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Ophthalmic medications for the treatment of allergic conjunctivitis

Ophthalmic medications for the treatment of allergic conjunctivitis
Pharmacologic class Usual adult dosing Pediatric dosing
Antihistamines with mast cell-stabilizing properties: Decreased itching should be evident within 24 to 72 hours; may result in dry eye sensation or burning
Olopatadine 0.1% and 0.2% (OTC Pataday, generics), 0.7% (OTC Pataday) One drop per eye twice daily (0.1%); one drop per eye once daily (0.2% and 0.7%) ≥2 years: One drop per eye twice daily (0.1%); one drop per eye once daily (0.2% and 0.7%)
Alcaftadine 0.25% (OTC Lastacaft) One drop per eye once daily ≥2 years: One drop per eye once daily
Bepotastine 1.5% (Bepreve, generics) One drop per eye twice daily ≥2 years: One drop per eye twice daily
Cetirizine 0.24% (Zerviate) One drop per eye twice daily ≥2 years: One drop per eye twice daily
Epinastine 0.05% (generics) One drop per eye twice daily ≥2 years: One drop per eye twice daily
Ketotifen 0.025% (multiple OTC products) One drop per eye twice daily ≥3 years: One drop per eye twice daily
Azelastine 0.05% (generics) One drop per eye twice daily ≥3 years: One drop per eye twice daily
Emedastine 0.05% (not available in US but may be available in other countries) One drop per eye up to four times daily ≥3 years: One drop per eye up to four times daily
Vasoconstrictor/antihistamine combination: Increased redness can occur temporarily when medication is stopped

Naphazoline 0.25% and pheniramine 0.3% (OTC Naphcon-A, OTC Visine, OTC Visine-A)

Naphazoline 0.27% and pheniramine 0.315% (OTC Opcon-A, generics)
One to two drops per eye up to four times daily ≥6 years: One to two drops per eye up to four times daily
Mast cell stabilizers: Decreased itching may be evident within a few days or may take up to four weeks
Cromolyn sodium 4% (generics) One to two drops per eye up to six times daily ≥4 years: One to two drops per eye up to six times daily
Nedocromil 2% (Alocril) One to two drops per eye twice daily ≥3 years: One to two drops per eye twice daily
Lodoxamide 0.1% (Alomide) One to two drops per eye four times daily for up to three months >2 years: One to two drops per eye four times daily for up to three months
Pemirolast 0.1% (not available in US but may be available in other countries) One to two drops per eye up to four times daily for up to four weeks ≥3 years: One to two drops per eye up to four times daily for up to four weeks
United States (US) trade names are shown in parentheses following generic name.
OTC: over-the-counter (available without a prescription).
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