Key takeaways
Fluticasone nasal spray (Flonase, Flonase Sensimist) and beclomethasone (Beconase AQ) are both corticosteroid medications used to treat nasal symptoms like congestion, sneezing, and runny nose caused by allergies. They work by reducing inflammation in your nose. However, there are several differences between them. Fluticasone is available both over-the-counter and by prescription, while beclomethasone is only available by prescription. Fluticasone can be used by children as young as 2 years old, depending on the formulation, whereas beclomethasone is approved for children 6 years and older. Fluticasone is typically used once daily, while beclomethasone is used twice daily. Beclomethasone also has an additional FDA-approved use for preventing nasal polyps from regrowing after surgery, which fluticasone does not. Common side effects of fluticasone include headaches and nosebleeds, while beclomethasone may cause nasal irritation and sneezing attacks. Both medications can cause slower wound healing and vision changes with long-term use, so it's important to talk to your provider if you have concerns.
