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If oral antihistamines are not effective, alternatives include: Steroid nasal sprays: Flonase, Nasacort (may take 2 weeks for full effect) Decongestants: Sudafed (pseudoephedrine) for nasal congestion Antihistamine nasal sprays: Astelin (azelastine) Leukotriene blockers: Singulair (montelukast) Be sure to consult a healthcare provider to find the best treatment for your condition