For most seasonal allergies, a daily steroid nasal spray and a non-drowsy antihistamine work best. The right choice depends on your symptoms, other medications and health conditions, so ask a pharmacist before you buy — especially if you have high blood pressure or take several medications.
When allergy season hits in Queens
In New York City, tree pollen typically peaks in spring, grass pollen in late spring and early summer, and ragweed from late summer into fall. Indoor allergies from dust mites, pets and mold can happen all year.
Your OTC options
| Type | Examples | Best for | Keep in mind |
|---|---|---|---|
| Steroid nasal spray | fluticasone, budesonide, triamcinolone | Congestion, sneezing, runny nose | Works best used daily; takes several days to reach full effect |
| Non-drowsy antihistamine | loratadine, cetirizine, fexofenadine | Sneezing, itching, runny nose | Cetirizine can make some people sleepy |
| Antihistamine eye drops | ketotifen, olopatadine | Itchy, watery eyes | Remove contacts before use |
| Oral decongestant | pseudoephedrine | Short-term congestion | Can raise blood pressure and heart rate; kept behind the counter |
| Decongestant nasal spray | oxymetazoline | Very short-term congestion | Don’t use more than 3 days in a row |
| Saline rinse or spray | saline | Clearing pollen | Use distilled or boiled water for rinses |
Older antihistamines like diphenhydramine cause drowsiness and are generally best avoided by older adults.
Check with a pharmacist if you
- Have high blood pressure, heart disease, glaucoma or an enlarged prostate
- Are pregnant or breastfeeding
- Are buying for a child
- Take several other medications
When to see a doctor
If OTC products don’t control your symptoms, you have wheezing or shortness of breath, frequent sinus infections, or symptoms all year, see your doctor or an allergist.
Use your OTC card
Many allergy products are eligible for plan OTC benefit cards.
Frequently asked questions
What is the best allergy medicine?
For many people, a daily steroid nasal spray plus a non-drowsy antihistamine. The right choice depends on your symptoms and health, so ask a pharmacist.
Can I take allergy medicine with high blood pressure?
Most antihistamines and steroid nasal sprays are generally fine, but oral decongestants like pseudoephedrine can raise blood pressure. Ask your pharmacist.
When is allergy season in New York City?
Tree pollen peaks in spring, grass in late spring and early summer, and ragweed from late summer into fall.
This article is for general educational purposes and does not replace individualized medical advice. Speak with your pharmacist, physician or other healthcare professional about what is right for you.
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