Intranasal antihistamines

Azelastine 0.14 mg/spray, one spray per nostril, twice daily (Azep )

Levocabastine 0.5 mg/mL, two sprays per nostril, twice daily (Livostin )

Azelastine – B3

Levocabastine – B3

From age five years: Azelastine 0.14 mg/spray, one spray per nostril, twice daily (Azep )

Oral antihistamines

Loratadine 10 mg once daily (Loraclear Hayfever Relief )

Fexofenadine 120–180 mg once daily (Telfast )

Cetirizine 5–20 mg once daily (Zetop ) (sedating above 10 mg daily)

Loratadine – B1

Cetirizine – B2

Fexofenadine – B2

From age two years:
Loratadine 1 mg/mL, 5 mL once daily (age >6 years, 10 mL) (LoraPaed )

From age two years:
Cetirizine 1 mg/mL, 5 mL once daily (age >6 years, 10 mL) (Cetirizine AFT )

Intranasal corticosteroids

Fluticasone 50–100 mcg/nostril once daily (Flixonase, Nasaclear )

Triamcinolone 55 mcg/nostril twice daily (Telnase )

Beclomethasone 50–100 mcg/nostril twice daily (Alanase )

Budesonide 50–100 mcg/nostril once daily (Butacort Aqueous )

Budesonide – A

Beclomethasone – B3

Fluticasone – B3

From age 12 years: Fluticasone 50 mcg/nostril once daily (Flixonase, Nasaclear )

From age six years: Budesonide 50 mcg/nostril once daily (Butacort Aqueous )

Intranasal decongestants

Xylometazoline 0.1%, one spray/nostril two to four times per day, maximum five days (Otrivin spray or drops )

Oxymetazoline 0.5 mg/mL (Drixine )

Xylometazoline

Not recommended unless benefit outweighs risk (Category C)

Xylometazoline 0.05%, one spray/nostril two to three times per day, max five days (Otrivin Junior spray or drops )

Oral corticosteroid

Prednisone 20–40 mg once daily for five to seven days

Prednisone – A

Prednisone 10 mg once daily for five to seven days

Intranasal anticholinergic

Ipratropium bromide 0.03% two sprays, two to three times daily (Apo-Ipravent )

Ipratropium bromide – B1

From age 12 years: Ipratropium bromide 0.03% two sprays, two to three times daily (Apo-Ipravent )

Intranasal sodium cromoglycate

Sodium cromoglycate Nasal Spray 4%, one spray/nostril two to four times per day

Sodium cromoglycate – A

From age six years: Sodium cromoglycate Nasal Spray 4%, one spray/nostril two to four times per day

Ocular antihistamines

Levocabastine, one drop per eye, three times per day (Livostin eye drops )

Lodoxamide, one drop per eye, four times per day (Lomide )

Olopatadine, one drop per eye, two times per day (Patanol )

Ketotifen, one drop per eye, two times per day (Zaditen )

Naphazoline + pheniramine (Visine, Naphcon-A )

Antazoline + naphazoline (Albalon-A )

N.B. naphazoline can cause rebound hypaeremia (redness) if used for longer than ten days

Lodoxamide – B1

Olopatadine – B1

Ketotifen – B1

Levocabastine – B3

From age six years: Levocabastine, one drop per eye, three times per day (Livostin eye drops )

From age four years: Lodoxamide, one drop per eye, four times per day (Lomide )

From age three years: Olopatadine, one drop per eye, two times per day (Patanol )

From age three years: Ketotifen, one drop per eye, two times per day (Zaditen )