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Flonase vs. Nyquil

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

Key takeaways

Flonase (fluticasone) and Nyquil (acetaminophen/dextromethorphan/doxylamine) are both used to treat symptoms related to allergies and colds, but they work in different ways and are used for different purposes. Flonase is a nasal spray that contains fluticasone (corticosteroid), and it's used to treat allergy symptoms like congestion, runny nose, and itchy eyes. It reduces inflammation in your nose and is available both by prescription and over-the-counter (OTC). Nyquil, on the other hand, is an oral medication that combines acetaminophen (a pain reliever), dextromethorphan (a cough suppressant), and doxylamine (an antihistamine). It is used to relieve cold and flu symptoms such as cough, sore throat, and fever. Nyquil can make you sleepy and is available OTC in both liquid and capsule forms. While Flonase is used daily for ongoing allergy relief, Nyquil is taken multiple times a day for short-term relief of cold and flu symptoms. Additionally, Flonase is not recommended for use if you have a nasal injury or recent surgery, whereas Nyquil should be avoided if you have liver disease or are taking other medications containing acetaminophen.

fluticasone nasal spray

 

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Nyquil Cold and Flu

 

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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 Nyquil

Over-the-counter

Nyquil Cold and Flu is a combination medication containing acetaminophen (a pain reliever), dextromethorphan (a cough suppressant), and doxylamine (an antihistamine). It's used to treat cold and flu symptoms, like sore throat, fever, cough, runny nose, sneezing, and aches, in adults and children. Nyquil Cold and Flu is available as pills and a liquid. This medication can make you feel sleepy and dizzy as side effects.

Indications for Nyquil

Temporarily relieves common cold and flu symptoms, including:

  • Cough
  • Sore throat
  • Headache
  • Minor aches and pains
  • Fever
  • Runny nose
  • Sneezing

Pros and Cons for Nyquil

Pros

  • Available over the counter
  • Works within 30 minutes to relieve cold and flu symptoms
  • Available in capsules and a liquid
  • Combines three medications in one product for convenience
  • Available as a lower-cost generic

Cons

  • Needs to be taken multiple times per day
  • Can cause extreme sleepiness
  • More difficult to customize the dose since it's a fixed combination of three medications
  • Need to avoid alcohol while taking it
  • Not meant for long-term use

Common Side Effects for Nyquil

Warnings for Nyquil

  • Liver damage
  • Serotonin syndrome
  • Accidental overdose
  • Worsening of medical conditions
  • Allergic skin reactions

Prices with our coupons for Flonase vs. Nyquil

Price Card Drug Icon
Fluticasone Propionate1 nasal spray / 16g of 50mcg
$14.67$46.99
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Price Card Drug Icon
Acetaminophen/Dextromethorphan/Doxylamine16 capsules / 325mg/15mg/6.25mg
$10.25-
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