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Dymista vs. Qnasl

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

Key takeaways

Dymista (azelastine/fluticasone) and Qnasl (beclomethasone) are both prescription nasal sprays used to treat allergy symptoms, but they have some key differences. Dymista combines an antihistamine (azelastine) and a corticosteroid (fluticasone), while Qnasl contains only a corticosteroid (beclomethasone). Dymista is typically used twice daily, whereas Qnasl is used once daily. Dymista can be used in children as young as 6 years old, while Qnasl can be used in children as young as 4 years old. Dymista may cause drowsiness, which is not a common side effect of Qnasl. Additionally, Dymista needs to be primed before first use and after 14 days of non-use, while Qnasl does not require priming and has a built-in counter to track doses. Both medications can slow growth in children and increase the risk of infections, including yeast infections in the mouth and throat.

Dymista

(azelastine / fluticasone)

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Qnasl

(beclomethasone)

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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 Qnasl

Prescription only

Qnasl (beclomethasone) is a steroid nasal spray that works well for treating nasal symptoms caused by allergies. You spray it into your nose, typically 1-2 sprays once daily. To get the most out of the medication, you should used every day. Some of the more common side effects of Qnasl (beclomethasone) include nasal discomfort, nose bleeds, and headache.

Indications for Qnasl

  • Nasal symptoms caused by seasonal or year-round allergies

Pros and Cons for Qnasl

Pros

  • Can be used in children ages 4 years and older
  • Has fewer side effects compared to oral corticosteroids
  • Doesn't need to be primed before first use
  • Has a built-in counter to help keep track of remaining doses

Cons

Common Side Effects for Qnasl

Age 12 years and older:

  • Nasal discomfort (5%)
  • Headache (2%)
  • Nose bleed (2%)

Age 4 to less than 12 years:

  • Headache (3%)
  • Fever (3%)
  • Cough, runny nose, and other symptoms of an upper respiratory tract infection (3%)
  • Sore throat and stuffy nose (2%)

Warnings for Qnasl

  • Nose bleeds, discomfort, and injury
  • Slower wound healing
  • Risk of infection
  • Eye and vision problems
  • Altered stress hormone levels
  • Delayed growth in children

Prices with our coupons for Dymista vs. Qnasl

Price Card Drug Icon
Azelastine/Fluticasone1 nasal spray / 23g of 137mcg/50mcg
$47.39$155.11
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Qnasl1 inhaler / 10.6g of 80mcg
$281.45$403.32
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