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Flonase vs. Rhinocort Allergy

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

Key takeaways

Flonase (fluticasone) and Rhinocort Allergy (budesonide) are both corticosteroid nasal sprays used to treat allergy symptoms like sneezing, runny nose, and itching. They have several differences. Flonase and Rhinocort are both available in prescription and over-the-counter (OTC) forms and as lower-cost generics. Flonase comes in two formulations: Flonase Allergy Relief and Flonase Sensimist, with the latter being a gentler mist. Rhinocort Allergy typically requires one spray per nostril daily, but adults may need up to four sprays per nostril if symptoms persist. Flonase can be used in children as young as 2 years old (for Sensimist) and 4 years old (for Allergy Relief), whereas Rhinocort Allergy is approved for children 6 years and older. Both medications can cause side effects like nosebleeds and may slow growth in children if used long-term.

fluticasone nasal spray

 

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Budesonide nasal spray

(Rhinocort Allergy)

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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 Rhinocort Allergy

Over-the-counter

Budesonide nasal spray (Rhinocort Allergy) is an over-the-counter (OTC) allergy medication for adults and children age 6 years and older. It's a corticosteroid that relieves nasal allergy symptoms, such as runny or stuffy nose, itchy nose, and sneezing. Budesonide nasal spray (Rhinocort Allergy) is sprayed into each nostril once per day. Side effects can include nose bleeds and irritation in the nose. This medication is available as a generic.

Indications for Rhinocort Allergy

Pros and Cons for Rhinocort Allergy

Pros

  • First-choice medication for treating nasal allergy symptoms
  • Only used once per day
  • Available over the counter
  • Can be used for children as young as 6 years old

Cons

  • Might cause nose bleeds
  • Might take up to 2 weeks to feel the full benefits from the medication
  • Not meant for relieving nasal symptoms related to the common cold

Common Side Effects for Rhinocort Allergy

  • Bloody nose (8%)
  • Sore throat (4%)

Warnings for Rhinocort Allergy

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

Prices with our coupons for Flonase vs. Rhinocort Allergy

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Fluticasone Propionate1 nasal spray / 16g of 50mcg
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Rhinocort Allergy1 nasal spray / 60 sprays of 32mcg
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