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Flovent vs. Nasonex

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

Key takeaways

Flovent (fluticasone) and Nasonex (mometasone) are both corticosteroids, but they are used for different conditions and administered differently. Flovent is an inhaled medication used to manage asthma by reducing lung inflammation and keeping airways open. It is available only by prescription and comes in two forms: Flovent HFA and Flovent Diskus. You need to use it twice a day, and it is not suitable for treating sudden asthma attacks. On the other hand, Nasonex is a nasal spray used to treat and prevent allergy symptoms and nasal polyps. It is available both over-the-counter and by prescription. Nasonex is typically used once a day and can be used by children as young as 2 years old for allergy symptoms. While both medications can cause side effects like headaches and infections, Flovent may also lead to oral thrush if you don't rinse your mouth after use, and Nasonex can cause nosebleeds and nasal injuries with long-term use.

Flovent

(fluticasone)

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mometasone nasal spray

 

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Summary for Flovent

Prescription only

Flovent (fluticasone) is an inhaled corticosteroid medication used in people 4 years and older with asthma. It helps keep lung inflammation low and the airways open. This inhaler is used twice per day. When used every day, Flovent (fluticasone) can lower the number and severity of asthma attacks. It's not a rescue inhaler, so it won't help an asthma attack that has already started.

Indications for Flovent

  • Maintenance treatment of asthma

Pros and Cons for Flovent

Pros

  • Works well to prevent and lower asthma symptoms
  • Has few side effects since the medication is directly inhaled into the lungs
  • Available as two different types of inhalers (HFA inhaler and Diskus inhaler)
  • Lower-cost generic available for Flovent HFA

Cons

  • Need to use twice per day
  • Need to rinse your mouth after each use to prevent fungal infection in the mouth (thrush)
  • Can't use to treat active asthma attacks
  • Can't use Flovent Diskus if you're allergic to milk proteins since it contains lactose

Common Side Effects for Flovent

In general, common side effects for Flovent HFA and Flovent Diskus are very similar:

  • Throat irritation
  • Upper respiratory tract infection (e.g., common cold)
  • Sinus infection or swelling
  • Headache
  • Cough
  • Voice hoarseness or difficulty speaking

Warnings for Flovent

  • Fungal infection in the mouth
  • Narrowing of your airways (bronchospasm)
  • Severe allergic reactions
  • Altered stress hormone levels
  • Delayed growth in children
  • Eye and vision problems

Summary for Nasonex

Prescription or over-the-counter

Mometasone nasal spray is used to prevent the nose symptoms of seasonal allergies, as well as to treat nose and sinus inflammation in adults with nasal polyps. Some side effects this medication can cause include headache and bloody nose. Mometasone nasal spray is available both with a prescription and over the counter (OTC).

Indications for Nasonex

  • Temporary relief of allergy symptoms (e.g., stuffy or runny nose, sneezing, itchy nose) (OTC only)
  • Prevention of seasonal allergies (prescription only)
  • Treatment of long-term nose and sinus inflammation with nasal polyps (prescription only)

Pros and Cons for Nasonex

Pros

  • Works well to prevent and treat allergy symptoms
  • Available OTC
  • Can be used to help control allergy symptoms in children 2 years or older (OTC only)
  • Available as a lower-cost generic with a prescription

Cons

  • Can take 1 to 2 weeks or longer to see the full effects
  • Doesn't have a counter on the spray bottle, so it can be hard to remember how many sprays are left
  • Can cause side effects like headache and nose bleeds in some people
  • Unknown if safe while pregnant or breastfeeding

Common Side Effects for Nasonex

  • Headache (26%)
  • Viral infection (14%)
  • Sore throat (12%)
  • Bloody nose or mucus (11%)
  • Coughing (7%)
  • Upper respiratory tract infection (i.e., common cold; 6%)
  • Period cramps (5%)
  • Muscle pain (5%)
  • Congestion, pressure near the nose or forehead, and other symptoms of sinus infection (5%)

Warnings for Nasonex

  • Nose injury and slowed wound healing
  • Fungal infection in the nose and throat
  • Vision changes
  • Risk of infection
  • Hormone changes
  • Poor growth in children

Prices with our coupons for Flovent vs. Nasonex

Price Card Drug Icon
Fluticasone Propionate HFA1 hfa inhaler / 110mcg
$165.24$297.01
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Mometasone1 nasal spray / 17g of 50mcg
$39.19$136.12
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