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Patanase vs. Flonase

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

Key takeaways

Olopatadine (Patanase) and fluticasone (Flonase, Flonase Sensimist) are both nasal sprays used to treat allergy symptoms like a runny or stuffy nose. However, they belong to different medication classes. Olopatadine works by blocking histamine, a chemical responsible for allergy symptoms. Fluticasone is a corticosteroid that reduces inflammation in the nose. Olopatadine is available by prescription only, while fluticasone can be purchased over-the-counter or with a prescription. Olopatadine is typically used twice a day, while fluticasone is usually taken once a day. Olopatadine rarely causes side effects, but can cause nosebleeds or nose sores. Fluticasone can also cause nosebleeds and may lead to slower growth in children if used for more than two months. Both medications are available as a brand and a lower-cost generic.

Olopatadine

(Patanase)

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fluticasone nasal spray

 

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Summary for Patanase

Prescription only

Olopatadine (Patanase) is a prescription nasal spray used to treat seasonal allergies in people 6 years and older. It works quickly and can relieve allergy symptoms for up to 12 hours. And most people experience few to no side effects while using olopatadine (Patanase).

Indications for Patanase

  • Allergies

Pros and Cons for Patanase

Pros

  • Typically works quickly within 30 minutes
  • Has very few side effects, so it's safe for most people
  • Can be used in children as young as 6 years old
  • Available as a lower-cost generic medication

Cons

  • Can cause nosebleed or sores in the nose
  • Only helps with nasal symptoms of seasonal allergies, not for infections or other health conditions
  • Can leave a bitter taste in the mouth
  • Not available over the counter

Common Side Effects for Patanase

  • Nosebleeds (Up to 25%)
  • Sores in the nose (Up to 10%)

Warnings for Patanase

  • Nasal problems
  • Excessive sleepiness

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

Prices with our coupons for Patanase vs. Flonase

Price Card Drug Icon
Olopatadine1 nasal spray / 30.5g of 665mcg
$30.11$58.49
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Fluticasone Propionate1 nasal spray / 16g of 50mcg
$14.67$47.00
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