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A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”
Please answer the following questions in a narrative format: 

Discuss the epidemiology of allergies.
What are your treatment options (consider pharmacoeconomic)? Compare first and second-generation antihistamines.
What education will you provide to the patient?

  
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