Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Flunisolide and Pulmicort Flexhaler (budesonide) are both corticosteroids, but they are used for different conditions and administered differently. Flunisolide is a nasal spray used to treat nasal symptoms caused by seasonal or year-round allergies, while Pulmicort Flexhaler is an inhaler used to control and prevent asthma symptoms. Flunisolide is sprayed directly into the nose to reduce inflammation and relieve nasal symptoms, whereas Pulmicort Flexhaler is inhaled into the lungs to lower inflammation and prevent asthma attacks. Flunisolide is available as a lower-cost generic, while Pulmicort Flexhaler is also available in a generic form. Both medications can be used in children as young as 6 years old. Common side effects of flunisolide include nasal burning and stinging, while Pulmicort Flexhaler can cause cold-like symptoms and fungal infections in the mouth and throat. Both medications require consistent daily use for the best results, but Pulmicort Flexhaler is not a rescue inhaler and won't help during an asthma attack.
Flunisolide
Pulmicort flexhaler (budesonide)
Flunisolide
Pulmicort flexhaler (budesonide)
Summary of Flunisolide vs. Pulmicort Flexhaler
Summary for Corticosteroid
Prescription only
Flunisolide is a steroid nasal spray for seasonal or year-round allergies. It treats allergy symptoms that are related to the nose, such as congestion, sneezing, and runny nose. This medication is for people 6 years and older. Depending on your age, the dosage is 1 or 2 sprays into each nostril a few times a day. The most common side effect is temporary burning and stinging in the nose. The brand name Nasalide is discontinued, but generic flunisolide is still available.
Summary for Inhaled corticosteroid (ICS)
Prescription only
Pulmicort Flexhaler (budesonide) is an inhaled corticosteroid. It's used in adults and children for the maintenance treatment of asthma. It's a type of dry powder inhaler that's inhaled through the mouth twice per day. Side effects include the common cold and sore throat.
Indications of Flunisolide vs. Pulmicort Flexhaler
Indications for
•Nasal symptoms caused by seasonal or year-round allergies (e.g., runny nose, sneezing)
Indications for
•Maintenance treatment of asthma in people ages 6 years and older
Pros and Cons of Flunisolide vs. Pulmicort Flexhaler