Yes, fexofenadine is available over the counter in the UK, but the rules depend on the strength.
Fexofenadine 120mg is available without a prescription for hay fever. It is classed as a General Sales List medicine, which means it can be sold in pharmacies and some non-pharmacy retail settings.
Fexofenadine 180mg is usually used for hives. Some 180mg products are classed as Pharmacy medicines, meaning they can be supplied without a prescription from a pharmacy, but a pharmacist may need to check that it is suitable for you.
The main over-the-counter strength for hay fever is fexofenadine 120mg.
| Strength | Main use | UK availability |
|---|---|---|
| Fexofenadine 120mg | Hay fever / allergic rhinitis | Available over the counter |
| Fexofenadine 180mg | Hives / chronic urticaria | May be available from a pharmacy, depending on product |
| Fexofenadine 30mg | Children aged 6 to 11 | Usually prescription-only |
For most adults and children aged 12 and over, the usual dose of fexofenadine for hay fever is 120mg once daily. For hives, the usual dose is 180mg once daily.
Yes, fexofenadine 120mg can be bought over the counter in the UK. It is commonly used for hay fever symptoms, including sneezing, runny nose, itchy eyes and watery eyes.
You should take one 120mg tablet once daily, unless a healthcare professional has told you otherwise. It should be swallowed whole with water, usually before food.
Do not take more than the recommended dose if your symptoms are not controlled; this can increase the chances of experiencing side effects. Speak to a pharmacist or doctor, as you may need a different treatment plan, such as a nasal spray, eye drops or an alternative antihistamine.
Fexofenadine 180mg is mainly used for hives, also known as chronic urticaria. Some 180mg fexofenadine products are available as Pharmacy medicines in the UK, which means they can be supplied without a prescription by a pharmacy.
However, 180mg is not the usual over-the-counter strength for hay fever. If you are buying fexofenadine for hay fever, the usual strength is 120mg once daily.
You should speak to a pharmacist or doctor before using 180mg fexofenadine if you:
You do not usually need a prescription for fexofenadine 120mg when it is being used for hay fever in adults and children aged 12 and over; or, if you are using fexofenadine 180mg for hives. For fexofenadine 180mg, you will need a consultation with a pharmacist or trained pharmacy personnel.
You may need a prescription if:
You should speak to a doctor or pharmacist before taking fexofenadine if you:
Seek urgent medical help if you have symptoms of a serious allergic reaction, such as difficulty breathing, swelling of the tongue or throat, faintness or collapse.
MHRA / GOV.UK - Reclassification of Allevia 120mg from POM to GSL https://www.gov.uk/government/publications/public-assessment-report-of-the-reclassification-of-allevia-120mg-tablets/par-reclassification-of-allevia-120mg-tablets-from-prescription-only-medicine-pom-to-general-sales-list-gsl
MHRA / GOV.UK - Reclassification of Almerg 180mg from POM to Pharmacy medicine https://www.gov.uk/government/publications/public-assessment-report-of-the-reclassification-of-almerg-180mg-film-coated-tablets/par-reclassification-of-almerg-180mg-film-coated-tablets-from-prescription-only-medicine-pom-to-pharmacy-p-medicine
NHS - How and when to take fexofenadine https://www.nhs.uk/medicines/fexofenadine/how-and-when-to-take-fexofenadine/
eMC - Allevia Hives 180mg SmPC https://www.medicines.org.uk/emc/product/100758/smpc#gref
eMC - Allevia 120mg SmPC https://www.medicines.org.uk/emc/product/13208/smpc
Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.
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