Non-Drowsy Allergy Relief in the UK: Clarityn, Loratadine and Your Best Options [2026]

A comprehensive look at non-drowsy antihistamines available in the UK, including Clarityn (loratadine), how they compare to other options like cetirizine and fexofenadine, and practical advice for managing hay fever and allergies without the drowsiness.

Tom Hartley
12 min read
🔍Deep Dive

Last May, I made the mistake of taking a first-generation antihistamine before a morning meeting. I spent the entire presentation fighting to keep my eyes open whilst my colleague droned on about quarterly targets. Never again. That experience sent me down a rabbit hole of researching non-drowsy alternatives, and honestly, I wish I'd done it sooner.

If you're one of the millions of UK residents who suffer from hay fever or other allergies, you'll know that finding the right antihistamine can feel like a proper lottery. Some work brilliantly for your mate but do absolutely nothing for you. Others knock you out cold. And the pharmacy shelves? Overwhelming doesn't begin to cover it.

So let's cut through the noise. Here's everything you need to know about non-drowsy allergy relief in the UK, with a particular focus on Clarityn and how it stacks up against the competition.

Understanding Non-Drowsy Antihistamines

First things first—what actually makes an antihistamine "non-drowsy"? It comes down to which generation of antihistamine we're talking about.

First-Generation vs Second-Generation Antihistamines

First-generation antihistamines like chlorphenamine (you'll know it as Piriton) were developed decades ago. They're effective, no doubt about that. But they cross the blood-brain barrier easily, which is why they make you drowsy. Some people find this helpful at night—less so when you're trying to drive to work or concentrate on a spreadsheet.

Second-generation antihistamines are the newer lot. These include:

  • Loratadine (Clarityn, Claritin)
  • Cetirizine (Zirtek, Piriteze)
  • Fexofenadine (Telfast, Allevia)
  • Acrivastine (Benadryl Allergy Relief)

These were specifically designed to not cross the blood-brain barrier as readily, which means they're far less likely to make you sleepy. I say "less likely" rather than "won't" because—and here's something the marketing doesn't always emphasise—about 1 in 100 people still experience some drowsiness even with non-drowsy formulas.

How Non-Drowsy Antihistamines Work

All antihistamines work by blocking histamine, a chemical your body releases when it encounters an allergen. When pollen lands in your nose, for instance, your immune system overreacts and releases histamine, which triggers all those lovely symptoms: sneezing, itchy eyes, runny nose, the works.

Clarityn and other second-generation antihistamines block histamine receptors without significantly affecting your brain. The result? Symptom relief without feeling like you've been sedated.

The Clarityn Product Range

Clarityn has been a household name in the UK for years, and for good reason. Let me break down what's actually available.

Clarityn Allergy Tablets (10mg Loratadine)

This is the flagship product—one tablet, once daily, 24-hour relief. Each tablet contains 10mg of loratadine, and for most adults and children over 6 years (weighing more than 30kg), this standard dose does the job nicely.

What I appreciate about Clarityn tablets is their consistency. I've tested dozens of hay fever products over the years, and Clarityn reliably delivers what it promises. No dramatic peaks and troughs—just steady symptom control throughout the day.

Price point: You'll typically pay around 30-40p per tablet for branded Clarityn. More on whether that's worth it shortly.

Clarityn Allergy Syrup

For children aged 2-12 or adults who struggle with tablets, there's the syrup formulation. It contains 1mg of loratadine per ml, making it easy to adjust dosing based on age and weight.

The syrup has a grape flavour that most kids find palatable—though I'll admit, as someone who's tasted it for review purposes, it's not exactly a treat. It's fine. It does the job.

Clarityn Rapide Allergy Tablets

These are designed to dissolve quickly without water. Convenient if you're out and about, though chemically they're no different from the standard tablets. You're essentially paying for the convenience of not needing a drink.

Loratadine vs Cetirizine: The Great Debate

Here's where things get interesting. Walk into any UK pharmacy and you'll find two main non-drowsy antihistamines dominating the shelves: loratadine (Clarityn) and cetirizine (Zirtek, Piriteze). So which is better?

The honest answer? It depends entirely on you.

Speed of Action

Cetirizine works faster. Clinical studies show it can start relieving symptoms within 20-30 minutes, whilst loratadine typically takes 1-3 hours to kick in. If you're having an acute reaction—say, you've just walked through a cloud of pollen—cetirizine might be the better shout.

But here's the thing: if you're taking antihistamines preventatively (which you should be during hay fever season), this difference becomes less relevant. Take your tablet first thing in the morning, and by the time you step outside, both will be working.

Drowsiness Risk

This is where loratadine has a clear advantage. Studies consistently show that cetirizine is more likely to cause drowsiness—somewhere between 3-8% of users report feeling sleepy, compared to just 1-3% for loratadine.

I know plenty of people who've switched from cetirizine to loratadine specifically because they found cetirizine made them drowsy. It's technically still "non-drowsy," but the difference is noticeable for some.

Duration of Effect

Both claim 24-hour relief, but anecdotally (and some research supports this), loratadine seems to maintain its effectiveness throughout the full 24 hours more reliably than cetirizine. Some cetirizine users report their symptoms creeping back before it's time for the next dose.

Overall Effectiveness

Here's where it gets complicated. Some clinical trials suggest cetirizine is slightly more effective at reducing symptom severity, particularly for runny nose and sneezing. But "slightly" is the operative word—we're talking marginal differences that may not translate to real-world benefit.

My take? Try both. Seriously. Buy a small pack of each and see which works better for your body. Antihistamines affect people differently, and the only way to know what works for you is through trial and error.

Where Does Fexofenadine Fit In?

If loratadine and cetirizine are the mainstream options, fexofenadine is the dark horse that deserves more attention.

Fexofenadine (sold as Allevia and Telfast in the UK) is arguably the least sedating of all the second-generation antihistamines. Studies show drowsiness rates of just 1-3% above placebo—essentially, you're no more likely to feel tired than if you'd taken a sugar pill.

At the higher 180mg dose (which requires a prescription), fexofenadine is considered one of the strongest antihistamines available. The over-the-counter 120mg version is still effective for most people and might be worth trying if loratadine or cetirizine haven't worked for you.

The downside? It's typically more expensive than the other options, and it doesn't have the same brand recognition as Clarityn or Piriteze.

Clarityn vs Piriton: Choosing Between Non-Drowsy and Drowsy

Sometimes people ask me whether they should bother with non-drowsy antihistamines at all. After all, Piriton has been around forever and clearly works.

Here's how I think about it:

Choose Clarityn (loratadine) if:

  • You need to stay alert during the day
  • You drive or operate machinery
  • Your symptoms are manageable but annoying
  • You want once-daily dosing

Choose Piriton (chlorphenamine) if:

  • Your allergies are severely affecting your sleep
  • You need fast-acting relief for an acute reaction
  • You're taking it at night and don't mind the sedation
  • Nothing else seems to be working (first-generation antihistamines can sometimes help when second-generation ones don't)

There's actually nothing wrong with having both in your medicine cabinet. I keep Benadryl for nighttime use during particularly bad hay fever days and Clarityn for daytime relief.

Buying Antihistamines: Brand vs Generic

Let me share something that might save you a fair bit of money. The active ingredient in Clarityn—loratadine—is also available as a generic medication at a fraction of the price.

Here's a rough price comparison:

ProductPrice per Tablet (approx.)
Clarityn branded30-40p
Supermarket own-brand loratadine5-10p
Generic pharmacy loratadine3-7p

That's a significant difference. For a 30-tablet pack, you might pay £12 for Clarityn or £2 for a generic.

So is there any reason to buy the branded version? Honestly, for most people, no. The active ingredient is identical. The generic versions must meet the same regulatory standards.

That said, some people swear the branded versions work better for them. It might be placebo effect, it might be something about the inactive ingredients—I can't say definitively. But if you've been happy with Clarityn, there's no harm sticking with what works.

Practical Tips for Managing Hay Fever in 2026

Taking an antihistamine is just one piece of the puzzle. Here are some strategies that've made a genuine difference for me:

Start Early

Don't wait until you're already sneezing to take your antihistamine. Start taking it a few weeks before your typical hay fever season begins. This allows the medication to build up in your system and provides better protection.

The Met Office pollen forecast is brilliant for planning. I check it religiously from late March onwards.

Time Your Dose

If you're using loratadine, take it in the morning—it'll be fully effective by the time pollen counts peak in the late morning and evening. Some people find taking it before bed works better because it's at peak effectiveness when they wake up. Experiment and see what suits your routine.

Layer Your Treatments

An antihistamine alone might not cut it for severe hay fever. Consider adding:

  • Nasal sprays: Steroid nasal sprays like Beconase are incredibly effective and work differently to antihistamines
  • Eye drops: Antihistamine eye drops provide targeted relief for itchy eyes
  • Barrier balms: A bit of Vaseline around your nostrils can trap pollen before it enters

Reduce Pollen Exposure

This sounds obvious, but:

  • Shower and change clothes when you come in from outdoors
  • Keep windows closed during high pollen times (early morning and evening)
  • Dry clothes indoors rather than on a washing line
  • Wear wraparound sunglasses outside

I used to think these measures were over the top until I actually started doing them. The difference was noticeable—my antihistamine worked much better when it wasn't being overwhelmed by constant pollen exposure.

When Antihistamines Aren't Enough

Look, I'll be straight with you: sometimes over-the-counter antihistamines just don't cut it. If you're taking non-drowsy antihistamines daily during hay fever season and still suffering significantly, it's worth talking to your GP.

Options they might suggest include:

  • Prescription-strength fexofenadine (180mg)
  • Combination with steroid nasal sprays (prescription versions can be stronger than OTC)
  • Immunotherapy (for severe, treatment-resistant cases)

There's no shame in needing more help. Hay fever can genuinely affect quality of life, and you shouldn't have to just put up with it.

Safety Considerations

Can You Take Antihistamines Every Day?

Yes, for most people, daily use of second-generation antihistamines is considered safe even for extended periods. The NHS and most clinical guidelines support long-term use during allergy seasons.

However, if you find yourself needing antihistamines year-round or outside typical allergy seasons, it's worth discussing with your GP. There might be an underlying issue worth investigating.

Who Should Be Careful?

  • Pregnant or breastfeeding women: Loratadine is generally considered one of the safer options, but always check with your healthcare provider
  • People with kidney or liver problems: May need adjusted doses
  • Those taking other medications: Interactions are rare with second-generation antihistamines but worth checking

Children

Clarityn tablets are suitable for children over 6 years who weigh more than 30kg. For younger children, the syrup formulation is available. Always follow dosing guidelines carefully—children's doses are based on both age and weight.

My Verdict on Non-Drowsy Allergy Relief

After testing countless products and speaking with pharmacists, GPs, and fellow hay fever sufferers, here's my honest assessment:

Clarityn (loratadine) is a solid, reliable choice that works well for the majority of people. It's one of the least sedating options available and provides consistent 24-hour relief. The main downside is cost—you're paying a premium for the brand name when generic loratadine works just as well.

Cetirizine might be slightly more effective for some people, particularly for nasal symptoms, but comes with a higher risk of drowsiness. Worth trying if loratadine doesn't quite do the job.

Fexofenadine is worth considering if you're particularly sensitive to drowsiness or if the other options haven't worked. The 120mg OTC dose is effective, and prescription 180mg is stronger still.

Ultimately, the "best" antihistamine is the one that works for your body without side effects. Don't be afraid to experiment—buy small packs, try different options, and pay attention to how each one makes you feel.

And if you're still unsure? Start with generic loratadine. It's cheap, it works for most people, and if it doesn't suit you, you haven't wasted much money finding out.

Frequently Asked Questions

Can you take antihistamines every day?

Yes, second-generation antihistamines like loratadine (Clarityn) and cetirizine are considered safe for daily use, even over extended periods. The NHS supports long-term use during allergy seasons. However, if you need antihistamines year-round, it's worth discussing with your GP to rule out any underlying conditions.

What is the difference between cetirizine and loratadine?

Both are second-generation, non-drowsy antihistamines, but they have some differences. Cetirizine works faster (20-30 minutes vs 1-3 hours) and some studies suggest it may be slightly more effective. However, loratadine is less likely to cause drowsiness (1-3% vs 3-8%) and tends to maintain its 24-hour effectiveness more reliably. Both require a trial-and-error approach to find what works best for you.

Is loratadine better than cetirizine?

Neither is definitively "better"—it depends on your individual response. Loratadine is less sedating and may provide more consistent 24-hour relief. Cetirizine may work faster and could be more effective for severe nasal symptoms. Many people try both to see which suits them better.

How long do antihistamines take to work?

It varies by medication. Cetirizine can start working within 20-30 minutes, while loratadine typically takes 1-3 hours to reach full effectiveness. First-generation antihistamines like chlorphenamine (Piriton) can work in as little as 15-30 minutes but cause drowsiness.

What is the best non-drowsy antihistamine?

There's no single "best" option—effectiveness varies between individuals. Loratadine (Clarityn) and cetirizine (Zirtek) are the most popular choices. Fexofenadine (Allevia) is the least sedating and may be more effective at higher prescription doses. The best approach is to try different options and see which works best for your body.

Can I take Clarityn if I'm pregnant?

Loratadine is generally considered one of the safer antihistamines during pregnancy, but you should always consult your GP or midwife before taking any medication while pregnant. They can advise on the most appropriate option for your situation.

Why is branded Clarityn more expensive than generic loratadine?

Both contain identical active ingredients (10mg loratadine) and must meet the same regulatory standards. The price difference is primarily due to brand recognition and marketing costs. For most people, generic loratadine works just as effectively as branded Clarityn at a fraction of the cost.

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The information in this article is for general guidance only and should not replace advice from a healthcare professional. Always read the patient information leaflet and consult a pharmacist or GP if you have any concerns about taking antihistamines.

Tags

#clarityn#loratadine#antihistamine#hay fever#allergy relief#non-drowsy#cetirizine#fexofenadine#hayfever tablets#uk health

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Tom Hartley

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