Allergy Medicine for Seniors — OTC Benefit Guide

Safe allergy medications for seniors covered by Medicare OTC benefit. Antihistamines, nasal sprays, and more.

2026-04-14

Allergy Medications Covered

  • Loratadine (Claritin): Non-drowsy, safe for most seniors — $8–$14
  • Cetirizine (Zyrtec): Slightly more effective, mild drowsiness — $8–$14
  • Fexofenadine (Allegra): Non-drowsy, fewer interactions — $10–$16
  • Fluticasone nasal spray (Flonase): Best for nasal congestion — $12–$18
  • Saline nasal rinse: NeilMed, neti pot — drug-free relief — $8–$12
  • Eye drops: Zaditor, Pataday for itchy eyes — $10–$15

Allergy Tips for Seniors

Avoid first-generation antihistamines like Benadryl — they cause confusion and fall risk in seniors. Nasal steroids (Flonase) are the most effective OTC allergy treatment. Start 2 weeks before allergy season for best results.

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