granule packet. 2−5yrs: One 4mg chew tab or granule packet. 6−14yrs: One 5mg chew tab. ≥15yrs: One 10mg tab.
For all: Take once daily.
4mg, 5mg chew tabs*
4mg/
packet
oral gran
ules
ANTIHISTAMINE + SYMPATHOMIMETIC
desloratadine/
pseudoephe
drine sulfate
5mg/
240mg
ext-rel tabs Adults: 1 tab once daily.
Children: <12yrs: not recommended.
Clarinex-D 12 Hour 2.5mg/
120mg
ext-rel tabs Adults: 1 tab every 12hrs.
Children: <12yrs: not recommended.
NOTES

Key: ODT = orally disintegrating tablets; soln = solution;  * = contains phenylalanine; † = contains alcohol.

Not an inclusive list of medications and/or official indications. Please see drug monograph at www.eMPR.com and/or contact company for full drug labeling.

(Rev. 8/2021)