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Rhinocort Allergy vs. Astepro

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 nasal spray

(Rhinocort Allergy)

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Astepro Allergy

(azelastine)

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Summary for Rhinocort Allergy

Over-the-counter

Budesonide nasal spray (Rhinocort Allergy) is an over-the-counter (OTC) allergy medication 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 nasal spray (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.

Indications for Rhinocort Allergy

Pros and Cons for Rhinocort Allergy

Pros

  • First-choice medication for treating nasal allergy symptoms
  • Only used once per day
  • Available over the counter
  • Can be used for children as young as 6 years old

Cons

  • Might cause nose bleeds
  • Might take up to 2 weeks to feel the full benefits from the medication
  • Not meant for relieving nasal symptoms related to the common cold

Common Side Effects for Rhinocort Allergy

  • Bloody nose (8%)
  • Sore throat (4%)

Warnings for Rhinocort Allergy

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

Summary for Astepro

Over-the-counter

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.

Note: Azelastine nasal spray is also available by prescription in 0.1% and 0.15% strengths.

Indications for Astepro

Short-term relief of nasal symptoms due to allergies:

  • Stuffy nose
  • Runny nose
  • Sneezing
  • Itchy nose

Pros and Cons for Astepro

Pros

  • Available over the counter; doesn't require a prescription
  • Sprayed directly in the nose
  • Can work within 15 to 30 minutes to relieve allergy symptoms

Cons

  • Not approved for children younger than 6 years old
  • Can cause drowsiness
  • Might leave a bitter taste in your mouth

Common Side Effects for Astepro

  • Bitter taste (up to 6%)
  • Nasal discomfort (up to 4%)
  • Nosebleed (up to 2%)
  • Sneezing (up to 2%)

Warnings for Astepro

  • Possible sleepiness and difficulty concentrating

Prices with our coupons for Rhinocort Allergy vs. Astepro

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Rhinocort Allergy1 nasal spray / 60 sprays of 32mcg
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Azelastine Non-Prescription1 nasal spray / 23ml of 205.5mcg/spray
$17.54-
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