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Flonase vs. Dimetapp

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

Key takeaways

Fluticasone nasal spray (Flonase, Flonase Sensimist) and brompheniramine/phenylephrine (Dimetapp Cold and Allergy) are both used to treat allergy symptoms, but they belong to different medication classes. Fluticasone is a corticosteroid that reduces inflammation in the nose, while brompheniramine/phenylephrine is a combination of an antihistamine and a decongestant that relieves symptoms like sneezing and congestion. Fluticasone is available as a nasal spray, either by prescription or over-the-counter, and is used daily for ongoing relief. In contrast, brompheniramine/phenylephrine is taken orally in liquid or tablet form and can be used as needed. Both medications are available in generic form and are available over-the-counter without a prescription. Common side effects of fluticasone include headaches and nosebleeds, whereas brompheniramine/phenylephrine can cause dizziness and sleepiness. Additionally, brompheniramine/phenylephrine may not be suitable for people with certain health conditions like high blood pressure, while fluticasone may increase the risk of nasal and eye problems with long-term use.

fluticasone nasal spray

 

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Rynex PSE

(brompheniramine / pseudoephedrine)

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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 Dimetapp

Over-the-counter

Rynex PSE (brompheniramine / pseudoephedrine) is a combination medication used to treat symptoms from allergies and the common cold. It's available at the pharmacy counter with a valid form of identification.

Indications for Dimetapp

Short-term relief of symptoms from allergies and the common cold:

  • Runny nose
  • Sneezing
  • Itching of the nose or throat
  • Itchy or watery eyes
  • Nasal and sinus congestion

Pros and Cons for Dimetapp

Pros

  • Convenient to take two medications in one liquid
  • Can treat a wide range of allergy and common cold symptoms
  • Available over the counter in most states

Cons

  • Needs to be taken every 4 to 6 hours
  • More difficult to customize the dose since it's a fixed-dose combination of two medications
  • Only available as a liquid
  • Can't use if you've taken a monoamine oxidate inhibitor (MAOI) in the last 14 days

Common Side Effects for Dimetapp

Warnings for Dimetapp

  • Sleepiness
  • Worsening of medical conditions
  • Accidental overdose

Prices with our coupons for Flonase vs. Dimetapp

Price Card Drug Icon
Fluticasone Propionate1 nasal spray / 16g of 50mcg
$14.67$47.00
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Brompheniramine/Phenylephrine1 bottle / 118ml of 2mg/5mg/10ml
$8.36-
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