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Allergy Relief

Less sniffles, less hassle. Finding the right allergy treatment shouldn’t be a guessing game. Work with healthcare...

Treatments starting at $19/month

US-licensed healthcare providers

Customized plans

About allergies

What is allergic rhinitis?

Allergic rhinitis, or "hay fever", refers to inflammation in the nose that occurs when you are exposed to a substance you are allergic to.


More than 80% of allergy sufferers fail to choose the best OTC medication to treat their symptoms (Tan, 2018).

“Allergies” is a general term that refers to a reaction the body has to allergens. Allergens are substances that are generally not harmful to the body. However, if you have allergies, the immune system thinks allergens are dangerous and tries to fight them off like it would any other intruder, such as bacteria, viruses, and parasites. Having allergies, therefore, means the immune system is overactive. In other words, the immune system is doing something it is normally supposed to do but the reaction is exaggerated, unnecessary, and even harmful to the body. In medical terminology, this overreaction is called a type 1 hypersensitivity reaction.

There are many different kinds of allergies that differ based on the part of the body affected and the severity of symptoms. In some cases, allergies may cause a small rash or runny nose. In other cases, allergies can be life-threatening. Types of allergies include allergic rhinitis (inflammation in the nose), contact dermatitis (an allergic reaction on the skin), allergic asthma (a specific type of asthma), and anaphylaxis (a life-threatening condition that involves swelling of the airways).

Researchers aren’t sure why some people develop allergies and others do not. What we do know is that the tendency to develop allergies is genetic. This means if your family members have allergies, you are more likely to have them as well. Additionally, certain allergic conditions commonly occur together. Known as the “atopic triad,” these conditions are allergic rhinitis, eczema (also called atopic dermatitis), and allergic asthma.

Allergic rhinitis is typically caused by allergens that are airborne. These are roughly divided into outdoor airborne allergens and indoor airborne allergens. Common airborne allergens found outdoors include tree pollens, grass pollens, and weed pollens. Common airborne allergens found indoors include animal dander, dust mites, and mold.

Outdoor allergens are usually seasonal because plants release pollen at certain times of the year. Spring allergies are commonly due to tree pollens. Late spring and summer allergies are commonly due to grass pollens. Late summer and autumn allergies are commonly due to weed pollens, such as ragweed pollen. In fact, ragweed pollen is one of the primary causes of allergic rhinitis and 75% of people with pollen allergies are allergic to ragweed.

Indoor allergens may be present throughout the year. However, certain situations can make indoor allergies worse. For example, animal dander allergies may be worse in the winter because pets may spend more time indoors and there is less circulating fresh air. And mold allergies may be worse if there is a very rainy spring season.

There are many oral and nasal medications that can be taken for allergic rhinitis, both prescription and over-the-counter (OTC). More than 80% of allergy sufferers fail to choose the best OTC medication to treat their symptoms (Tan, 2018).

While it is safe to combine some allergy medications, certain combinations may be dangerous or may cause excessive drowsiness. Therefore, it is always important to talk to your healthcare provider about what you are taking, including over-the-counter medications.

Treatments for allergies

Requires prescription through online visit with a US-licensed healthcare practitioner


Generic Astelin

Starting at $19

Fast-acting (within 15 minutes) nasal antihistamine spray. Manufactured by Apotex in Canada.

Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a healthcare provider.


Generic Flonase

Starting at $19

A non-drowsy nasal corticosteroid spray. Manufactured by Hikma in the UK.


Levocetirizine (Generic Xyzal) is a fast-acting (within an hour) oral antihistamine.

Starting at $19

A fast-acting (within an hour) oral antihistamine. Manufactured by Micro in India.


Generic Singulair

Starting at $19

A non-drowsy oral medication for congestion. Manufactured by Macleods in India.

Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a healthcare provider.


What to expect

Allergy medication works best when taken every day.

Nasal sprays Azelastine and Generic Flonase

Spray the medication in each nostril as prescribed.

Oral medications Levocetirizine and Montelukast

Take 1 tablet by mouth every night at bedtime. May be taken with or without food.


30% improved severity of symptoms

  • "Great service, I always get my prescription fast, customer service is awesome they always answer my questions and the product is as good as the brand name prescription I got in the past."

    Ro member

  • "Never saw myself wanting or needing this stuff, but when the time came – so did I! The process was easy, the product is discreet, and let me tell ya parties on both sides of the aisle were singing from the same song sheet. Great job, Roman!"

    Ro member

  • "Just wanted to say how affordable and easy using Roman has been. Very happy with the outcome and the medication. Recommend to anyone who may be dealing with any of the issues that they can help with."

    Ro member

In a clinical trial, combination azelastine and fluticasone nasal spray improved participants’ score by 30% on a questionnaire that rates the severity of symptoms including sneezing, itching, congestion, and watery eyes (Hampel 2010).

The Roman way

How Roman works

Technology has enabled a massive shift in the way healthcare can be provided. With Roman, you can receive expert quality care from your phone or computer, without ever leaving the comfort of home.

Do everything from your mobile device

Free 2-day shipping (discreetly packaged)

No commitment—cancel whenever you want

Answer a few questions about your health.

Report your symptoms and medical history to a US-licensed healthcare professional.

A US-licensed healthcare professional will determine the treatment best suited for you and then follow up via secure messaging in your Roman portal.

Receive free, 2-day shipping for treatment.

If treatment is prescribed, you'll receive it within 2 days—packaged discreetly and shipped for free.

Get free follow-ups for ongoing care.

Schedule follow-ups with your physician or nurse practitioner. Note: you should continue to receive regular, in-person care in addition to using Roman.

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