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Xyzal Allergy vs. Flonase

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

Key takeaways

Levocetirizine (Xyzal Allergy 24HR) and fluticasone nasal spray (Flonase Allergy Relief, Flonase Sensimist) are both used to treat allergy symptoms, such as runny nose and sneezing. However, they belong to different medication classes. Levocetirizine is an antihistamine that works by blocking histamine, a chemical in your body that causes allergy symptoms. It is available in tablet and liquid forms and can be taken once daily, either over-the-counter or by prescription. On the other hand, fluticasone nasal spray is a corticosteroid that reduces inflammation in your nose. It is available as a nasal spray and must be used daily for the best results. While levocetirizine can cause drowsiness and cold-like symptoms, fluticasone may lead to nosebleeds and headaches. Additionally, fluticasone nasal spray can slow growth in children if used for more than two months a year. Both medications are available in generic forms, but levocetirizine is more likely to cause drowsiness compared to fluticasone.

Levocetirizine

(Xyzal Allergy)

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fluticasone nasal spray

 

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Summary for Xyzal Allergy

Prescription or over-the-counter

Levocetirizine (Xyzal Allergy) is an antihistamine. It's used to relieve allergy symptoms and chronic hives in adults and children. Levocetirizine (Xyzal Allergy) is available both over the counter and by prescription, and comes as a tablet and a liquid. Your dosage can depend on your age. This medication is taken by mouth, typically once daily. Some side effects of levocetirizine (Xyzal Allergy) include drowsiness and the common cold-like symptoms.

Indications for Xyzal Allergy

  • Short-term relief of allergy symptoms (sneezing, runny nose, itchy or watery eyes, itching of the nose or throat)
  • Relief of itchiness due to chronic (long-term) hives - by prescription only

Pros and Cons for Xyzal Allergy

Pros

  • First-choice option for relieving allergy symptoms
  • Taken by mouth once per day
  • Liquids are fruit-flavored for better taste
  • Safe to take while pregnant or breastfeeding

Cons

Common Side Effects for Xyzal Allergy

People 12 years and older:

  • Sleepiness (up to 6%)
  • Cold-like symptoms (up to 6%)
  • Fatigue (up to 4%)

Children under 12 years old:

  • Fever (4%)
  • Diarrhea (up to 4%)
  • Vomiting (up to 4%)

Warnings for Xyzal Allergy

  • Sleepiness
  • Accidentally taking too much medication

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 Xyzal Allergy vs. Flonase

Price Card Drug Icon
Levocetirizine30 tablets / 5mg
$10.16$76.99
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Fluticasone Propionate1 nasal spray / 16g of 50mcg
$13.00$74.99
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