Are azelastine and Flonase the same?

No, Astepro (azelastine) and Flonase (fluticasone propionate) aren't the same. Both are over-the-counter (OTC) nasal sprays that can help treat allergy symptoms. But they have several differences to consider when comparing them. Astepro and Flonase differ in how they work in the body, how fast they kick in, and what age ranges they’re FDA approved for. They also have distinct dosages and side effects to keep in mind. View original source