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What's the best anti-histamine for snoring?

What’s the Best Anti-Histamine for Snoring?

Written by: David Hernandez

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Published on

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Time to read 8 min

  • Allergies are a common cause of snoring, and using the best anti-histamine for snoring can help relieve nasal congestion that makes it harder to breathe at night.
  • Effective anti-histamines work by reducing inflammation and clearing nasal passages, which can lead to quieter, more restful sleep.
  • Top anti-histamines for snoring relief include loratadine, cetirizine, and diphenhydramine—each an effective antihistamine to reduce snoring based on your specific needs and symptoms.

Snoring, affecting nearly half of adults and some parents, is a common issue for both snorers and partners. One of the most common causes is allergies, which can trigger nasal congestion and inflammatory changes, which in turn narrow the airways, making snoring worse. Antihistamines (AH) are the medicines used to relieve symptoms, helping reduce the narrowing of airways and improving airflow through the nasal passages. This specific guide is all about providing connections between allergies, common AH like loratadine, cetirizine, and diphenhydramine, and explores how they might treat allergy-induced snoring.

This article explores how allergies contribute to snoring, the role of antihistamine, and the best for effective relief, and alongside long-term strategies for better sleep. 

Can allergies really cause snoring? 

Yes, allergies can definitely contribute to snoring. When allergens like pollen, dust, or pet dander trigger a runny nose, the body releases a chemical called histamine, which causes inflammation and swelling in the nasal passages.

Congestion narrows airways and increases vibration. 

This will lead to congestion and make it harder to breathe, worsening snoring. Whether in the airways, sinuses, or ears, this can lead to narrowing of passages and increased pressure. This is primarily due to inflammation and swelling of the tissue lining the affected areas, which can obstruct normal airflow. When the airways become congested, often due to upper respiratory infections like colds or allergies, the tissues lining the airways swell, narrowing the space for airflow. This can lead to many things like difficulty breathing, shortness of breath, and increased pressure within the chest.

Allergy reactions cause swelling in the nasal passages. 

Snoring makes it harder to breathe, increasing the chances of snoring. Congestion narrows airways, leading to snoring vibrations. Allergens reduce the space in the airways, forcing air to pass through these blocked/constricted nasal passages. This will create turbulence and the soft tissues in the throat will vibrate—producing a sound of snoring. As the congestion worsens, the vibration increases. Allergic reactions cause swelling in the nasal passages. During a runny nose, the nasal lining becomes inflamed and produces excess mucus. This will further block the nose and lead to mouth breathing. The change in the passage of air creates snoring. So, if the allergy is better managed, you will be able to cope with snoring too.

How does anti-histamine help reduce snoring?  

Antihistamines help ease allergy-related snoring by blocking the production of histamine. Histamine is a chemical that is responsible for inflammation and mucus, which narrows airways and induces reactions. This way, the runny response is reduced, making it easier to breathe through the nose at night.

Positioning the jaw 

Mouthguards for snoring are designed to hold the lower jaw in a forward position, which can help keep the tongue and soft palate from blocking the airway.

Preventing jaw collapse 

These devices can prevent the jaw from collapsing backward during sleep, which can contribute to snoring.

How Do Nasal Strips Help? 

Widen nasal passages

Nasal strips are flexible strips that stick to the outside of the nose and help widen the nasal passages.

Improve airflow 

By widening the nasal passages, nasal strips can improve airflow and reduce the vibration of tissues in the throat that cause snoring.

Blocking histamine to reduce inflammation and mucus 

They block histamine, reducing inflammation and mucus. Medication will prevent histamine from binding to its receptors, which stops the chain reaction. Eventually, less mucus buildup opens up the airways. Less congestion leads to clearer airflow during sleep. With reduced congestion, airflow becomes smoother and less noisy due to less or reduced vibrations. Clearer airways depict less resistance and vibration in the upper airway, which can explicitly reduce snoring, especially in allergy-induced snorers.

Less congestion leads to clearer airflow during sleep 

Nasal congestion can often be caused by inflammation or mucus buildup. It can obstruct the nasal passages and make it harder to breathe through the nose. Nasal congestion can significantly hinder airflow, and it can cause difficulty breathing, snoring, and potentially sleep-disordered breathing like obstructive sleep apnea. When the nasal passages are free of congestion, it also allows for easier and more efficient breathing, promoting restful sleep.

Improved Nasal Breathing 

When the nasal passages are clear, individuals can breathe more easily through the nose, which is the natural way to filter, warm, and humidify air.

Reduced Snoring 

Congestion can cause the soft tissues in the throat to vibrate, leading to snoring. Clearing nasal passages can reduce or eliminate snoring.

Better Sleep Quality 

Nasal congestion can disrupt sleep by making it difficult to breathe comfortably and can lead to fragmented sleep.

Reduced Risk of Sleep-Disordered Breathing 

Severe congestion can increase the risk of sleep apnea and other sleep-disordered breathing events.

Improved Daytime Functioning 

Adequate sleep allows for better daytime alertness, concentration, and mood.

What types of anti-histamine work best for snoring? 

First-Gen vs Second-Gen AH 

AH are divided into two categories called 1st generation and 2nd generation. 1st gen, like diphenhydramine, is the older and classical version, which by nature is more sedative. When a person takes it, it will make them drowsy and dizzy. 1st gen will leave them inactive the next day. On the other hand, 2nd gen histamine AH linger longer and last longer and are less likely to make the affected person drowsy. 2nd gen is capable of being used during the day to treat allergic runny noses while continuing to choose Non-Drowsy Options.

Is sedating AH better for sleep? 

If the runny nose is keeping the patient awake throughout the night, then a sedating anti-histamine may help.

Which anti histamine are commonly recommended?  

Antihistamine

Pros

Cons

Best For

Loratadine

Non-sedating, 24-hour relief, widely available

Less effective for some allergies

Daytime use, avoiding grogginess

Cetirizine

Fast-acting, long-lasting, effective for multiple allergies

May cause mild drowsiness

Nighttime relief with minimal grogginess

Diphenhydramine

Strong allergy relief, promotes sleep

Causes significant drowsiness, potential grogginess

Occasional use when a sleep aid is needed

Can anti-histamine be used long-term for snoring?

 Risk of daily use and importance of consulting a doctor: While occasional use of AH is okay, taking them on a regular basis, especially the 1st gen, can lead to serious complications. Complications depend upon the severity, longevity, and age of the patient. If an older adult is taking these meds on a regular basis, it will lead to memory loss, confusion, falls, and drowsiness. Even 2nd gen persistent use can lead to effects like headaches, itching, and sleep apnea. When symptoms like sleep apnea occur, one should directly contact a healthcare provider rather than relying on allergy pills.

Better long-term strategies for allergy-related snoring 

The smarter and long-term plan should not rely on AH but aim to eliminate the root cause of snoring and allergic reactions. Daily nasal steroid sprays like Flonase are often more effective for long-term use. Other options include washing bedding and keeping pets out of the bedroom. Immunotherapies are also performed for ongoing allergies. Even simple changes like sleeping on your back can help reduce snoring.

Treat Allergies 

  • Medications: Use over-the-counter or prescription antihistamines, nasal corticosteroids, or decongestants to manage nasal inflammation and congestion.
  • Allergen Avoidance: Identify and minimize exposure to allergy triggers, such as dust, pollen, and pet dander.

Optimize Sleep Environment 

  • Sleep on Your Side: Sleeping on your side can help keep your airway open, reducing snoring.
  • Raise Your Head: Elevating the head of your bed can also help keep your airways open.
  • Use Nasal Strips: These can be really helpful to expand your nasal passages and improve airflow, reducing snoring.
  • Clean Your Bedroom Regularly: This can reduce the allergens and dust, which can irritate your airways and worsen snoring.

Address Contributing Lifestyle Factors

  • Weight Management: If you are overweight, losing weight can help reduce snoring.
  • Limit Alcohol Consumption: Alcohol can relax throat muscles and worsen snoring. Avoid alcohol for at least a few hours before bed.
  • Quit Smoking: Smoking can irritate your airways and worsen snoring.
  • Get Enough Sleep: Lack of sleep can make you more prone to snoring.

Consider Medical Treatments

  • Oral Appliances: In some cases, your doctor may recommend an oral appliance to keep your jaw and tongue in a position that helps keep your airway open. A popular option is the VitalSleep mouthpiece, which is designed to gently reposition your lower jaw and improve airflow, making it easier to breathe and reducing snoring during sleep.
  • Surgical Options:  If lifestyle changes and other treatments are not effective, your doctor may recommend surgery to correct structural problems in your nose or throat that contribute to snoring.

Consult with Professionals

  • Doctor or Allergist: Seek professional advice from your doctor or allergist to determine the best course of action for managing your allergies and reducing snoring.
  • Sleep Specialist: If snoring is severe or you suspect you may have obstructive sleep apnea, consult with a sleep specialist for diagnosis and treatment.

Conclusion

AH can offer short-term relief from snoring but cannot be used for the long-term. Non-drowsy options are often preferred for nighttime use. The loratadine type is another gentle alternative for sensitive patients. For lasting improvements, it’s important to focus on the underlying cause of the allergic reaction. Different sprays can help patients cope with this. By combining the right medications with long-term strategies and lifestyle changes, one can reduce snoring, breathe easier, and sleep more soundly.

If snoring is related to nasal congestion from allergies, antihistamines can reduce swelling and open nasal passages, potentially easing snoring. Antihistamines may not be effective for snoring caused by structural issues like a deviated septum or obesity. If allergies are a factor, reducing allergens in the bedroom or using allergy medication can be helpful. While antihistamines can help some, and especially older ones, they can cause drowsiness and potentially worsen snoring by relaxing muscles.

David founder of Vital Sleep

David Hernandez

David is the founder of VitalSleep.com. David has been helping his customers with their snoring issues since 2009. 

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