I suffer from seasonal allergies and have historically taken a combination of Nasonex® combined with Claritin-D®. I have been on metformin for the past year as I was diagnosed with type 2 diabetes. I have heard that people with diabetes need to be careful with allergy medicine. Can you recommend any allergy medicine that is relatively safe to take?
Nasal corticosteroids, like Nasonex, can be used to treat allergy symptoms such as congestion, sneezing, and itchy/runny nose, and are not expected to affect blood glucose levels. Antihistamines can temporarily relieve runny nose, sneezing and itching, and do not interfere with diabetes control. Decongestants help to relieve sinus congestion and pressure, but can interfere with diabetes control. Claritin-D contains loratadine (an antihistamine) and pseudoephedrine (a decongestant) and may cause changes in your blood glucose levels. A better option would be an antihistamine-only product such as Claritin® (loratadine). Other antihistamines available over the counter include diphenhydramine, chlorpheniramine, doxylamine, clemastine, cetirizine, and fexofenadine. Alternatives to decongestants include saline nasal spray and nasal strips. Saline nasal spray may be used to help break up and clear nasal congestion. Nasal strips are drug-free devices applied to the outside of the nose to gently open the nasal passages and improve airflow through the nose and relieve nasal congestion.
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