{"id":23936,"date":"2026-07-03T12:00:00","date_gmt":"2026-07-03T03:00:00","guid":{"rendered":"https:\/\/blog.fromjapan.co.jp\/en\/?p=23936"},"modified":"2026-07-03T10:51:30","modified_gmt":"2026-07-03T01:51:30","slug":"japan-allergy-medicine-recommend","status":"publish","type":"post","link":"https:\/\/blog.fromjapan.co.jp\/en\/product-showcase\/japan-allergy-medicine-recommend.html","title":{"rendered":"Best Japanese Allergy &#038; Rhinitis Medicine 2026: 5 OTC Picks (Arerubi, Alesion 20, Chikunain)"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/blog.fromjapan.co.jp\/en\/wp-content\/uploads\/2026\/07\/rhinitis-medicine-en-top-square.png\" alt=\"Best Japanese allergy and rhinitis medicine 2026 \u2014 Arerubi, Alesion 20, Chikunain and Alguard antihistamine and kampo\" width=\"1080\" height=\"1080\" style=\"display:none\" \/><\/p>\n<p style=\"margin: 16px 0 20px;\"><img decoding=\"async\" style=\"width: 100%; height: auto; aspect-ratio: 16\/9; display: block; object-fit: cover;\" src=\"https:\/\/blog.fromjapan.co.jp\/en\/wp-content\/uploads\/2026\/07\/rhinitis-medicine-en-main.png\" alt=\"2026 guide to Japanese allergy and rhinitis medicine \u2014 second-generation antihistamines and kampo on a drugstore shelf\" \/><\/p>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 14px;\">A runny nose that won&#8217;t stop, a blocked nose that ruins your sleep, sneezing fits the moment you wake up \u2014 allergy troubles are not just a spring thing. Beyond pollen, <strong>dust mites, house dust, PM2.5 and the temperature swings between seasons<\/strong> are all common triggers of allergic rhinitis. Japan&#8217;s over-the-counter allergy medicines are a long-time drugstore favorite: <strong>second-generation antihistamines<\/strong> keep you clear-headed during the day, <strong>combination formulas with a decongestant<\/strong> tackle stubborn congestion and the <strong>kampo formula Shin&#8217;i-seihai-to<\/strong> works on sinus build-up from the inside. Different symptoms need different ingredients and antihistamine generations, and <strong>picking the wrong type can leave you drowsy and still blocked up<\/strong>.<\/p>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 14px;\">This guide sorts the field by symptom and by ingredient generation \u2014 from second-generation antihistamines and combination decongestant formulas to kampo \u2014 and picks 5 Japanese OTC allergy medicines worth ordering, with their key ingredients and Japanese reference prices. Order through <a href=\"https:\/\/www.fromjapan.co.jp\/en\/?utm_source=aiblog_en&amp;utm_medium=referral&amp;utm_campaign=aiblog_en_20260703_01&amp;utm_content=intro_h1_01_text02_top_01\" target=\"_blank\" rel=\"noopener\">FROM JAPAN<\/a> and you can get the full Japanese lineup that is hard to find elsewhere, without flying to Japan.<\/p>\n<div style=\"background: #fef3c7; border-left: 4px solid #f59e0b; padding: 10px 14px; font-size: 13px; color: #78350f; margin: 16px 0;\"><strong>Disclaimer<\/strong>: This article is general information, not medical advice. Use Japanese OTC medicines exactly as directed on the package. See a doctor if allergy symptoms persist or worsen, or if congestion comes with a high fever, severe facial pain or changes in your vision. Antihistamines can cause drowsiness, so do not drive or operate machinery after taking them.<\/div>\n<div style=\"background: #eff6ff; border-left: 4px solid #00A5D8; padding: 10px 14px; font-size: 13px; color: #1e3a5f; margin: 16px 0;\"><strong>Shipping &amp; import notes<\/strong>: All 5 picks here are <strong>oral tablets or capsules<\/strong>, which ship normally by Japan Post. <strong>Pressurised nasal sprays cannot be shipped and are not included.<\/strong> Medicines ship by Japan Post only, the US mainland is not on FROM JAPAN&#8217;s shipping list, and import rules differ by country \u2014 please check your own customs and health-authority rules before ordering, and keep items in their original packaging. Rohto Alguard Gold Z contains <strong>pseudoephedrine<\/strong> and Alesion 20 contains <strong>oral epinastine<\/strong>; both are restricted or prescription-only in some countries, so confirm before you order (see the notes on each item below).<\/div>\n<hr style=\"border: none; border-top: 1px solid #ddd; margin: 24px 0 16px;\" \/>\n<p style=\"font-size: 13px; font-weight: bold; color: #333; margin: 0 0 10px;\">In this article<\/p>\n<ul style=\"font-size: 14px; line-height: 2; padding-left: 20px; margin: 0 0 16px;\">\n<li><a style=\"color: #1e40af; text-decoration: none;\" href=\"#h2_01\" target=\"_self\">5 Japanese allergy medicines by symptom and generation (2026 comparison table)<\/a><\/li>\n<li><a style=\"color: #1e40af; text-decoration: none;\" href=\"#h2_02\" target=\"_self\">First vs second-generation antihistamines: the difference and how to choose (drowsiness and effect)<\/a><\/li>\n<li><a style=\"color: #1e40af; text-decoration: none;\" href=\"#h2_03\" target=\"_self\">Bad congestion? Combination formulas with a decongestant<\/a><\/li>\n<li><a style=\"color: #1e40af; text-decoration: none;\" href=\"#h2_05\" target=\"_self\">Q&amp;A \u2014 do allergy medicines make you drowsy, can you take them long term and more<\/a><\/li>\n<li><a style=\"color: #1e40af; text-decoration: none;\" href=\"#h2_07\" target=\"_self\">How to order through FROM JAPAN in 3 steps<\/a><\/li>\n<\/ul>\n<hr style=\"border: none; border-top: 1px solid #ddd; margin: 16px 0 28px;\" \/>\n<h2 id=\"h2_01\" style=\"font-size: clamp(16px,4.5vw,20px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #333;\" data-ga-section=\"h2_01\">How to choose a Japanese allergy medicine: 2026 comparison table<\/h2>\n<p style=\"font-size: 13px; font-weight: bold; color: #333; margin: 0 0 8px;\">\u2605 Key points<\/p>\n<ul style=\"font-size: 14px; line-height: 2; padding-left: 20px; margin: 0 0 20px;\">\n<li>First pin down your main symptom: <strong>runny nose and sneezing<\/strong>? <strong>Stubborn congestion and thick mucus<\/strong>? Or <strong>sinus build-up (sinusitis)<\/strong>?<\/li>\n<li>Runny nose and sneezing, and you want to stay awake during the day \u2192 a second-generation antihistamine (fexofenadine or Alesion 20).<\/li>\n<li>Heavy congestion and thick mucus \u2192 a combination formula with a decongestant (Stonarhini S or Rohto Alguard).<\/li>\n<li>Thick, yellow mucus with sinus build-up \u2192 the kampo formula Shin&#8217;i-seihai-to (Chikunain b), which clears from the inside.<\/li>\n<li>Congestion with a high fever, severe facial pain or changes in vision \u2192 do not self-medicate, see a doctor.<\/li>\n<\/ul>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 16px;\">Do not want to read the long write-ups? Start with this symptom overview to quickly narrow down the Japanese allergy medicine you need:<\/p>\n<style>.sp-cards{display:none;}@media (max-width:768px){.pc-table{display:none !important;}.sp-cards{display:block !important;}}.rakko-tip{position:relative;display:inline-block;cursor:pointer;margin-left:4px;vertical-align:middle;outline:none} .rakko-tip .rakko-tip-text{visibility:hidden;opacity:0;position:absolute;top:24px;right:-10px;background:#fff;color:#1f2937;padding:10px 14px;border:1px solid #d1d5db;border-radius:6px;font-size:12px;font-weight:400;line-height:1.6;text-align:left;white-space:normal;width:240px;z-index:100;transition:opacity 0.2s;box-shadow:0 4px 16px rgba(0,0,0,0.15);pointer-events:none} .rakko-tip:hover .rakko-tip-text,.rakko-tip:focus .rakko-tip-text{visibility:visible;opacity:1} @media (max-width:768px){.rakko-tip .rakko-tip-text{right:auto;left:50%;transform:translateX(-50%);width:200px}}<\/style>\n<div class=\"pc-table\" style=\"overflow-x: auto; margin: 16px 0 0 0;\">\n<table style=\"width: 100%; border-collapse: collapse; font-size: 14px; letter-spacing: 0.3px; line-height: 1.2; margin: 0;\">\n<thead>\n<tr style=\"background: #f0f0f0;\">\n<th style=\"padding: 10px 12px; text-align: center; white-space: nowrap; font-weight: 600; border: 1px solid #ddd;\">Symptom<\/th>\n<th style=\"padding: 10px 12px; text-align: center; white-space: nowrap; font-weight: 600; border: 1px solid #ddd;\">Photo<\/th>\n<th style=\"padding: 10px 12px; text-align: left; white-space: nowrap; font-weight: 600; border: 1px solid #ddd;\">Item<\/th>\n<th style=\"padding: 10px 12px; text-align: left; white-space: nowrap; font-weight: 600; border: 1px solid #ddd;\">Highlight<\/th>\n<th style=\"padding: 10px 12px; text-align: center; white-space: nowrap; font-weight: 600; border: 1px solid #ddd;\">Reference price<span class=\"rakko-tip\" tabindex=\"0\"><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#6b7280\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg><span class=\"rakko-tip-text\">Japanese manufacturer&#8217;s suggested retail price (tax included). For open-price items, a market reference price is shown. The actual price depends on the FROM JAPAN exchange rate at the time of purchase.<\/span><\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; text-align: center; font-size: 13px; color: #374151; background: #f9fafb;\" rowspan=\"2\">Second-generation antihistamine<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; text-align: center; width: 80px;\"><a style=\"display: block;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987343083760\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image01_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; display: block; margin: 0 auto;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/nopoint\/4987343083760aa.jpg\" alt=\"Arerubi fexofenadine allergy tablets 56 tablets\" \/><\/a><\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff;\">\n<div style=\"font-size: 14px; line-height: 1.4;\">Arerubi Fexofenadine Allergy Tablets \u2014 56 tablets<\/div>\n<div style=\"font-size: 11px; color: #999; margin-top: 2px;\">Kokando \u00b7 on the box: \u30a2\u30ec\u30eb\u30d3 56\u9320<\/div>\n<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; font-size: 13px; line-height: 1.5;\">Runny nose<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; text-align: center; white-space: nowrap;\">\n<div style=\"font-size: 14px; color: #111827; margin-bottom: 6px;\">\u00a51,120<\/div>\n<p><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987343083760\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge01_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa; text-align: center; width: 80px;\"><a style=\"display: block;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_ss-4987300060018\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image02_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; display: block; margin: 0 auto;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/00516756\/imgrc0067958043.gif\" alt=\"Alesion 20 epinastine tablets 12 tablets\" \/><\/a><\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa;\">\n<div style=\"font-size: 14px; line-height: 1.4;\">Alesion 20 (epinastine) \u2014 12 tablets<\/div>\n<div style=\"font-size: 11px; color: #999; margin-top: 2px;\">SSP \u00b7 on the box: \u30a2\u30ec\u30b8\u30aa\u30f320 12\u9320<\/div>\n<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa; font-size: 13px; line-height: 1.5;\">Runny nose<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa; text-align: center; white-space: nowrap;\">\n<div style=\"font-size: 14px; color: #111827; margin-bottom: 6px;\">\u00a51,500<\/div>\n<p><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_ss-4987300060018\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge02_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; text-align: center; font-size: 13px; color: #374151; background: #f9fafb;\" rowspan=\"2\">Combination \u2014 congestion<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; text-align: center; width: 80px;\"><a style=\"display: block;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_sato-4987316012384-kr\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image03_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; display: block; margin: 0 auto;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/00532395\/07781555\/4987316012384.jpg\" alt=\"Sato Stonarhini S rhinitis tablets 24 tablets\" \/><\/a><\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff;\">\n<div style=\"font-size: 14px; line-height: 1.4;\">Sato Stonarhini S Rhinitis Tablets \u2014 24 tablets<\/div>\n<div style=\"font-size: 11px; color: #999; margin-top: 2px;\">Sato \u00b7 on the box: \u30b9\u30c8\u30ca\u30ea\u30cbS(\u65b0) 24\u9320<\/div>\n<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; font-size: 13px; line-height: 1.5;\">Congestion<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; text-align: center; white-space: nowrap;\">\n<div style=\"font-size: 14px; color: #111827; margin-bottom: 6px;\">\u00a51,100<\/div>\n<p><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_sato-4987316012384-kr\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge03_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa; text-align: center; width: 80px;\"><a style=\"display: block;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987241156849-ha\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image04_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; display: block; margin: 0 auto;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/01591575\/10587642\/4987241156849.jpg\" alt=\"Rohto Alguard Gold Z oral rhinitis capsules 20 capsules\" \/><\/a><\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa;\">\n<div style=\"font-size: 14px; line-height: 1.4;\">Rohto Alguard Gold Z Oral Rhinitis Capsules \u2014 20 capsules<\/div>\n<div style=\"font-size: 11px; color: #999; margin-top: 2px;\">Rohto \u00b7 on the box: \u30ed\u30fc\u30c8\u30a2\u30eb\u30ac\u30fc\u30c9\u9f3b\u708e\u5185\u670d\u85ac\u30b4\u30fc\u30eb\u30c9Z 20\u30ab\u30d7\u30bb\u30eb<\/div>\n<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa; font-size: 13px; line-height: 1.5;\">Congestion<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fafafa; text-align: center; white-space: nowrap;\">\n<div style=\"font-size: 14px; color: #111827; margin-bottom: 6px;\">\u00a51,440<\/div>\n<p><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987241156849-ha\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge04_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; text-align: center; font-size: 13px; color: #374151; background: #f9fafb;\" rowspan=\"1\">Kampo \u2014 sinus build-up<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; text-align: center; width: 80px;\"><a style=\"display: block;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987072042670\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image05_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; display: block; margin: 0 auto;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/07019860\/4987072042670-39.jpg\" alt=\"Kobayashi Chikunain b kampo tablets 224 tablets\" \/><\/a><\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff;\">\n<div style=\"font-size: 14px; line-height: 1.4;\">Kobayashi Chikunain b (Kampo) \u2014 224 tablets<\/div>\n<div style=\"font-size: 11px; color: #999; margin-top: 2px;\">Kobayashi \u00b7 on the box: \u30c1\u30af\u30ca\u30a4\u30f3b 224\u9320<\/div>\n<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; font-size: 13px; line-height: 1.5;\">Sinus build-up<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #ddd; vertical-align: middle; background: #fff; text-align: center; white-space: nowrap;\">\n<div style=\"font-size: 14px; color: #111827; margin-bottom: 6px;\">\u00a55,950<\/div>\n<p><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987072042670\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge05_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"sp-cards\" style=\"display: none;\">\n<div class=\"sp-cat\" style=\"font-size: 14px; margin: 20px 0 8px; padding: 8px 12px; background: #f0f0f0; border-radius: 6px;\">Second-generation antihistamine<\/div>\n<div class=\"sp-card\" style=\"display: flex; gap: 12px; padding: 12px; border: 1px solid #e5e7eb; border-radius: 6px; margin-bottom: 8px; background: #fff;\"><a style=\"display: block; flex-shrink: 0;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987343083760\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image01_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; flex-shrink: 0;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/nopoint\/4987343083760aa.jpg\" alt=\"Arerubi fexofenadine allergy tablets 56 tablets\" \/><\/a><\/p>\n<div class=\"sp-info\" style=\"flex: 1; min-width: 0;\">\n<div class=\"sp-name\" style=\"font-size: 14px; line-height: 1.4; margin-bottom: 2px;\">Arerubi Fexofenadine Allergy Tablets \u2014 56 tablets<br \/><span style=\"color: #999; font-size: 11px;\">Kokando \u00b7 \u30a2\u30ec\u30eb\u30d3 56\u9320<\/span><\/div>\n<div class=\"sp-feat\" style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin-bottom: 6px;\">Runny nose<\/div>\n<div class=\"sp-meta\" style=\"font-size: 12px; margin-bottom: 8px;\"><span style=\"color: #111827;\">\u00a51,120<\/span><\/div>\n<div class=\"sp-badge\"><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987343083760\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge01_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"sp-card\" style=\"display: flex; gap: 12px; padding: 12px; border: 1px solid #e5e7eb; border-radius: 6px; margin-bottom: 8px; background: #fff;\"><a style=\"display: block; flex-shrink: 0;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_ss-4987300060018\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image02_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; flex-shrink: 0;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/00516756\/imgrc0067958043.gif\" alt=\"Alesion 20 epinastine tablets 12 tablets\" \/><\/a><\/p>\n<div class=\"sp-info\" style=\"flex: 1; min-width: 0;\">\n<div class=\"sp-name\" style=\"font-size: 14px; line-height: 1.4; margin-bottom: 2px;\">Alesion 20 (epinastine) \u2014 12 tablets<br \/><span style=\"color: #999; font-size: 11px;\">SSP \u00b7 \u30a2\u30ec\u30b8\u30aa\u30f320 12\u9320<\/span><\/div>\n<div class=\"sp-feat\" style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin-bottom: 6px;\">Runny nose<\/div>\n<div class=\"sp-meta\" style=\"font-size: 12px; margin-bottom: 8px;\"><span style=\"color: #111827;\">\u00a51,500<\/span><\/div>\n<div class=\"sp-badge\"><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_ss-4987300060018\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge02_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"sp-cat\" style=\"font-size: 14px; margin: 20px 0 8px; padding: 8px 12px; background: #f0f0f0; border-radius: 6px;\">Combination \u2014 congestion<\/div>\n<div class=\"sp-card\" style=\"display: flex; gap: 12px; padding: 12px; border: 1px solid #e5e7eb; border-radius: 6px; margin-bottom: 8px; background: #fff;\"><a style=\"display: block; flex-shrink: 0;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_sato-4987316012384-kr\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image03_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; flex-shrink: 0;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/00532395\/07781555\/4987316012384.jpg\" alt=\"Sato Stonarhini S rhinitis tablets 24 tablets\" \/><\/a><\/p>\n<div class=\"sp-info\" style=\"flex: 1; min-width: 0;\">\n<div class=\"sp-name\" style=\"font-size: 14px; line-height: 1.4; margin-bottom: 2px;\">Sato Stonarhini S Rhinitis Tablets \u2014 24 tablets<br \/><span style=\"color: #999; font-size: 11px;\">Sato \u00b7 \u30b9\u30c8\u30ca\u30ea\u30cbS(\u65b0) 24\u9320<\/span><\/div>\n<div class=\"sp-feat\" style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin-bottom: 6px;\">Congestion<\/div>\n<div class=\"sp-meta\" style=\"font-size: 12px; margin-bottom: 8px;\"><span style=\"color: #111827;\">\u00a51,100<\/span><\/div>\n<div class=\"sp-badge\"><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_sato-4987316012384-kr\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge03_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"sp-card\" style=\"display: flex; gap: 12px; padding: 12px; border: 1px solid #e5e7eb; border-radius: 6px; margin-bottom: 8px; background: #fff;\"><a style=\"display: block; flex-shrink: 0;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987241156849-ha\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image04_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; flex-shrink: 0;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/01591575\/10587642\/4987241156849.jpg\" alt=\"Rohto Alguard Gold Z oral rhinitis capsules 20 capsules\" \/><\/a><\/p>\n<div class=\"sp-info\" style=\"flex: 1; min-width: 0;\">\n<div class=\"sp-name\" style=\"font-size: 14px; line-height: 1.4; margin-bottom: 2px;\">Rohto Alguard Gold Z Oral Rhinitis Capsules \u2014 20 capsules<br \/><span style=\"color: #999; font-size: 11px;\">Rohto \u00b7 \u30ed\u30fc\u30c8\u30a2\u30eb\u30ac\u30fc\u30c9\u9f3b\u708e\u5185\u670d\u85ac\u30b4\u30fc\u30eb\u30c9Z 20\u30ab\u30d7\u30bb\u30eb<\/span><\/div>\n<div class=\"sp-feat\" style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin-bottom: 6px;\">Congestion<\/div>\n<div class=\"sp-meta\" style=\"font-size: 12px; margin-bottom: 8px;\"><span style=\"color: #111827;\">\u00a51,440<\/span><\/div>\n<div class=\"sp-badge\"><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987241156849-ha\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge04_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"sp-cat\" style=\"font-size: 14px; margin: 20px 0 8px; padding: 8px 12px; background: #f0f0f0; border-radius: 6px;\">Kampo \u2014 sinus build-up<\/div>\n<div class=\"sp-card\" style=\"display: flex; gap: 12px; padding: 12px; border: 1px solid #e5e7eb; border-radius: 6px; margin-bottom: 8px; background: #fff;\"><a style=\"display: block; flex-shrink: 0;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987072042670\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_image05_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 60px; height: 60px; object-fit: contain; border-radius: 4px; flex-shrink: 0;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/07019860\/4987072042670-39.jpg\" alt=\"Kobayashi Chikunain b kampo tablets 224 tablets\" \/><\/a><\/p>\n<div class=\"sp-info\" style=\"flex: 1; min-width: 0;\">\n<div class=\"sp-name\" style=\"font-size: 14px; line-height: 1.4; margin-bottom: 2px;\">Kobayashi Chikunain b (Kampo) \u2014 224 tablets<br \/><span style=\"color: #999; font-size: 11px;\">Kobayashi \u00b7 \u30c1\u30af\u30ca\u30a4\u30f3b 224\u9320<\/span><\/div>\n<div class=\"sp-feat\" style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin-bottom: 6px;\">Sinus build-up<\/div>\n<div class=\"sp-meta\" style=\"font-size: 12px; margin-bottom: 8px;\"><span style=\"color: #111827;\">\u00a55,950<\/span><\/div>\n<div class=\"sp-badge\"><a class=\"badge-fj\" style=\"display: inline-block; background: #cceffa; color: #00a5d8; font-size: 11px; padding: 2px 8px; border-radius: 9999px; text-decoration: none; font-weight: 400; line-height: 1; white-space: nowrap;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987072042670\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_01_table01_badge05_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2 id=\"h2_02\" style=\"font-size: clamp(16px,4.5vw,20px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #333;\" data-ga-section=\"h2_02\">Second-generation antihistamines \u2014 2 non-drowsy daytime picks for allergic rhinitis<\/h2>\n<p style=\"font-size: 13px; font-weight: bold; color: #333; margin: 0 0 8px;\">\u2605 Key points<\/p>\n<ul style=\"font-size: 14px; line-height: 2; padding-left: 20px; margin: 0 0 20px;\">\n<li><span style=\"font-weight: 600;\">Second-generation antihistamines are less likely to reach the brain, so they cause less drowsiness<\/span>. That makes them a good fit for work, study or driving during the day, and the mainstay of long-term allergic rhinitis control.<\/li>\n<li>Want the best value? Go for the fexofenadine tablets (a generic of Allegra with the same active ingredient). Want the convenience of once a day? Go for Alesion 20 (one tablet at bedtime, effective for 24 hours).<\/li>\n<li>Both cover <strong>runny nose, congestion and sneezing<\/strong> and suit allergic rhinitis triggered by pollen, dust mites or house dust.<\/li>\n<\/ul>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 16px;\">The 2 picks below are both second-generation antihistamines. The difference is value versus dosing frequency. Second-generation ingredients cross the blood-brain barrier less easily, so they are <strong>less likely to make you drowsy<\/strong> and suit daytime work or study, as well as anyone managing allergic rhinitis over the long term. Both are Class 2 OTC medicines for ages 15 and up. Use them exactly as directed on the package.<\/p>\n<div class=\"card-b\" style=\"margin: 16px 0; background: #fff; border-radius: 8px; border: 1px solid #eee; overflow: hidden; display: flex; flex-wrap: wrap;\">\n<div style=\"flex: 1 1 260px; min-width: 0; padding: 14px; border-right: 1px solid #eee;\">\n<div style=\"display: flex; gap: 4px; flex-wrap: wrap; margin-bottom: 8px; line-height: 1;\"><span style=\"display: inline-block; background: #fef3c7; color: #92400e; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">2nd-gen antihistamine<\/span><span style=\"display: inline-block; background: #dbeafe; color: #1e40af; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Same as Allegra<\/span><span style=\"display: inline-block; background: #dcfce7; color: #166534; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Best value<\/span><span style=\"display: inline-block; background: #e5e7eb; color: #374151; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">56 tablets<\/span><\/div>\n<div style=\"display: flex; align-items: center; margin-bottom: 12px;\"><a style=\"display: block; flex-shrink: 0; margin-right: 14px;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987343083760\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_02_card01_image01_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 80px; height: 80px; object-fit: contain; border-radius: 6px;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/nopoint\/4987343083760aa.jpg\" alt=\"Arerubi fexofenadine allergy tablets 56 tablets\" \/><\/a><\/p>\n<div style=\"flex: 1; min-width: 0;\">\n<h4 style=\"font-size: 15px; line-height: 1.3; margin-bottom: 2px;\">Arerubi Fexofenadine Allergy Tablets \u2014 56 tablets<\/h4>\n<div style=\"font-size: 11px; color: #9ca3af; line-height: 1.4;\">Kokando \u00b7 on the box: \u30a2\u30ec\u30eb\u30d3 56\u9320<\/div>\n<\/div>\n<\/div>\n<div style=\"font-size: 13px; line-height: 1.7; color: #555; margin-bottom: 10px;\"><span style=\"font-weight: 600; color: #333;\">Runny nose.<\/span> A generic (GE) of Allegra with the same active ingredient, fexofenadine, at great value. This second-generation antihistamine is less likely to cause drowsiness, so it suits daytime use and busy workdays. Class 2 OTC, ages 15 and up: 1 tablet twice a day (morning and evening); see the package insert for children&#8217;s dosing.<\/div>\n<div style=\"display: flex; gap: 7px; flex-wrap: wrap; line-height: 1;\"><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Runny nose<\/span><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Congestion<\/span><\/div>\n<\/div>\n<div style=\"flex: 1 1 180px; background: #f5f7fb; padding: 14px; display: flex; flex-direction: column; justify-content: space-between;\">\n<div style=\"display: flex; flex-direction: column; align-items: flex-start; margin-bottom: 4px;\">\n<div class=\"price-row\" style=\"display: flex; align-items: baseline; gap: 6px;\"><span style=\"font-size: 22px; font-weight: bold; color: #111827; letter-spacing: -0.5px;\">\u00a51,120<\/span><span style=\"font-size: 11px; color: #9ca3af;\">FJ price<\/span><\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 4px; line-height: 1;\">\u2248 US$6.9<\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 3px; line-height: 1;\">\u2248 \u00a35.2<\/div>\n<\/div>\n<p><a style=\"display: flex; align-items: center; justify-content: center; gap: 4px; background: #00A5D8; color: #fff; padding: 12px 16px; border-radius: 6px; font-size: 13px; font-weight: 600; line-height: 1.6; text-decoration: none; white-space: nowrap; margin-top: auto;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987343083760\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_02_card01_button01_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<div class=\"card-b\" style=\"margin: 16px 0; background: #fff; border-radius: 8px; border: 1px solid #eee; overflow: hidden; display: flex; flex-wrap: wrap;\">\n<div style=\"flex: 1 1 260px; min-width: 0; padding: 14px; border-right: 1px solid #eee;\">\n<div style=\"display: flex; gap: 4px; flex-wrap: wrap; margin-bottom: 8px; line-height: 1;\"><span style=\"display: inline-block; background: #fef3c7; color: #92400e; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">2nd-gen antihistamine<\/span><span style=\"display: inline-block; background: #dbeafe; color: #1e40af; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Once daily, 24h<\/span><span style=\"display: inline-block; background: #dcfce7; color: #166534; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">1 at bedtime<\/span><span style=\"display: inline-block; background: #e5e7eb; color: #374151; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">12 tablets<\/span><\/div>\n<div style=\"display: flex; align-items: center; margin-bottom: 12px;\"><a style=\"display: block; flex-shrink: 0; margin-right: 14px;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_ss-4987300060018\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_02_card01_image02_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 80px; height: 80px; object-fit: contain; border-radius: 6px;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/00516756\/imgrc0067958043.gif\" alt=\"Alesion 20 epinastine tablets 12 tablets\" \/><\/a><\/p>\n<div style=\"flex: 1; min-width: 0;\">\n<h4 style=\"font-size: 15px; line-height: 1.3; margin-bottom: 2px;\">Alesion 20 (epinastine) \u2014 12 tablets<\/h4>\n<div style=\"font-size: 11px; color: #9ca3af; line-height: 1.4;\">SSP \u00b7 on the box: \u30a2\u30ec\u30b8\u30aa\u30f320 12\u9320<\/div>\n<\/div>\n<\/div>\n<div style=\"font-size: 13px; line-height: 1.7; color: #555; margin-bottom: 10px;\"><span style=\"font-weight: 600; color: #333;\">Runny nose.<\/span> One tablet at bedtime, effective for 24 hours. The second-generation antihistamine epinastine is at the same strength as the prescription version, is less likely to reach the brain and is less likely to cause drowsiness. Once-a-day dosing is convenient. Class 2 OTC, ages 15 and up: 1 tablet once a day at bedtime (24-hour effect). Note: oral epinastine is prescription-only in some countries \u2014 check your local rules before ordering.<\/div>\n<div style=\"display: flex; gap: 7px; flex-wrap: wrap; line-height: 1;\"><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Runny nose<\/span><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Congestion<\/span><\/div>\n<\/div>\n<div style=\"flex: 1 1 180px; background: #f5f7fb; padding: 14px; display: flex; flex-direction: column; justify-content: space-between;\">\n<div style=\"display: flex; flex-direction: column; align-items: flex-start; margin-bottom: 4px;\">\n<div class=\"price-row\" style=\"display: flex; align-items: baseline; gap: 6px;\"><span style=\"font-size: 22px; font-weight: bold; color: #111827; letter-spacing: -0.5px;\">\u00a51,500<\/span><span style=\"font-size: 11px; color: #9ca3af;\">FJ price<\/span><\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 4px; line-height: 1;\">\u2248 US$9.2<\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 3px; line-height: 1;\">\u2248 \u00a37.0<\/div>\n<\/div>\n<p><a style=\"display: flex; align-items: center; justify-content: center; gap: 4px; background: #00A5D8; color: #fff; padding: 12px 16px; border-radius: 6px; font-size: 13px; font-weight: 600; line-height: 1.6; text-decoration: none; white-space: nowrap; margin-top: auto;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_ss-4987300060018\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_02_card01_button02_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<h3 style=\"font-size: 16px; font-weight: bold; margin: 28px 0 10px; color: #333;\">First vs second-generation antihistamines: what is the difference and how do you choose?<\/h3>\n<div style=\"background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 18px 20px; margin: 12px 0 8px;\">\n<div style=\"display: flex; flex-wrap: wrap; gap: 12px; margin-bottom: 12px;\">\n<div style=\"flex: 1; min-width: 200px; background: #fff; border: 1px solid #e5e7eb; border-left: 4px solid #00a5d8; border-radius: 6px; padding: 14px 16px;\">\n<div style=\"font-size: 14px; font-weight: bold; color: #00a5d8; margin-bottom: 6px;\">Second generation<\/div>\n<div style=\"font-size: 13px; line-height: 1.7; color: #374151;\">Less likely to reach the brain, so <strong>less likely to cause drowsiness<\/strong>. Taken once or twice a day with a long-lasting effect. Good for daytime work, driving and long-term control (for example fexofenadine and epinastine).<\/div>\n<\/div>\n<div style=\"flex: 1; min-width: 200px; background: #fff; border: 1px solid #e5e7eb; border-left: 4px solid #9ca3af; border-radius: 6px; padding: 14px 16px;\">\n<div style=\"font-size: 14px; font-weight: bold; color: #6b7280; margin-bottom: 6px;\">First generation<\/div>\n<div style=\"font-size: 13px; line-height: 1.7; color: #374151;\">Fast-acting and effective on sudden runny nose, but <strong>more likely to cause drowsiness and a dry mouth<\/strong>. Often combined with a decongestant to tackle congestion (for example chlorpheniramine formulas).<\/div>\n<\/div>\n<\/div>\n<p style=\"font-size: 13px; line-height: 1.75; color: #374151; margin: 0;\">Want to stay clear-headed during the day and control allergic rhinitis over the long term? Choose <strong>second generation<\/strong> (fexofenadine or Alesion 20). Bad congestion and want fast relief or dosing at night? A <strong>first-generation combination<\/strong> (Stonarhini S or Alguard) is also an option. <strong>Do not drive or operate machinery after taking a medicine that makes you drowsy.<\/strong><\/p>\n<\/div>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 16px 0 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>This article is general information, not medical advice. Use Japanese OTC medicines exactly as directed on the package. See a doctor if allergy symptoms persist or worsen, or come with a fever, difficulty breathing or a severe headache.<\/p>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 3px 0 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>The US dollar and pound prices shown are reference conversions at the 2026-07-01 exchange rate. The actual price depends on the rate at the time of purchase.<\/p>\n<h2 id=\"h2_03\" style=\"font-size: clamp(16px,4.5vw,20px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #333;\" data-ga-section=\"h2_03\">Combination formulas \u2014 2 fast-acting picks for congestion, thick mucus and a heavy head<\/h2>\n<p style=\"font-size: 13px; font-weight: bold; color: #333; margin: 0 0 8px;\">\u2605 Key points<\/p>\n<ul style=\"font-size: 14px; line-height: 2; padding-left: 20px; margin: 0 0 20px;\">\n<li><span style=\"font-weight: 600;\">When congestion is especially bad and mucus is thick, a combination formula with a decongestant is a better fit.<\/span><\/li>\n<li><strong>Stonarhini S<\/strong> is Sato&#8217;s unique dual-layer tablet (timed release): an antihistamine plus a decongestant, taken once or twice a day and noticeably effective on congestion.<\/li>\n<li><strong>Rohto Alguard Gold Z<\/strong> is a 6-ingredient combination capsule for the congestion, thick mucus and heavy-headedness caused by allergic rhinitis and sinusitis.<\/li>\n<li><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#b45309\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:4px;\"><path d=\"m21.73 18-8-14a2 2 0 0 0-3.48 0l-8 14A2 2 0 0 0 4 21h16a2 2 0 0 0 1.73-3Z\"><\/path><line x1=\"12\" y1=\"9\" x2=\"12\" y2=\"13\"><\/line><line x1=\"12\" y1=\"17\" x2=\"12.01\" y2=\"17\"><\/line><\/svg>Alguard Gold Z contains the decongestant <strong>pseudoephedrine<\/strong>, which is restricted or monitored in many countries. Follow the dosage exactly, avoid prolonged continuous use and check your country&#8217;s import rules before ordering (see the notes below).<\/li>\n<\/ul>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 16px;\">The 2 picks below are the combination, fast-acting route, with a decongestant that works best on congestion. Stonarhini S uses a dual-layer tablet for timed release, taken once or twice a day. Rohto Alguard Gold Z uses a 6-ingredient combination for congestion, thick mucus and a heavy head (sinusitis). Alguard Gold Z is a designated Class 2 OTC medicine (it contains pseudoephedrine), so follow the dosage exactly and avoid taking it together with a cold medicine that has the same ingredients. For ages 15 and up.<\/p>\n<div class=\"card-b\" style=\"margin: 16px 0; background: #fff; border-radius: 8px; border: 1px solid #eee; overflow: hidden; display: flex; flex-wrap: wrap;\">\n<div style=\"flex: 1 1 260px; min-width: 0; padding: 14px; border-right: 1px solid #eee;\">\n<div style=\"display: flex; gap: 4px; flex-wrap: wrap; margin-bottom: 8px; line-height: 1;\"><span style=\"display: inline-block; background: #fef3c7; color: #92400e; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Dual-layer tablet<\/span><span style=\"display: inline-block; background: #dbeafe; color: #1e40af; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Timed release<\/span><span style=\"display: inline-block; background: #dcfce7; color: #166534; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Works on congestion<\/span><span style=\"display: inline-block; background: #e5e7eb; color: #374151; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">24 tablets<\/span><\/div>\n<div style=\"display: flex; align-items: center; margin-bottom: 12px;\"><a style=\"display: block; flex-shrink: 0; margin-right: 14px;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_sato-4987316012384-kr\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_03_card01_image01_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 80px; height: 80px; object-fit: contain; border-radius: 6px;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/00532395\/07781555\/4987316012384.jpg\" alt=\"Sato Stonarhini S rhinitis tablets 24 tablets\" \/><\/a><\/p>\n<div style=\"flex: 1; min-width: 0;\">\n<h4 style=\"font-size: 15px; line-height: 1.3; margin-bottom: 2px;\">Sato Stonarhini S Rhinitis Tablets \u2014 24 tablets<\/h4>\n<div style=\"font-size: 11px; color: #9ca3af; line-height: 1.4;\">Sato \u00b7 on the box: \u30b9\u30c8\u30ca\u30ea\u30cbS(\u65b0) 24\u9320<\/div>\n<\/div>\n<\/div>\n<div style=\"font-size: 13px; line-height: 1.7; color: #555; margin-bottom: 10px;\"><span style=\"font-weight: 600; color: #333;\">Congestion.<\/span> Sato&#8217;s unique dual-layer tablet (a stomach-dissolving outer layer plus a gut-dissolving core) for timed release. It combines an antihistamine with a decongestant, is noticeably effective on congestion and is taken once or twice a day. Class 2 OTC, ages 15 and up; see the package insert for age-specific dosing.<\/div>\n<div style=\"display: flex; gap: 7px; flex-wrap: wrap; line-height: 1;\"><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Congestion<\/span><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Runny nose<\/span><\/div>\n<\/div>\n<div style=\"flex: 1 1 180px; background: #f5f7fb; padding: 14px; display: flex; flex-direction: column; justify-content: space-between;\">\n<div style=\"display: flex; flex-direction: column; align-items: flex-start; margin-bottom: 4px;\">\n<div class=\"price-row\" style=\"display: flex; align-items: baseline; gap: 6px;\"><span style=\"font-size: 22px; font-weight: bold; color: #111827; letter-spacing: -0.5px;\">\u00a51,100<\/span><span style=\"font-size: 11px; color: #9ca3af;\">FJ price<\/span><\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 4px; line-height: 1;\">\u2248 US$6.8<\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 3px; line-height: 1;\">\u2248 \u00a35.1<\/div>\n<\/div>\n<p><a style=\"display: flex; align-items: center; justify-content: center; gap: 4px; background: #00A5D8; color: #fff; padding: 12px 16px; border-radius: 6px; font-size: 13px; font-weight: 600; line-height: 1.6; text-decoration: none; white-space: nowrap; margin-top: auto;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_sato-4987316012384-kr\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_03_card01_button01_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<div class=\"card-b\" style=\"margin: 16px 0; background: #fff; border-radius: 8px; border: 1px solid #eee; overflow: hidden; display: flex; flex-wrap: wrap;\">\n<div style=\"flex: 1 1 260px; min-width: 0; padding: 14px; border-right: 1px solid #eee;\">\n<div style=\"display: flex; gap: 4px; flex-wrap: wrap; margin-bottom: 8px; line-height: 1;\"><span style=\"display: inline-block; background: #fef3c7; color: #92400e; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">6-ingredient combo<\/span><span style=\"display: inline-block; background: #dbeafe; color: #1e40af; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Sinusitis<\/span><span style=\"display: inline-block; background: #dcfce7; color: #166534; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Congestion &amp; heavy head<\/span><span style=\"display: inline-block; background: #e5e7eb; color: #374151; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">20 capsules<\/span><\/div>\n<div style=\"display: flex; align-items: center; margin-bottom: 12px;\"><a style=\"display: block; flex-shrink: 0; margin-right: 14px;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987241156849-ha\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_03_card01_image02_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 80px; height: 80px; object-fit: contain; border-radius: 6px;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/01591575\/10587642\/4987241156849.jpg\" alt=\"Rohto Alguard Gold Z oral rhinitis capsules 20 capsules\" \/><\/a><\/p>\n<div style=\"flex: 1; min-width: 0;\">\n<h4 style=\"font-size: 15px; line-height: 1.3; margin-bottom: 2px;\">Rohto Alguard Gold Z Oral Rhinitis Capsules \u2014 20 capsules<\/h4>\n<div style=\"font-size: 11px; color: #9ca3af; line-height: 1.4;\">Rohto \u00b7 on the box: \u30ed\u30fc\u30c8\u30a2\u30eb\u30ac\u30fc\u30c9\u9f3b\u708e\u5185\u670d\u85ac\u30b4\u30fc\u30eb\u30c9Z 20\u30ab\u30d7\u30bb\u30eb<\/div>\n<\/div>\n<\/div>\n<div style=\"font-size: 13px; line-height: 1.7; color: #555; margin-bottom: 10px;\"><span style=\"font-weight: 600; color: #333;\">Congestion.<\/span> A 6-ingredient combination capsule. The low-drowsiness antihistamine mequitazine plus decongestants target congestion, thick mucus and a heavy head (sinusitis). This is a designated Class 2 OTC medicine, ages 15 and up: 1 capsule 3 times a day after meals. It contains pseudoephedrine \u2014 follow the dosage exactly, do not use it for long stretches and check your country&#8217;s import rules.<\/div>\n<div style=\"display: flex; gap: 7px; flex-wrap: wrap; line-height: 1;\"><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Congestion<\/span><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Sinusitis<\/span><\/div>\n<\/div>\n<div style=\"flex: 1 1 180px; background: #f5f7fb; padding: 14px; display: flex; flex-direction: column; justify-content: space-between;\">\n<div style=\"display: flex; flex-direction: column; align-items: flex-start; margin-bottom: 4px;\">\n<div class=\"price-row\" style=\"display: flex; align-items: baseline; gap: 6px;\"><span style=\"font-size: 22px; font-weight: bold; color: #111827; letter-spacing: -0.5px;\">\u00a51,440<\/span><span style=\"font-size: 11px; color: #9ca3af;\">FJ price<\/span><\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 4px; line-height: 1;\">\u2248 US$8.9<\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 3px; line-height: 1;\">\u2248 \u00a36.7<\/div>\n<\/div>\n<p><a style=\"display: flex; align-items: center; justify-content: center; gap: 4px; background: #00A5D8; color: #fff; padding: 12px 16px; border-radius: 6px; font-size: 13px; font-weight: 600; line-height: 1.6; text-decoration: none; white-space: nowrap; margin-top: auto;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987241156849-ha\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_03_card01_button02_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 16px 0 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>This article is general information, not medical advice. Use Japanese OTC medicines exactly as directed on the package. See a doctor if allergy symptoms persist or worsen, or come with a fever, difficulty breathing or a severe headache.<\/p>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 3px 0 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>Rohto Alguard Gold Z is a designated Class 2 OTC medicine that contains the decongestant pseudoephedrine. Follow the dosage exactly, avoid prolonged continuous use and do not take it together with a cold or rhinitis medicine that has the same ingredients. Pseudoephedrine is restricted or monitored in many countries \u2014 check your import rules first.<\/p>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 3px 0 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>The US dollar and pound prices shown are reference conversions at the 2026-07-01 exchange rate. The actual price depends on the rate at the time of purchase.<\/p>\n<h2 id=\"h2_04\" style=\"font-size: clamp(16px,4.5vw,20px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #333;\" data-ga-section=\"h2_04\">Kampo \u2014 sinus build-up (sinusitis) and chronic rhinitis, treated from within<\/h2>\n<p style=\"font-size: 13px; font-weight: bold; color: #333; margin: 0 0 8px;\">\u2605 Key points<\/p>\n<ul style=\"font-size: 14px; line-height: 2; padding-left: 20px; margin: 0 0 20px;\">\n<li><span style=\"font-weight: 600;\">When mucus is thick and yellow and congestion comes with sinus build-up (sinusitis), this classic Japanese kampo eases inflammation and clears the sinuses from within.<\/span><\/li>\n<li><strong>Chikunain b<\/strong> (the kampo formula Shin&#8217;i-seihai-to) suits people of average or stronger constitution with thick mucus and a feeling of heat, taken twice a day.<\/li>\n<li>224 tablets is a <strong>28-day supply for sustained use<\/strong>. Kampo needs to be taken consistently to work, so it suits people with chronic rhinitis or recurring sinus build-up who want it on hand.<\/li>\n<\/ul>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 16px;\">Chikunain b is Kobayashi&#8217;s Shin&#8217;i-seihai-to kampo preparation, made from 9 crude botanical drugs such as Magnolia flower, Scutellaria and gypsum. It targets thick mucus, congestion and sinus build-up (sinusitis), easing inflammation and clearing the sinuses from within. It is a Class 2 OTC medicine (kampo), taken twice a day, for ages 15 and up. Kampo contains liquorice, so take care with long-term use or when combining it with other liquorice-containing medicines (see the notes below), and see a doctor if symptoms persist.<\/p>\n<div class=\"card-b\" style=\"margin: 16px 0; background: #fff; border-radius: 8px; border: 1px solid #eee; overflow: hidden; display: flex; flex-wrap: wrap;\">\n<div style=\"flex: 1 1 260px; min-width: 0; padding: 14px; border-right: 1px solid #eee;\">\n<div style=\"display: flex; gap: 4px; flex-wrap: wrap; margin-bottom: 8px; line-height: 1;\"><span style=\"display: inline-block; background: #fef3c7; color: #92400e; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Japanese kampo<\/span><span style=\"display: inline-block; background: #dbeafe; color: #1e40af; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Shin&#8217;i-seihai-to<\/span><span style=\"display: inline-block; background: #dcfce7; color: #166534; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">Sinus build-up<\/span><span style=\"display: inline-block; background: #e5e7eb; color: #374151; font-size: 11px; padding: 2px 8px; border-radius: 8px; line-height: 1;\">224 tablets<\/span><\/div>\n<div style=\"display: flex; align-items: center; margin-bottom: 12px;\"><a style=\"display: block; flex-shrink: 0; margin-right: 14px;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987072042670\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_04_card01_image01_item_01\" target=\"_blank\" rel=\"noopener sponsored\"><img decoding=\"async\" style=\"width: 80px; height: 80px; object-fit: contain; border-radius: 6px;\" src=\"https:\/\/image.fromjapan.co.jp\/fj-mall\/energy\/07019860\/4987072042670-39.jpg\" alt=\"Kobayashi Chikunain b kampo tablets 224 tablets\" \/><\/a><\/p>\n<div style=\"flex: 1; min-width: 0;\">\n<h4 style=\"font-size: 15px; line-height: 1.3; margin-bottom: 2px;\">Kobayashi Chikunain b (Kampo) \u2014 224 tablets<\/h4>\n<div style=\"font-size: 11px; color: #9ca3af; line-height: 1.4;\">Kobayashi \u00b7 on the box: \u30c1\u30af\u30ca\u30a4\u30f3b 224\u9320<\/div>\n<\/div>\n<\/div>\n<div style=\"font-size: 13px; line-height: 1.7; color: #555; margin-bottom: 10px;\"><span style=\"font-weight: 600; color: #333;\">Sinus build-up.<\/span> A classic Japanese kampo (Shin&#8217;i-seihai-to). It targets thick mucus, congestion and sinus build-up (sinusitis), easing inflammation and clearing the sinuses from within, taken twice a day. 224 tablets is a 28-day supply for sustained use (kampo needs consistent use). Class 2 OTC (kampo), ages 15 and up: 4 tablets twice a day (before or between meals).<\/div>\n<div style=\"display: flex; gap: 7px; flex-wrap: wrap; line-height: 1;\"><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Sinus build-up<\/span><span style=\"display: inline-block; background: #f3f4f6; padding: 2px 8px; border-radius: 4px; font-size: 12px;\">Sinusitis<\/span><\/div>\n<\/div>\n<div style=\"flex: 1 1 180px; background: #f5f7fb; padding: 14px; display: flex; flex-direction: column; justify-content: space-between;\">\n<div style=\"display: flex; flex-direction: column; align-items: flex-start; margin-bottom: 4px;\">\n<div class=\"price-row\" style=\"display: flex; align-items: baseline; gap: 6px;\"><span style=\"font-size: 22px; font-weight: bold; color: #111827; letter-spacing: -0.5px;\">\u00a55,950<\/span><span style=\"font-size: 11px; color: #9ca3af;\">FJ price<\/span><\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 4px; line-height: 1;\">\u2248 US$36.6<\/div>\n<div style=\"font-size: 13px; color: #6b7280; margin-top: 3px; line-height: 1;\">\u2248 \u00a327.6<\/div>\n<\/div>\n<p><a style=\"display: flex; align-items: center; justify-content: center; gap: 4px; background: #00A5D8; color: #fff; padding: 12px 16px; border-radius: 6px; font-size: 13px; font-weight: 600; line-height: 1.6; text-decoration: none; white-space: nowrap; margin-top: auto;\" href=\"https:\/\/www.fromjapan.co.jp\/japan\/en\/special\/order\/confirm\/139_al-4987072042670\/400_1\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&#038;utm_content=body_h2_04_card01_button01_item_01\" target=\"_blank\" rel=\"noopener sponsored\">Order via FROM JAPAN<\/a><\/div>\n<\/div>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 16px 0 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>This article is general information, not medical advice. Use Japanese OTC medicines exactly as directed on the package. See a doctor if allergy symptoms persist or worsen, or come with a fever, difficulty breathing or a severe headache.<\/p>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 3px 0 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>The US dollar and pound prices shown are reference conversions at the 2026-07-01 exchange rate. The actual price depends on the rate at the time of purchase.<\/p>\n<h2 id=\"h2_05\" style=\"font-size: clamp(16px,4.5vw,20px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #333;\" data-ga-section=\"h2_05\">Q&amp;A \u2014 the full rundown on choosing a Japanese allergy medicine<\/h2>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 20px;\">Here are the questions that come up again and again, answered against the ingredients, generation and ordering realities of the 5 actual items.<\/p>\n<div style=\"margin-bottom: 24px;\">\n<p style=\"font-size: 15px; font-weight: bold; color: #00a5d8; margin: 0 0 8px;\">Q. Do Japanese allergy medicines make you drowsy? Which is less drowsy?<\/p>\n<p style=\"font-size: 14px; line-height: 1.85; color: #333; margin: 0;\">It comes down to the generation. <strong>Second-generation antihistamines<\/strong> (such as fexofenadine, the same active as Allegra, and epinastine in Alesion 20) are less likely to reach the brain, so they are <strong>less likely to make you drowsy<\/strong> and suit daytime work or driving. <strong>First-generation<\/strong> ingredients (such as the chlorpheniramine in Stonarhini S) act fast but are <strong>more likely to cause drowsiness and a dry mouth<\/strong>. If you want to stay clear-headed, choose second generation. Everyone reacts differently, so <strong>if you feel drowsy after taking it, do not drive or operate machinery<\/strong>.<\/p>\n<\/div>\n<div style=\"margin-bottom: 24px;\">\n<p style=\"font-size: 15px; font-weight: bold; color: #00a5d8; margin: 0 0 8px;\">Q. Can you take allergy medicine long term? Is it habit-forming?<\/p>\n<p style=\"font-size: 14px; line-height: 1.85; color: #333; margin: 0;\">Second-generation antihistamines are generally <strong>not habit-forming<\/strong>, and taking them regularly through an allergic-rhinitis flare is common. However OTC medicines are designed to <strong>relieve symptoms<\/strong>, so follow the package directions, and <strong>if symptoms persist or you need long-term control, talk to a doctor<\/strong> who can assess whether a prescription or further tests are needed. <strong>Combination formulas with a decongestant (such as Alguard, which contains pseudoephedrine) and decongestant nasal sprays should not be used continuously for long periods<\/strong>, to avoid rebound congestion.<\/p>\n<\/div>\n<div style=\"margin-bottom: 24px;\">\n<p style=\"font-size: 15px; font-weight: bold; color: #00a5d8; margin: 0 0 8px;\">Q. Runny nose, congestion or constant sneezing \u2014 which one should I choose?<\/p>\n<p style=\"font-size: 14px; line-height: 1.85; color: #333; margin: 0;\">Start with your <strong>main symptom<\/strong>. Mostly <strong>runny nose and sneezing<\/strong>, and you want to stay awake \u2192 a second-generation antihistamine (fexofenadine or Alesion 20). <strong>Heavy congestion and thick mucus<\/strong> \u2192 a combination formula with a decongestant (Stonarhini S or Alguard). Thick, yellow mucus with <strong>sinus build-up (sinusitis)<\/strong> \u2192 the kampo Shin&#8217;i-seihai-to (Chikunain b). There is no one-size-fits-all pick, so choose <strong>by symptom<\/strong>.<\/p>\n<\/div>\n<div style=\"margin-bottom: 24px;\">\n<p style=\"font-size: 15px; font-weight: bold; color: #00a5d8; margin: 0 0 8px;\">Q. How do I tell allergic rhinitis from a cold, and do allergy medicines help a cold?<\/p>\n<p style=\"font-size: 14px; line-height: 1.85; color: #333; margin: 0;\"><strong>Allergic rhinitis<\/strong> usually means <strong>clear, watery mucus, repeated sneezing and an itchy nose or eyes<\/strong> with no fever, often triggered by dust mites, pollen or dust and linked to a season or environment. A <strong>cold<\/strong> often comes with a sore throat, fever and fatigue, and the mucus tends to thicken later. Antihistamines mainly tackle the runny nose and sneezing caused by allergies and <strong>do not treat the cold virus itself<\/strong>. For a cold you need a multi-symptom cold medicine or symptom care. If you cannot tell them apart or a fever persists, see a doctor.<\/p>\n<\/div>\n<div style=\"margin-bottom: 24px;\">\n<p style=\"font-size: 15px; font-weight: bold; color: #00a5d8; margin: 0 0 8px;\">Q. Can children take these Japanese allergy medicines?<\/p>\n<p style=\"font-size: 14px; line-height: 1.85; color: #333; margin: 0;\">The 5 picks here are <strong>mostly labelled for ages 15 and up<\/strong> (Alesion 20 and Alguard are 15 and up). Some medicines (such as fexofenadine) have separate children&#8217;s dosing in the package insert, but you <strong>must follow the ages and doses on the package and insert<\/strong> and never simply give a child a reduced adult dose. For children&#8217;s allergic rhinitis, have a <strong>pediatrician or ENT doctor<\/strong> assess and prescribe a suitable medicine, and consult a doctor or pharmacist before using any medicine during pregnancy or breastfeeding.<\/p>\n<\/div>\n<div style=\"margin-bottom: 24px;\">\n<p style=\"font-size: 15px; font-weight: bold; color: #00a5d8; margin: 0 0 8px;\">Q. These Japanese allergy medicines are hard to find where I live \u2014 what should I watch out for when ordering through FROM JAPAN?<\/p>\n<p style=\"font-size: 14px; line-height: 1.85; color: #333; margin: 0;\">Japanese versions such as fexofenadine, Alesion 20, Stonarhini S, Chikunain and Rohto Alguard are often not sold as a full set outside Japan, and FROM JAPAN lets you order them straight from Japan and combine items to reduce shipping. The <strong>order price includes the Japanese price plus a service fee and international shipping, so it is not always cheaper than buying locally<\/strong> \u2014 the value is in getting the full Japanese lineup and buying it all at once. Also, <strong>pressurised nasal sprays cannot be shipped<\/strong>, so this guide focuses on oral tablets and capsules that ship by Japan Post. Check your own country&#8217;s import rules before ordering.<\/p>\n<\/div>\n<h2 id=\"h2_06\" style=\"font-size: clamp(16px,4.5vw,20px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #333;\" data-ga-section=\"h2_06\">Safe use and what to know \u2014 using OTC allergy medicines responsibly<\/h2>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 16px;\">The items here are all Japanese OTC medicines (Class 2, designated Class 2 and kampo). <strong>This article is general information and cannot replace a doctor&#8217;s diagnosis.<\/strong> Please check the following before you buy and use them.<\/p>\n<h3 style=\"font-size: 16px; font-weight: bold; margin: 24px 0 10px; color: #333;\">1. When to see a doctor rather than self-medicate<\/h3>\n<ul style=\"font-size: 14px; line-height: 2; padding-left: 20px; margin: 0 0 16px;\">\n<li>Congestion with a <strong>high fever, severe pain or swelling around the cheeks or eyes or changes in vision<\/strong> (possible acute sinusitis or cellulitis \u2014 see a doctor)<\/li>\n<li>Runny nose or congestion that is <strong>one-sided and persistent, contains blood, or comes with loss of smell<\/strong>, or symptoms that last more than 2 weeks<\/li>\n<li>No improvement after a few days on an OTC allergy medicine or repeated severe flare-ups that disrupt sleep and daily life<\/li>\n<li>Young children, older adults, pregnant women and people with chronic conditions (high blood pressure, heart disease, diabetes, glaucoma or an enlarged prostate) should get a medical assessment before use<\/li>\n<\/ul>\n<h3 style=\"font-size: 16px; font-weight: bold; margin: 24px 0 10px; color: #333;\">2. Drowsiness, driving and operating machinery<\/h3>\n<p style=\"font-size: 14px; line-height: 1.85; margin-bottom: 16px;\">Antihistamines can cause <strong>drowsiness and reduced concentration<\/strong>. First-generation ingredients (such as the chlorpheniramine in Stonarhini S) are more pronounced, while second-generation ones (fexofenadine and Alesion 20) are less likely to cause drowsiness, though this still varies from person to person. <strong>Do not drive or operate machinery after taking them<\/strong> and avoid combining them with alcohol. Alesion 20 is labelled for bedtime use, which helps reduce any daytime drowsiness.<\/p>\n<h3 style=\"font-size: 16px; font-weight: bold; margin: 24px 0 10px; color: #333;\">3. Notes on the decongestant ingredient (designated Class 2 \u2014 Rohto Alguard Gold Z)<\/h3>\n<p style=\"font-size: 14px; line-height: 1.85; margin-bottom: 16px;\">Rohto Alguard Gold Z is a <strong>designated Class 2 OTC medicine<\/strong> that contains <strong>the decongestant pseudoephedrine<\/strong>. Follow the dosage exactly, avoid prolonged continuous use and do not take it together with a multi-symptom cold medicine or rhinitis medicine that has the same ingredients. People with <strong>high blood pressure, heart disease, diabetes, thyroid disease, glaucoma or an enlarged prostate (difficulty urinating) and anyone pregnant or breastfeeding<\/strong>, should consult a doctor or pharmacist first. <strong>If you compete in sports, take note<\/strong>: pseudoephedrine is a substance the World Anti-Doping Agency (WADA) restricts in competition, and a urine concentration above the threshold can trigger a positive test, so stop taking it at least 24 hours before an event or consult your team doctor. Pseudoephedrine is also restricted or monitored in many countries, so <strong>check your import rules before ordering<\/strong>.<\/p>\n<h3 style=\"font-size: 16px; font-weight: bold; margin: 24px 0 10px; color: #333;\">4. Notes on the liquorice ingredient (kampo \u2014 Chikunain b)<\/h3>\n<p style=\"font-size: 14px; line-height: 1.85; margin-bottom: 16px;\">Chikunain b (Shin&#8217;i-seihai-to) contains crude drugs including <strong>liquorice<\/strong>. Long-term or high-dose use or combining it with other liquorice-containing kampo or medicines, can cause pseudoaldosteronism (swelling, raised blood pressure and low potassium). People with <strong>high blood pressure, heart disease, kidney disease<\/strong> and older adults should consult a doctor or pharmacist first. Kampo needs consistent use to work, but if there is no improvement after a while, see a doctor.<\/p>\n<h3 style=\"font-size: 16px; font-weight: bold; margin: 24px 0 10px; color: #333;\">5. General notes<\/h3>\n<ul style=\"font-size: 14px; line-height: 2; padding-left: 20px; margin: 0 0 16px;\">\n<li>Allergy medicines (antihistamines, combinations and kampo) mainly <strong>relieve symptoms<\/strong> and cannot cure an allergic constitution. If symptoms stay severe, get an allergy test.<\/li>\n<li>If you are taking other medicines or being treated for a condition, consult a doctor or pharmacist before combining them.<\/li>\n<li>Stop use immediately if you develop a rash, itching, swelling or difficulty breathing, and get medical help if needed.<\/li>\n<li>Follow the ages and doses on each item, store in a cool place away from children and use by the date on the package.<\/li>\n<\/ul>\n<p style=\"font-size: 12px; color: #6b7280; line-height: 1.5; margin: 24px 0 0;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"vertical-align:middle;margin-right:5px;flex-shrink:0;\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"16\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"8\" x2=\"12.01\" y2=\"8\"><\/line><\/svg>This information is drawn from public sources such as Japan&#8217;s Ministry of Health, Labour and Welfare OTC medicine classifications. For actual dosage and contraindications, follow the package and insert.<\/p>\n<h2 id=\"h2_07\" style=\"font-size: clamp(16px,4.5vw,20px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #333;\" data-ga-section=\"h2_07\">Ordering Japanese allergy medicine? FROM JAPAN has you covered<\/h2>\n<p style=\"font-size: 15px; line-height: 1.9; margin-bottom: 16px;\">If you want Japanese allergy and rhinitis medicines wherever you are, <a href=\"https:\/\/www.fromjapan.co.jp\/en\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&amp;utm_content=outro_h2_07_text01_top_01\" target=\"_blank\" rel=\"noopener\">FROM JAPAN<\/a> offers a full proxy-buying service \u2014 3 steps to place an order, with no need to fly to Japan.<\/p>\n<div style=\"display: flex; gap: 14px; margin: 21px 0; flex-wrap: wrap;\">\n<div style=\"flex: 1; min-width: 200px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 21px; text-align: center;\">\n<div style=\"display: inline-block; width: 32px; height: 32px; line-height: 32px; border-radius: 50%; background: #00A5D8; color: #fff; font-weight: bold; font-size: 15px; margin-bottom: 7px;\">1<\/div>\n<div style=\"font-size: 14px; font-weight: bold; margin-bottom: 7px;\">Search for the item<\/div>\n<div style=\"font-size: 13px; color: #555; line-height: 1.7;\">Search the item name on FROM JAPAN (for example fexofenadine, Alesion 20 or Chikunain), or click a link in this article to open the item page.<\/div>\n<\/div>\n<div style=\"flex: 1; min-width: 200px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 21px; text-align: center;\">\n<div style=\"display: inline-block; width: 32px; height: 32px; line-height: 32px; border-radius: 50%; background: #00A5D8; color: #fff; font-weight: bold; font-size: 15px; margin-bottom: 7px;\">2<\/div>\n<div style=\"font-size: 14px; font-weight: bold; margin-bottom: 7px;\">Place and pay for the order<\/div>\n<div style=\"font-size: 13px; color: #555; line-height: 1.7;\">Confirm the item and quantity, then enter your overseas delivery address. Oral tablets and capsules ship normally; nasal sprays cannot be shipped. Multiple items can be combined to reduce international shipping.<\/div>\n<\/div>\n<div style=\"flex: 1; min-width: 200px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 21px; text-align: center;\">\n<div style=\"display: inline-block; width: 32px; height: 32px; line-height: 32px; border-radius: 50%; background: #00A5D8; color: #fff; font-weight: bold; font-size: 15px; margin-bottom: 7px;\">3<\/div>\n<div style=\"font-size: 14px; font-weight: bold; margin-bottom: 7px;\">Receive it at home<\/div>\n<div style=\"font-size: 13px; color: #555; line-height: 1.7;\">FROM JAPAN checks and packs the item at its Japan warehouse, then ships it by Japan Post with tracking all the way.<\/div>\n<\/div>\n<\/div>\n<div style=\"background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 21px 28px; margin: 21px 0;\">\n<ul style=\"list-style: none; padding: 0; margin: 0;\">\n<li style=\"font-size: 15px; line-height: 1.9; padding: 4px 0;\"><strong>Genuine items<\/strong> \u2014 FROM JAPAN buys only from legitimate Japanese drugstores, retailers and similar channels, never parallel imports or fakes.<\/li>\n<li style=\"font-size: 15px; line-height: 1.9; padding: 4px 0;\"><strong>Japan warehouse check<\/strong> \u2014 once an item reaches the Japan warehouse it gets a visual inspection, and you are notified if there is a problem.<\/li>\n<li style=\"font-size: 15px; line-height: 1.9; padding: 4px 0;\"><strong>English-language support<\/strong> \u2014 the whole interface is in English, and you can ask support about medicine orders in English.<\/li>\n<\/ul>\n<\/div>\n<p><a style=\"display: flex; flex-wrap: wrap; justify-content: center; align-items: center; gap: 4px 10px; max-width: 480px; margin: 21px auto; padding: 16px 28px; text-align: center; font-size: 16px; font-weight: bold; color: #fff; background: #00A5D8; border-radius: 6px; text-decoration: none;\" href=\"https:\/\/www.fromjapan.co.jp\/lp\/japan\/energy-drug\/en\/?utm_source=aiblog_en&#038;utm_medium=referral&#038;utm_campaign=aiblog_en_20260703_01&amp;utm_content=outro_h2_07_button01_lp_01\" target=\"_blank\" rel=\"noopener sponsored\" data-ga-cta=\"last_cta\">Go to FROM JAPAN and order Japanese allergy medicine<\/a><\/p>\n<h3 id=\"h2_faq\" style=\"font-size: clamp(15px,4vw,18px); font-weight: bold; margin: 36px 0 16px; padding-bottom: 8px; border-bottom: 2px solid #e5e7eb;\" data-ga-section=\"h2_faq\">Frequently asked questions<\/h3>\n<div class=\"faq-list\" style=\"margin: 16px 0;\">\n<div class=\"faq-item\" style=\"margin-bottom: 16px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 16px 18px;\">\n<div style=\"font-size: 15px; font-weight: bold; color: #1f2937; margin-bottom: 7px;\"><span style=\"color: #00a5d8; font-weight: bold;\">Q. <\/span>Is it legal to order allergy and rhinitis medicine from Japan?<\/div>\n<div class=\"faq-a\" style=\"font-size: 15px; line-height: 1.9; color: #374151;\"><span style=\"color: #f59e0b; font-weight: bold; margin-right: 4px;\">A.<\/span>Ordering a small quantity of Japanese OTC medicine for personal use is generally allowed, but rules on the types and amounts of medicine that may be imported differ by country (many set a personal-use limit, often around a 3-month supply). Check your local customs and health-authority rules before ordering.<\/div>\n<\/div>\n<div class=\"faq-item\" style=\"margin-bottom: 16px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 16px 18px;\">\n<div style=\"font-size: 15px; font-weight: bold; color: #1f2937; margin-bottom: 7px;\"><span style=\"color: #00a5d8; font-weight: bold;\">Q. <\/span>Is the quality of the Japanese allergy medicine guaranteed?<\/div>\n<div class=\"faq-a\" style=\"font-size: 15px; line-height: 1.9; color: #374151;\"><span style=\"color: #f59e0b; font-weight: bold; margin-right: 4px;\">A.<\/span>FROM JAPAN buys only from legitimate Japanese drugstores, retailers and similar channels, and inspects items on arrival at its warehouse. This avoids the risks of unknown-source or expired items.<\/div>\n<\/div>\n<div class=\"faq-item\" style=\"margin-bottom: 16px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 16px 18px;\">\n<div style=\"font-size: 15px; font-weight: bold; color: #1f2937; margin-bottom: 7px;\"><span style=\"color: #00a5d8; font-weight: bold;\">Q. <\/span>How long does shipping from Japan take, and are there any shipping limits?<\/div>\n<div class=\"faq-a\" style=\"font-size: 15px; line-height: 1.9; color: #374151;\"><span style=\"color: #f59e0b; font-weight: bold; margin-right: 4px;\">A.<\/span>Usually about 7 to 14 business days including Japan warehouse handling, depending on destination and method. All 5 picks here are oral tablets or capsules that ship normally by Japan Post; <strong>pressurised nasal sprays cannot be shipped<\/strong> and are not included. Medicines ship by Japan Post only, and the US mainland is not on the shipping list.<\/div>\n<\/div>\n<div class=\"faq-item\" style=\"margin-bottom: 16px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 16px 18px;\">\n<div style=\"font-size: 15px; font-weight: bold; color: #1f2937; margin-bottom: 7px;\"><span style=\"color: #00a5d8; font-weight: bold;\">Q. <\/span>Do Japanese allergy medicines make you drowsy? Which can I take for daytime work?<\/div>\n<div class=\"faq-a\" style=\"font-size: 15px; line-height: 1.9; color: #374151;\"><span style=\"color: #f59e0b; font-weight: bold; margin-right: 4px;\">A.<\/span>To stay clear-headed during the day, go for a <strong>second-generation antihistamine<\/strong> \u2014 fexofenadine tablets (the same active as Allegra, as a generic) or Alesion 20 (epinastine, 1 tablet at bedtime for 24-hour cover), which are less likely to cause drowsiness. First-generation ingredients (Stonarhini S) and combination formulas with a decongestant (Alguard) work directly but are more likely to make you drowsy. <strong>If you feel drowsy after taking one, do not drive or operate machinery.<\/strong><\/div>\n<\/div>\n<div class=\"faq-item\" style=\"margin-bottom: 16px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 16px 18px;\">\n<div style=\"font-size: 15px; font-weight: bold; color: #1f2937; margin-bottom: 7px;\"><span style=\"color: #00a5d8; font-weight: bold;\">Q. <\/span>My congestion is really bad and my mucus is thick \u2014 which one should I choose?<\/div>\n<div class=\"faq-a\" style=\"font-size: 15px; line-height: 1.9; color: #374151;\"><span style=\"color: #f59e0b; font-weight: bold; margin-right: 4px;\">A.<\/span>For <strong>congestion first<\/strong>, choose a combination formula with a decongestant: Stonarhini S (dual-layer timed release) or Rohto Alguard Gold Z (a 6-ingredient combo for congestion and a heavy head). For <strong>thick, yellow mucus with sinus build-up (sinusitis)<\/strong>, consider the kampo Chikunain b (Shin&#8217;i-seihai-to), which clears from within. <strong>Avoid prolonged continuous use of decongestant formulas<\/strong> to prevent rebound congestion.<\/div>\n<\/div>\n<div class=\"faq-item\" style=\"margin-bottom: 16px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 16px 18px;\">\n<div style=\"font-size: 15px; font-weight: bold; color: #1f2937; margin-bottom: 7px;\"><span style=\"color: #00a5d8; font-weight: bold;\">Q. <\/span>Can you take allergy medicine long term?<\/div>\n<div class=\"faq-a\" style=\"font-size: 15px; line-height: 1.9; color: #374151;\"><span style=\"color: #f59e0b; font-weight: bold; margin-right: 4px;\">A.<\/span>Second-generation antihistamines are generally not habit-forming, and taking them regularly through a flare of allergic rhinitis is common. However OTC medicines are designed to relieve symptoms, so <strong>for long-term control, consult a doctor<\/strong> about whether a prescription or further tests are needed. <strong>Combination formulas with a decongestant (such as Alguard) and decongestant nasal sprays should not be used continuously for long periods<\/strong>, to avoid rebound congestion.<\/div>\n<\/div>\n<div class=\"faq-item\" style=\"margin-bottom: 16px; background: #f3f4f6; border: 1px solid #e5e7eb; border-radius: 6px; padding: 16px 18px;\">\n<div style=\"font-size: 15px; font-weight: bold; color: #1f2937; margin-bottom: 7px;\"><span style=\"color: #00a5d8; font-weight: bold;\">Q. <\/span>Can I find these allergy medicines at drugstores when I visit Japan?<\/div>\n<div class=\"faq-a\" style=\"font-size: 15px; line-height: 1.9; color: #374151;\"><span style=\"color: #f59e0b; font-weight: bold; margin-right: 4px;\">A.<\/span>Yes \u2014 <strong>drugstores across Japan (Matsumoto Kiyoshi, Daikoku, Welcia and others) have an allergy and rhinitis medicine section<\/strong>, and these 5 are mostly staple items. During peak travel or pollen season, popular items can sell out, so if your trip is tight or you want a specific item, ordering through FROM JAPAN to ship home is one option.<\/div>\n<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Is it legal to order allergy and rhinitis medicine from Japan?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ordering a small quantity of Japanese OTC medicine for personal use is generally allowed, but rules on the types and amounts of medicine that may be imported differ by country (many set a personal-use limit, often around a 3-month supply). 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During peak travel or pollen season, popular items can sell out, so if your trip is tight or you want a specific item, ordering through FROM JAPAN to ship home is one option.\"}}]}<\/script><\/p>\n<div style=\"background: #f9fafb; border-left: 4px solid #6b7280; padding: 14px 18px; margin: 32px 0; font-size: 12px; line-height: 1.8; color: #6b7280;\">\n<p style=\"margin: 0 0 8px; font-weight: bold; color: #374151;\">Disclaimer<\/p>\n<p style=\"margin: 0 0 6px;\">This article is general information only and does not constitute medical advice. Use Japanese OTC medicines exactly as directed on the package and insert. See a doctor if allergy symptoms persist or worsen, or if congestion comes with a high fever, severe facial pain or changes in vision. People who are pregnant or breastfeeding and those with existing conditions (high blood pressure, heart disease, diabetes, thyroid disease, glaucoma, an enlarged prostate and so on), should consult a doctor or pharmacist before use. Designated Class 2 medicines that contain a decongestant (such as Alguard Gold Z) should be used strictly to dose and not for long continuous periods. Item prices and specifications follow the FROM JAPAN item page and may change with stock or Japanese retail conditions; the Japanese reference price is a market reference, and the order price includes a service fee and international shipping, so it may not be lower than local prices.<\/p>\n<p style=\"margin: 0;\">Please check the types and quantities of medicine your country allows to be imported. Medicines ship by Japan Post only, the US mainland is not on FROM JAPAN&#8217;s shipping list, and ingredients such as pseudoephedrine (Alguard) and oral epinastine (Alesion 20) are restricted or prescription-only in some countries. Pressurised nasal sprays cannot be shipped, so this guide focuses on oral tablets and capsules. The US dollar and pound prices shown are reference conversions at the 2026-07-01 exchange rate; the actual price depends on the rate at the time of purchase.<\/p>\n<\/div>\n<style>.rhinitis-article{max-width:800px;margin:0 auto;padding:20px 16px;font-family:-apple-system,BlinkMacSystemFont,\"Segoe UI\",Roboto,\"Helvetica Neue\",Arial,sans-serif;background:#fafafa;color:#333}.article-header{margin-bottom:24px;padding-bottom:16px;border-bottom:2px solid #d1d5db}.article-title{font-size:22px;font-weight:bold;color:#111827;line-height:1.4;margin:0 0 12px}.article-tags{margin-top:8px}.article-tags span{display:inline-block;background:#f3f4f6;color:#374151;font-size:12px;padding:3px 10px;border-radius:12px;margin:0 6px 6px 0;border:1px solid #e5e7eb}.article-meta{font-size:11px;color:#999;margin-top:8px}@media (max-width:768px){.card-b{display:block!important}.card-b>div:first-child{border-right:none!important;border-bottom:1px solid #eee}.card-b>div:last-child{display:flex!important;flex-direction:row!important;align-items:center!important;gap:12px;padding:14px 18px!important}.card-b>div:last-child>div{flex:1;margin-bottom:0!important}.card-b>div:last-child>p{margin:0!important;padding:0!important;align-self:center;flex-shrink:0}.card-b>div:last-child>a,.card-b>div:last-child>p>a{margin-top:0!important;flex-shrink:0;padding:14px 18px!important}.faq-item{padding:18px 14px!important}.faq-a{padding-left:0!important}.faq-a > span{position:static!important;display:inline!important;margin-right:4px}}.comp-sp{display:none}@media(max-width:768px){.comp-pc{display:none!important}.comp-sp{display:block!important}}.sym-red{text-align:center;vertical-align:middle;white-space:nowrap}.sym-ora{text-align:center;vertical-align:middle;white-space:nowrap}.sym-grn{text-align:center;vertical-align:middle;white-space:nowrap}.sym-pur{text-align:center;vertical-align:middle;white-space:nowrap}.badge-fj{display:inline-block;background:#cceffa;color:#00A5D8;font-size:11px;padding:2px 8px;border-radius:9999px;margin-top:4px;text-decoration:none;font-weight:400}.badge-no{display:inline-block;background:#ef4444;color:#fff;font-size:10px;padding:2px 8px;border-radius:4px;margin-top:4px}.spec-table{width:100%;border-collapse:collapse;font-size:14px;margin:16px 0}.spec-table thead tr{background:#f0f0f0}.spec-table th{padding:10px 12px;text-align:left;font-weight:600;border:1px solid #ddd;color:#333}.spec-table td{padding:10px 12px;border:1px solid #ddd}.spec-table tbody tr:nth-child(even){background:#f5f5f5}@media (max-width:768px){.spec-table,.spec-table thead,.spec-table tbody,.spec-table tr{display:block}.spec-table thead{display:none}.spec-table tbody tr{margin-bottom:12px;padding:12px 14px;border:1px solid #e5e7eb;border-radius:6px;background:#fff!important}.spec-table td{display:block;border:none;padding:6px 0}.spec-table td:first-child{font-size:15px;border-bottom:1px solid #eee;padding-bottom:8px;margin-bottom:4px;background:#f9fafb}.spec-table td:not(:first-child){text-align:left!important}.spec-table td:not(:first-child)::before{content:attr(data-label)\"\uff1a \";color:#6b7280;font-size:12px;margin-right:6px;font-weight:600}}@media (max-width:768px){.card-b .price-row{flex-direction:column-reverse!important;align-items:flex-start!important;gap:2px!important}.card-b .price-row>span{line-height:1!important}}<\/style>\n<style id=\"oceanwp-featured-hide\">article#post-23936 .single-featured-image,article#post-23936 .post-thumbnail,article#post-23936 .thumbnail{display:none!important}<\/style>\n","protected":false},"excerpt":{"rendered":"<p>Runny nose, a blocked nose, sneezing or thick sinus mucus \u2014 which Japanese medicine fits? We sort 5 Japanese OTC allergy and rhinitis picks (Arerubi fexofenadine, Sato Stonarhini S, Kobayashi Chikunain, Alesion 20 and Rohto Alguard Gold Z) by symptom, generation and form, with key ingredients and Japanese reference prices. Order the full Japanese lineup through FROM JAPAN, shipped by Japan 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