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Dymista vs. Nasacort Allergy

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Dymista (azelastine/fluticasone) and Nasacort (triamcinolone) are both nasal sprays used to treat allergy symptoms, but they have some key differences. Dymista is a combination of an antihistamine (azelastine) and a corticosteroid (fluticasone), while Nasacort contains only a corticosteroid (triamcinolone). Dymista is available by prescription only and is typically used twice daily, whereas Nasacort can be purchased over-the-counter and is used once daily. Dymista starts working within 30 minutes, but Nasacort may take up to a week to provide full relief. Dymista can cause drowsiness, while Nasacort is not likely to make you sleepy. Additionally, Dymista is approved for use in children 6 years and older, while Nasacort can be used in children as young as 2 years old. Both medications can slow growth in children if used long-term, especially if used for more than 2 months per year.

Dymista

(azelastine / fluticasone)

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Nasacort

(triamcinolone acetonide)

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Summary for Dymista

Prescription only

Dymista is a combination nasal spray containing azelastine (an antihistamine) and fluticasone (a corticosteroid). It's used by people ages 6 years and older to treat nasal allergy symptoms, such as runny, stuffy, or itchy nose. The typical dose is to spray one spray into each nostril twice per day. Side effects aren't common, but include headache and a bad taste in the mouth. Dymista (azelastine / fluticasone) is available as both brand-name and generic medications.

Indications for Dymista

  • Nasal allergy symptoms (e.g., runny, stuffy, or itchy nose, sneezing, itchy or watery eyes)

Pros and Cons for Dymista

Pros

  • Combines two medications into a single spray
  • Starts to work within 30 minutes after the first dose
  • Likely safe to use during pregnancy

Cons

  • Prescription only
  • Need to use daily for 2 weeks to experience the full effects of fluticasone in Dymista
  • Need to use twice per day

Common Side Effects for Dymista

Warnings for Dymista

  • Sleepiness
  • Nose bleeds, discomfort, and injury
  • Risk of infection
  • Altered stress hormone levels
  • Delayed growth in children
  • Allergic reactions
  • Eye and vision problems

Summary for Nasacort Allergy

Over-the-counter

Nasacort (triamcinolone acetonide) is a nasal spray for adults and children 2 years of age and older that helps relieve symptoms of hay fever and allergies, including sneezing, runny nose, and nasal congestion. It's used once daily and typically lasts for 24 hours. Nasacort (triamcinolone acetonide) doesn't have many side effects, but you might have a temporary sore throat or cough after you use it. Nasacort (triamcinolone acetonide) is available over the counter as a brand-name and generic medication.

Indications for Nasacort Allergy

  • Hay fever and allergy symptoms (nasal congestion, runny nose, sneezing, and itchy nose)

Pros and Cons for Nasacort Allergy

Pros

  • Available as a generic, over-the-counter product
  • Used once daily and can last up to 24 hours
  • Not likely to make you sleepy
  • Small, portable spray that's easy to carry and use anywhere

Cons

  • Might take up to 1 week for some symptoms to get better
  • Might not be a good option if you have an injured nose or recently had nasal surgery
  • Might slow down the growth rate in children if used for longer than 2 months per year
  • Not meant to be used to relieve common cold symptoms

Common Side Effects for Nasacort Allergy

Adults and children 12 years or older:

  • Sore throat (5%)
  • Nose bleed (3%)
  • Cough (2%)

Children ages 4 to 12 years:

  • Flu-like symptoms (9%)
  • Cough (8%)
  • Sore throat (8%)
  • Bronchitis (3%)
  • Indigestion (3%)
  • Tooth problems (3%)

Children ages 2 to 5 years:

  • Headache (6%)
  • Sore throat (6%)
  • Nose bleed (5%)
  • Common cold symptoms (5%)
  • Stomach pain (5%)
  • Diarrhea (3%)
  • Asthma (3%)
  • Rash (3%)
  • Skin picking problem (3%)
  • Runny nose (2%)

Warnings for Nasacort Allergy

  • Nasal problems
  • Eye problems
  • Higher risk of infections
  • Slowed growth rate in children

Prices with our coupons for Dymista vs. Nasacort Allergy

Price Card Drug Icon
Azelastine/Fluticasone1 nasal spray / 23g of 137mcg/50mcg
$47.39$155.11
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Price Card Drug Icon
Nasacort Allergy1 nasal spray / 120 sprays
$12.25$21.69
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