To outline the practice position on prescribing antihistamines for seasonal allergic symptoms, in line with local and national NHS guidance on self-care and over‑the‑counter (OTC) medication.
Colchester Medical Practice will not prescribe antihistamines for seasonal or intermittent use, as these medications are readily available to purchase over the counter at low cost.
This policy applies to the following OTC antihistamines:
- Loratadine
- Cetirizine
- Fexofenadine
- Chlorphenamine
Exceptions
Prescriptions may be issued in the following situations:
- All‑year‑round symptoms where continuous, long‑term treatment is clinically indicated.
- When treatment has been initiated or recommended by a specialist, such as an allergist, immunologist, or ENT specialist, and a prescription is required to support ongoing specialist-directed care.
Rationale
- Antihistamines listed above are affordable and widely available without prescription.
- Following NHS self-care guidance helps reduce unnecessary prescribing and supports sustainable use of NHS resources.
- Exceptions ensure appropriate care for patients with chronic or complex allergic conditions.