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Flonase vs. Benadryl

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

Key takeaways

Flonase (fluticasone) and Benadryl (diphenhydramine) are both used to treat allergy symptoms, but they have several differences. Flonase is a corticosteroid nasal spray that reduces inflammation in your nose to relieve symptoms like congestion, runny nose, and sneezing. It is available both by prescription and over-the-counter (OTC). You need to use it daily for the best results, but you shouldn't use it for more than 6 months without talking to your healthcare professional (HCP). On the other hand, Benadryl is an antihistamine that blocks the action of histamine, a chemical in your body that causes sneezing, itching, and runny nose. Benadryl is also available OTC and can be taken orally. Benadryl can make you very sleepy, so it is sometimes used as a sleep aid. However, it should only be used for short-term relief for allergy or cold symptoms and not for more than 2 weeks for sleep issues. While Flonase is generally safe for children as young as 2 years old (depending on the formulation), Benadryl should not be used for sleep in children under 12 years old. Both medications have side effects, but Flonase can cause nosebleeds and slow growth in children if used long-term, while Benadryl can cause drowsiness, dizziness, and dry mouth. People 65 years and older should typically avoid Benadryl because they can experience more side effects.

fluticasone nasal spray

 

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Diphenhydramine

 

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Summary for Flonase

Prescription or over-the-counter

Fluticasone nasal spray is used to treat allergy symptoms, like runny nose and sneezing. Fluticasone nasal spray comes in brand and generic forms, and is available by a prescription or over-the-counter (OTC). Fluticasone nasal spray must be used daily in order for you to experience the maximum benefits. But if you're using OTC versions of this medication, don't use it for more than 6 months at a time (or 2 months at a time, for children) without first speaking to your provider.

Indications for Flonase

Nasal symptoms from allergies, such as:

  • Congestion
  • Runny nose
  • Sneezing
  • Itchy nose
  • Itchy, watery eyes

Pros and Cons for Flonase

Pros

  • Only has to be used once a day and can last up to 24 hours
  • Available OTC
  • Some formulations have generic versions
  • Can be used safely in children as young as 4 years old
  • Flonase Sensimist is a gentler version that can be used in children as young as 2 years old

Cons

  • Not a good option if you have an injured nose or had recent nasal surgery
  • Can raise the risk of bleeding and fungal infections in the nose
  • Can slow down growth rate in children if used for longer than 2 months per year
  • Can raise the risk for certain eye problems

Common Side Effects for Flonase

  • Headache (7-16%)
  • Sore throat (6-8%)
  • Nosebleeds (6-7%)
  • Asthma symptoms (3-7%)

Warnings for Flonase

  • Nasal problems
  • Slowed growth rate in children
  • Eye problems
  • Higher risk of infections
  • Stress hormone problems (adrenal gland problems)
  • Serious allergic reactions

Summary for Benadryl

Over-the-counter

Diphenhydramine, also known by the brand name Benadryl, is an over-the-counter antihistamine used to relieve allergy or common cold symptoms in adults and children. It comes as pills and a liquid and is typically taken by mouth every 4 to 6 hours as needed. Because it can make you drowsy, some people also use it as a sleep aid at bedtime. Common side effects include sleepiness, dizziness, and dry mouth.

Indications for Benadryl

  • Short-term relief of allergy or common cold symptoms (runny nose, sneezing, itchy nose or throat, and itchy or watery eyes) - people 6 years and older
  • Occasional trouble sleeping - people 12 years and older

Pros and Cons for Benadryl

Pros

  • Relieves allergy and cold symptoms in about 15 to 30 minutes
  • Safe for children as young as 6 years old
  • Available over the counter
  • Comes as pills and liquid

Cons

  • Can make you feel sleepy or dizzy
  • Might need to take multiple times a day for symptom relief
  • Not the best choice for older adults
  • Can worsen certain conditions like glaucoma and stomach ulcers

Common Side Effects for Benadryl

  • Sleepiness
  • Dizziness
  • Constipation
  • Blurry vision
  • Dry mouth

Warnings for Benadryl

  • Sleepiness
  • Accidental overdose
  • Worsening of certain health problems

Prices with our coupons for Flonase vs. Benadryl

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Fluticasone Propionate1 nasal spray / 16g of 50mcg
$14.67$47.00
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Diphenhydramine30 capsules / 25mg
$9.66-
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