allergyatlasCANADIAN TREATMENT GUIDEFor Canadian clinicians

Antihistamines.

20 treatments

C$ estimates per 30 tablets

Brand
6+ years

Cetirizine hydrochloride

10 mg tablet · once daily

Costco
12+ years

Cetirizine hydrochloride

10 mg tablet · once daily

Generic
Representative · AG brand12–64 years

Cetirizine hydrochloride

20 mg tablet · once daily

Brand
12+ years

Loratadine

10 mg tablet · once daily

Costco
12+ years

Loratadine

10 mg tablet · once daily

Brand
80-tablet pack shown12+ years

Desloratadine

5 mg tablet · once daily

Costco
12+ years

Desloratadine

5 mg tablet · once daily

Brand
12+ years

Fexofenadine hydrochloride

120 mg tablet · once daily

Brand
12+ years

Bilastine

20 mg tablet · once daily

Generic
12+ years

Bilastine

20 mg tablet · once daily

Brand
12+ years

Rupatadine

10 mg tablet · once daily

Generic
Reference brand · Rupall12+ years

Rupatadine

10 mg tablet · once daily

Children’s formulations

Canadian age labels · confirm weight where indicated

2+ years

Cetirizine hydrochloride

1 mg/mL · 5 mg/5 mLSyrup
6+ years

Cetirizine hydrochloride

10 mg dissolving tablet
2+ years

Loratadine

1 mg/mL · 5 mg/5 mL
2+ years

Loratadine

5 mg dissolving tablet
2+ years

Desloratadine

0.5 mg/mL · 2.5 mg/5 mLSyrup
Canadian sample pack
2–11 years · ≥10 kg

Rupatadine

1 mg/mL
Canadian sample pack
4–11 years · ≥16 kg

Bilastine

2.5 mg/mL
Canadian Children’s Blexten bilastine 10 mg orodispersible tablet sample box
4–11 years · ≥16 kg

Bilastine

10 mg dissolving tablet

CSU up-dosing

For uncontrolled CSU, guidelines support up to fourfold dosing of one second-generation antihistamine. Higher doses are off label; review age, organ function and sedation. Clinical reference ↗

About Allergy Atlas

Payam Salimi

AUTHOR

Payam Salimi

PGY-4 · Clinical Immunology & Allergy
University of Manitoba

I created Allergy Atlas during my allergy residency as a practical educational resource. I’m continually updating the content, adding resources, and improving the site as I learn and receive feedback. I hope you find it useful.

If you notice an error, have a suggestion, or would like to get in touch, please contact salimip@myumanitoba.ca.

Reviewers & Advisors

Allergy Atlas continues to evolve with advice, feedback, and contributions from colleagues. Thank you to those helping improve this resource.

  • Dr. Lundy McKibbin (University of Manitoba)

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