Long-lasting options like Fexofenadine (Allegra) pack a serious punch and Xyzal (Levocetirizine) can be up to twice as effective as older antihistamines while Desloratadine is more potent than its parent compound, Loratadine.
These medications help block histamine, the culprit behind sneezing, itching, and swelling. However, stronger antihistamines can come with side effects like drowsiness, dizziness, or dry mouth.
Let’s dive into the most powerful options and how they stack up!
If you struggle with severe allergies, chronic hives, or intense itching, strong antihistamines may be the answer.
They work by blocking the chemical responsible for allergy symptoms like itching, swelling, and sneezing. They’re especially beneficial for serious allergic reactions, anaphylaxis prevention, and skin conditions like chronic urticaria (hives).
Some, like Fexofenadine (Allegra), can last up to 24 hours, offering all-day symptom control without excessive drowsiness, while others, like Diphenhydramine (Benadryl), act quickly but can make you sleepy.
Whether you need a long-term solution or rapid symptom control, these strong antihistamine tablets stand out, providing effective, targeted relief to help you breathe easier and feel better.
Strong second-generation antihistamines like Xyzal, Cetirizine, and Fexofenadine can be very effective but can come with notable side effects.
Here are the most common ones according to NHS antihistamines guidelines:
Second and third generation antihistamines are designed to minimise side effects whilst delivering effective hay fever symptom relief.
Using strong antihistamines safely will help you minimise your risk of potential side effects. Don’t forget to follow important safety guidelines, including:
There is such a wide variety of options of strong antihistamine tablets to pick from, and choosing the right one is not a one-size-fits-all approach.
You’ll need to consider your specific needs, lifestyle, and medical history:
Our qualified team of in-house pharmacists can support you with choosing the right antihistamine. You can contact us with your requirements, and we can support you with a tailored hay fever treatment plan.
You may be looking for antihistamine alternatives for your hay fever symptoms. Whether its complimentary or natural options, you can tailor your treatment to suit your specific needs.
If you’re looking for a strong antihistamine treatment, Chemist Click has a wide selection to choose from. Popular options include Fexofenadine (Allegra) and Desloratadine. You’ll receive your hay fever medication quickly using our quick and easy consultation.
Fexofenadine, Loratadine, and Cetirizine are popular non-drowsy antihistamines for severe allergies. Diphenhydramine (Benadryl) may be preferred for sudden, severe allergies and is best taken at night.
Diphenhydramine (Benadryl) is a highly sedative first-generation antihistamine. It crosses the blood-brain barrier, which means it’s more likely to cause drowsiness.
Yes, you can get prescription-strength antihistamines from your GP or a private prescription, if you’re symptoms are not treated with over-the-counter options.
Fexofenadine 180mg is the strongest non-drowsy antihistamine used to treat hay fever, hives (itchy skin), and other allergy symptoms.
Quercetin is a flavonoid found in onions, berries, and apples and is considered to be a natural antihistamine. It helps to balance cells, which prevents the release of histamine.
Cetirizine is one of the most effective antihistamines, but there are stronger ones available such as Levocetirizine (Xyzal) and Fexofenadine (Allegra).
Europeanreview.org (2023). Efficacy of butterbur in allergic rhinitis: a cell culture study. Retrieved 17th March 2025, from: https://www.europeanreview.org/wp/wp-content/uploads/01-05.pdf
National Library of Medicine (February 2023). The effects of vitamin C onrespiratory, allergic and immunological diseases: an experimental and clinical-based review. Retrieved 17th March 2025, from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9970132/#Sec27
National Library of Medicine (March 2021). Probiotics as a Possible Strategy for the Prevention and Treatment of Allergies. A Narrative Review. Retrieved 17th March 2025, from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8064452/#sec4-foods-10-00701
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.