PRESCRIPTION NASAL STEROID SPRAYS

Ask your doctor about fluticasone (Flonase) and mometaSone (Nasonex), also available as generics. They work by reducing the underlying inflammation. Studies have shown that they're more effective than over-the-counter or prescription antihistamines against severe or persistent allergies. Because doses are low, steroid mists may be less likely to cause the possible side effects associated with steroid pills, such as reduced bone density and cataract problems.

OTHER PRESCRIPTION DRUGS

Some people respond best to prescription antihistamines such as fexofenadine (Allegra). Another option is the nasal spray antihistamine azelastine (Astelin). It works quickly but costs more and is more likely to cause drowsiness. You could also ask about montelukast (Singulair), an oral asthma medication approved by the Food and Drug Administration for allergies, or immunotherapy through allergy shots.