Another common prescription medication used for allergies is Montelukast. This affects a chemical pathway different from the histamine pathway. This medication works with Leukotrienes. This is another mediator of inflammation and this medication can work well for some patients to control their nasal allergies as well as helping to control Asthma.
One of the most effective classes of medications to control Hay Fever is nasal steroids. Many of these have gone over the counter: Flonase or its generic fluticasone, Flonase Sensimist, Nasacort, Rhinocort as well as some that are still prescriptions such as Nasonex, dymista or Qnasl. These medications have to be used regularly to be the most effective. Also, if you have seasonal symptoms it can be of great value to start using your allergy medications prior to your season starting.
Sinus rinsing can also be very effective. Two major devices for this are the Netti Pot and the Neil Med Sinus rinse. Some important tips with this device are to use either distilled water or if you are going to use tap water to boil the water and then let it cool down so your water source is as clean as it can be prior to using this device.