UK-registered clinical team  | Free online consultation and aftercare | Fully regulated UK pharmacy | Fast & discreet delivery
Help Centre

How Long Does Fexofenadine Take To Work: Efficacy Timeline

Key Takeaways

  • Initial relief: Starts within 1 hour of taking the tablet
  • Peak effect: Reached at 2-3 hours post-dose
  • Duration: Lasts 24 hours (single daily dose)
  • Maximal benefit: Achieved after 2-3 days of consistent use
  • Factors affecting speed: Empty stomach, avoiding fruit juices

Understanding fexofenadine's timeline helps manage allergy expectations. This guide explains when you can expect symptom relief.

Onset of Action

0-30 minutes:

Fexofenadine is absorbed in the stomach and begins entering the bloodstream.

1 hour:

First noticeable relief of:

  • Sneezing
  • Itchy nose/throat

Pro tip: Take on an empty stomach with water (avoid fruit juices) for fastest absorption.

Peak Effectiveness

2 hours:

Blood concentration reaches 50% of peak levels.

2-3 hours:

Maximum symptom relief achieved:

  • Runny nose significantly reduced
  • Eye itching/watering improves

Factor Impact on Peak Time
With food Delays peak by 1-2 hours
Fruit juice consumption May reduce peak concentration by 30%
Kidney impairment May prolong time to peak

Duration of Relief

24 hours:

Full therapeutic effect maintained with once-daily dosing.

48 hours:

Drug is completely eliminated from the body after last dose.

Maintaining Effectiveness

  • Take at the same time daily (e.g., every morning)
  • For seasonal allergies, start 1-2 weeks before pollen season
  • Store tablets at room temperature (15-30°C)

Symptom-Specific Timeline

Symptom First Improvement Maximal Relief
Sneezing 1 hour 3 hours
Runny nose 1-2 hours 4 hours
Itchy eyes/nose 2 hours 6 hours
Nasal congestion* 6-12 hours 24 hours

*Fexofenadine has mild decongestant effects. For severe congestion, consider adding a nasal steroid.

Not working? If no improvement after 3 days:
  • Check administration (take before food with water)
  • Rule out non-allergic rhinitis
  • Consult your GP

FAQs

Fexofenadine is rapidly absorbed and doesn't need to be metabolized to become active (unlike loratadine or cetirizine).
No. The 120mg dose provides full 24-hour coverage. Doubling doses increases side effect risks without added benefit.
No cumulative effect. However, consistent daily use prevents symptom recurrence during allergy season.
Take 30 minutes before or 2 hours after meals for optimal absorption.
No evidence of tolerance. However, allergy severity may change over time, requiring additional treatments.
Medical Content Manager Authored by Nabeel

Medical Content Manager

Nabeel is a co-founder, and medical content manager of Chemist Doctor. He works closely with our medical team to ensure the information is accurate and up-to-date.

Medical Doctor

Dr. Waqas is a GMC-registered doctor at Chemist Doctor, specialising in general health. He balances clinical precision with cultural sensitivity.

Medical Director Approved by Usman

Medical Director

Usman is a co-founder, and medical director of Chemist Doctor. He leads the organisation's strategic vision, bridging clinical and operational priorities.

Review Date: 12 August 2025

Next Review: 14 February 2026

Published on: 11 August 2025

Last Updated: 12 August 2025

We Are Regulated
GPhc RegisteredRegistered PharmacyGMC Registered
RPS MemberCannabis Industry memberMCCS member
LegitScript CertifiedDMCA protectedICO registered
real idvisamastercardamexmaestroRoyal Mail