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Qnasl vs. Flunisolide

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

Key takeaways

Qnasl (beclomethasone) and flunisolide are both corticosteroid nasal sprays used to treat nasal symptoms caused by seasonal or year-round allergies. Qnasl is available in two strengths, including a low dose for children as young as 4. Flunisolide, on the other hand, can be used for people 6 years and older. Qnasl is typically used once daily, while flunisolide is used twice or three times a day depending on your age. Qnasl has a built-in dose counter and doesn't need to be primed before first use, whereas flunisolide requires priming before the first use and after cleaning it. Common side effects of Qnasl include nasal discomfort, headache, and nosebleeds, while flunisolide commonly causes nasal burning and stinging. Both medications can slow growth in children if used long-term and may increase the risk of infections. Qnasl is available only as a brand name, while flunisolide is available as a lower-cost generic.

Qnasl

(beclomethasone)

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Flunisolide

 

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Summary for Qnasl

Prescription only

Qnasl (beclomethasone) is a steroid nasal spray that works well for treating nasal symptoms caused by allergies. You spray it into your nose, typically 1-2 sprays once daily. To get the most out of the medication, you should used every day. Some of the more common side effects of Qnasl (beclomethasone) include nasal discomfort, nose bleeds, and headache.

Indications for Qnasl

  • Nasal symptoms caused by seasonal or year-round allergies

Pros and Cons for Qnasl

Pros

  • Can be used in children ages 4 years and older
  • Has fewer side effects compared to oral corticosteroids
  • Doesn't need to be primed before first use
  • Has a built-in counter to help keep track of remaining doses

Cons

Common Side Effects for Qnasl

Age 12 years and older:

  • Nasal discomfort (5%)
  • Headache (2%)
  • Nose bleed (2%)

Age 4 to less than 12 years:

  • Headache (3%)
  • Fever (3%)
  • Cough, runny nose, and other symptoms of an upper respiratory tract infection (3%)
  • Sore throat and stuffy nose (2%)

Warnings for Qnasl

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

Summary for Flunisolide

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.

Indications for Flunisolide

  • Nasal symptoms caused by seasonal or year-round allergies (e.g., runny nose, sneezing)

Pros and Cons for Flunisolide

Pros

  • A non-drowsy allergy medication
  • Okay for children 6 years and older to use
  • Has fewer side effects than steroid pills that are taken by mouth

Cons

  • Need to use regularly to get the most benefit from the medication
  • Doesn't help with other allergy symptoms, like watery, itchy eyes or sore throat
  • Not available over the counter

Common Side Effects for Flunisolide

  • Temporary burning and stinging in the nose (45%)

Warnings for Flunisolide

  • Changes in stress hormone levels
  • Risk of infection
  • Slowed wound healing
  • Delayed growth in children

Prices with our coupons for Qnasl vs. Flunisolide

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Qnasl1 inhaler / 10.6g of 80mcg
$281.45$403.32
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Flunisolide1 nasal spray / 25ml of 0.025%
$24.74$76.99
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