Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Rhinocort Allergy (budesonide) and Astepro Allergy (azelastine) are both nasal sprays used to treat allergy symptoms, but they work differently. Rhinocort Allergy is a corticosteroid that reduces inflammation in your nose, while Astepro Allergy is an antihistamine that blocks histamine to relieve symptoms like sneezing and runny nose. Rhinocort Allergy is available over-the-counter and can be used in children as young as 6 years old, but it may take up to 2 weeks to feel the full benefit. Astepro Allergy, on the other hand, can start working within 15 to 30 minutes and is also available over-the-counter, but it can cause drowsiness and a bitter taste in your mouth. Rhinocort Allergy is used once daily, whereas Astepro Allergy can be used once or twice a day depending on your age. Both medications have their own side effects and risks, so it's important to choose the one that best fits your needs.
Budesonide (Rhinocort Allergy)
Astepro allergy (azelastine)
Budesonide (Rhinocort Allergy)
Astepro allergy (azelastine)
Summary of Rhinocort Allergy vs. Astepro
Summary for Corticosteroid
Budesonide (Rhinocort Allergy) is an over-the-counter (OTC) nasal spray 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 (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.
Summary for Antihistamine
Astepro Allergy (azelastine) is an antihistamine nasal spray that's used to treat nasal symptoms due to allergies, such as stuffy nose, sneezing, and runny nose. Astepro Allergy (azelastine) is available over-the-counter (OTC) for adults and children 6 years and older. The strength of Astepro Allergy (azelastine) is 0.15%. The dosage depends on your age, but it's usually sprayed into the nose once or twice a day. Side effects can include a bitter taste in the mouth, nasal discomfort, and sneezing.
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Note: Azelastine nasal spray is also available by prescription in 0.1% and 0.15% strengths.