{"id":4313,"date":"2020-03-02T02:30:25","date_gmt":"2020-03-02T07:30:25","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=3590"},"modified":"2024-12-30T10:55:05","modified_gmt":"2024-12-30T15:55:05","slug":"flonase-vs-nasacort","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/flonase-vs-nasacort\/","title":{"rendered":"Flonase vs. Nasacort: Differences, similarities, and which is better for you"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you suffer from seasonal or year-round allergies, you are not sneezing alone. More than 50 million Americans suffer from allergies each year.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Flonase (fluticasone propionate, or fluticasone) and Nasacort (triamcinolone acetonide, or triamcinolone) are two popular medications used for allergy relief. They are in a class of medications called corticosteroids, more commonly known as steroids. Nasal steroids work by decreasing swelling and congestion in your nose. Although Flonase and Nasacort work in the same way, they do have some notable differences.\u00a0<\/span><\/p>\n<h2 id=\"what-are-the-main-differences-between-flonase-and-nasacort\"><span style=\"font-weight: 400;\">What are the main differences between Flonase and Nasacort?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/flonase-allergy-relief\"><span style=\"font-weight: 400;\">Flonase<\/span><\/a><span style=\"font-weight: 400;\"> (fluticasone) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/nasacort-allergy-24hr\"><span style=\"font-weight: 400;\">Nasacort<\/span><\/a><span style=\"font-weight: 400;\"> (triamcinolone) treat nasal <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/8-ways-treat-seasonal-allergies\/\"><span style=\"font-weight: 400;\">allergy<\/span><\/a><span style=\"font-weight: 400;\"> symptoms like congestion and runny nose. In the past, both drugs were only available with a prescription, but now can be purchased over-the-counter (OTC). Flonase and Nasacort come in adult and children\u2019s formulations.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Flonase is still available as a prescription drug, as its generic, fluticasone. Flonase is also available in a \u201cSensimist,\u201d which delivers a more gentle mist. Both drugs can be used in children and adults, but Nasacort can be used in children 2 years and older, while Flonase can be used in children 4 years and older.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Main differences between Flonase and Nasacort<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><b>Flonase<\/b><\/td>\n<td><b>Nasacort<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Drug class<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nasal corticosteroid<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nasal corticosteroid<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Brand\/generic status<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OTC: Brand (Flonase Allergy Relief) and generic<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rx: generic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OTC only: Brand (Nasacort Allergy 24 hour) and generic<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">What is the generic name?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Fluticasone propionate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Triamcinolone acetonide<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">What form(s) does the drug come in?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nasal spray<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Children\u2019s nasal spray<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gentle mist spray\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Children\u2019s gentle mist spray<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nasal spray<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Children\u2019s nasal spray<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">What is the standard dosage?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Adults and children 12 and older: 1-2 sprays (50 mcg per spray) in each nostril once daily\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Children 4 &#8211; 11 years old: 1 spray in each nostril daily\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Adults and children 6 and older: 1-2 sprays (55 mcg per spray) in each nostril once daily.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Children age 2 to 5: 1 spray in each nostril daily<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">How long is the typical treatment?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Short-term or long-term, depending on symptoms and doctor\u2019s instruction<\/span><\/p>\n<p><span style=\"font-weight: 400;\">*consult with doctor if your child needs to use for more than 2 months a year\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Short-term or long-term, depending on symptoms and doctor\u2019s instruction<\/span><\/p>\n<p><span style=\"font-weight: 400;\">*consult with doctor if your child needs to use for more than 2 months a year\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Who typically uses the medication?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Adults, adolescents, children age 4 and older\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Adults, adolescents, children age 2 and older\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"conditions-treated-by-flonase-and-nasacort\"><span style=\"font-weight: 400;\">Conditions treated by Flonase and Nasacort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Flonase and Nasacort are used to treat nasal congestion, sneezing, and runny nose caused by seasonal or year-round allergies. Flonase and Nasacort can also be used <\/span><a href=\"https:\/\/www.fda.gov\/patients\/learn-about-expanded-access-and-other-treatment-options\/understanding-unapproved-use-approved-drugs-label\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> to treat conditions like nasal polyps and sinusitis.\u00a0<\/span><\/p>\n<h2 id=\"is-flonase-or-nasacort-more-effective\"><span style=\"font-weight: 400;\">Is Flonase or Nasacort more effective?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A 2019 <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6561676\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> found that after 28 days of treatment,Flonase and Nasacort were similarly effective in treating nasal allergy symptoms. Other <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9389286\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> have shown the same results. In general, Flonase and Nasacort are equally safe, effective, and well-tolerated.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You and your doctor can determine the nasal steroid that will work best for you.<\/span><\/p>\n<h2 id=\"coverage-and-cost-comparison-of-flonase-vs-nasacort\"><span style=\"font-weight: 400;\">Coverage and cost comparison of Flonase vs. Nasacort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Most commercial insurance and Medicare Part D plans cover the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/fluticasone-propionate-without-insurance\/\"><span style=\"font-weight: 400;\">prescription form<\/span><\/a><span style=\"font-weight: 400;\"> of generic Flonase, fluticasone. However, the amount of coverage and copay may vary. The OTC version of Flonase is not usually covered. Flonase usually costs around $20 but generic fluticasone nasal spray can be purchased for as little as $7 with a SingleCare <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/flonase-allergy-relief\"><span style=\"font-weight: 400;\">pharmacy coupon<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nasacort is only available OTC and is generally not covered by insurance (some state Medicaid plans may pay for generic ) or Medicare Part D. The retail price for Nasacort commonly costs over $30, but you can get generic triamcinolone nasal spray at a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/nasacort-allergy-24hr\"><span style=\"font-weight: 400;\">participating pharmacy<\/span><\/a><span style=\"font-weight: 400;\"> for as low as $13.50 with a SingleCare coupon.<\/span><\/p>\n<h2 id=\"common-side-effects-of-flonase-vs-nasacort\"><span style=\"font-weight: 400;\">Common side effects of Flonase vs. Nasacort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In general, Flonase and Nasacort don\u2019t have many side effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=0d9a521b-8314-437c-8c9f-f6188f1134fe\"><span style=\"font-weight: 400;\">Flonase<\/span><\/a><span style=\"font-weight: 400;\">, the most common side effects include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nosebleed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nasal irritation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea or vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Asthma symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cough<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Common side effects of <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=26b0400e-edce-44f2-84de-67f178488683\"><span style=\"font-weight: 400;\">Nasacort<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nosebleed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cough<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Children under 12 using Nasacort may also experience:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flu-like symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bronchitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upset stomach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tooth problems<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Talk to your healthcare provider about any side effects you may be experiencing from either Flonase or Nasacort.<\/span><\/p>\n<h2 id=\"drug-interactions-of-flonase-vs-nasacort\"><span style=\"font-weight: 400;\">Drug interactions of Flonase vs. Nasacort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Flonase is processed by an enzyme called cytochrome-P 450 3A4, otherwise known as CYP3A4. Certain drugs inhibit this enzyme and slow it down from processing Flonase. That can lead to increased steroid side effects. Drugs that should not be taken with Flonase include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antiviral drugs: ritonavir, atazanavir, indinavir, nelfinavir, saquinavir, lopinavir<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antidiuretic hormone inhibitor: conivaptan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antifungals: itraconazole, ketoconazole, voriconazole<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antibiotics: clarithromycin, telithromycin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antidepressant: nefazodone<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Talk with your healthcare provider if you have concerns about drug interactions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nasacort does not have significant interactions with other medications.<\/span><\/p>\n<h2 id=\"warnings-of-flonase-and-nasacort\"><span style=\"font-weight: 400;\">Warnings of Flonase and Nasacort<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Less common but more serious side effects that may occur include nosebleeds, nasal ulceration, local Candida (yeast) infection, nasal septal perforation, and impaired wound healing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Steroids may cause glaucoma or cataracts with long-term use. You should be closely monitored if you have any changes in vision or if you have a history of increased intraocular pressure, glaucoma, and\/or cataracts. If you use Flonase or Nasacort long-term or have any eye symptoms, follow up regularly with an ophthalmologist.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If a hypersensitivity reaction occurs (skin symptoms, trouble breathing, facial swelling), stop taking Flonase or Nasacort and seek emergency medical attention.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Because steroids suppress the immune system, you may be more prone to infections while using a steroid nasal spray.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Children may experience slower growth. Growth should be closely monitored. The lowest possible dose, for the shortest duration of time, should be used.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rarely, adrenal suppression may occur, and the nasal steroid should be slowly tapered to discontinuation (not stopped abruptly).\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Because there is not enough data about nasal steroids in <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/allergy-medicine-while-pregnant\/\"><span style=\"font-weight: 400;\">pregnancy<\/span><\/a><span style=\"font-weight: 400;\">, consult with your doctor before taking Flonase or Nasacort if you are pregnant. If you are already taking Flonase or Nasacort and find out that you are pregnant, contact your healthcare provider for guidance.\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"frequently-asked-questions-about-flonase-vs-nasacort\"><span style=\"font-weight: 400;\">Frequently asked questions about Flonase vs. Nasacort<\/span><\/h2>\n<h3 id=\"what-is-flonase\"><span style=\"font-weight: 400;\">What is Flonase?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Flonase is a nasal steroid that can help relieve allergy symptoms. The active ingredient is fluticasone propionate. It is available OTC in brand-name and generic versions, and by prescription in its generic form. It can be used in adults and children ages 4 and older.<\/span><\/p>\n<h3 id=\"what-is-nasacort\"><span style=\"font-weight: 400;\">What is Nasacort?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nasacort is a nasal steroid used to help relieve symptoms of allergy. The active ingredient in Nasacort is triamcinolone. It is available OTC in both brand-name and generic versions. Nasacort can be used in adults as well as children ages 2 and older.\u00a0<\/span><\/p>\n<h3 id=\"are-flonase-and-nasacort-the-same\"><span style=\"font-weight: 400;\">Are Flonase and Nasacort the same?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Flonase and Nasacort are very similar and have many of the same uses and warnings. However, they have some differences, such as in the active ingredient, drug interactions, and price. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/rhinocort-vs-flonase\/\"><span style=\"font-weight: 400;\">Other medications<\/span><\/a><span style=\"font-weight: 400;\"> in the nasal steroid category include Rhinocort (budesonide), QNasl (beclometasone), and Nasonex (mometasone). Fluticasone is also available as a combination drug in the form of brand-name Dymista, which contains <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/dymista-vs-flonase\/\"><span style=\"font-weight: 400;\">azelastine along with fluticasone<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3 id=\"is-flonase-or-nasacort-better\"><span style=\"font-weight: 400;\">Is Flonase or Nasacort better?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Both drugs have been found in studies to be well-tolerated, and effective in improving symptoms.\u00a0<\/span><\/p>\n<h3 id=\"can-i-use-flonase-or-nasacort-while-pregnant\"><span style=\"font-weight: 400;\">Can I use Flonase or Nasacort while pregnant?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There is not enough data, so it is best to discuss your allergy symptoms with your doctor.\u00a0<\/span><\/p>\n<h3 id=\"can-i-use-flonase-or-nasacort-with-alcohol\"><span style=\"font-weight: 400;\">Can I use Flonase or Nasacort with alcohol?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Flonase or Nasacort are considered <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/benadryl-allergy-medicine-and-alcohol\/\"><span style=\"font-weight: 400;\">safe to use with alcohol<\/span><\/a><span style=\"font-weight: 400;\">. However, if you are taking other medications for your allergy symptoms, check with your doctor or pharmacist to see if those medications are compatible with alcohol.<\/span><\/p>\n<h3 id=\"which-nasal-allergy-spray-is-most-effective\"><span style=\"font-weight: 400;\">Which nasal allergy spray is most effective?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are a variety of nasal allergy sprays and some work in different ways. While drugs like Flonase and Nasacort are steroids, some nasal allergy sprays contain other ingredients such as azelastine, which is an antihistamine and works differently than a steroid. Many people like Afrin nasal spray; however, you have to be careful to use <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/afrin-vs-flonase\/\"><span style=\"font-weight: 400;\">this medication<\/span><\/a><span style=\"font-weight: 400;\"> for only 3 days or less, otherwise it can cause <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/rebound-congestion-nasal-spray-addiction\/\"><span style=\"font-weight: 400;\">rebound congestion<\/span><\/a><span style=\"font-weight: 400;\">. The most effective allergy spray is the one that works best for you.\u00a0<\/span><\/p>\n<h3 id=\"is-nasacort-good-for-sinus-infection\"><span style=\"font-weight: 400;\">Is Nasacort good for sinus infection?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">While Nasacort may help relieve some of the nasal symptoms caused by a sinus infection, it will not treat the infection itself. If you have a bacterial sinus infection, you will need to take antibiotics prescribed by your doctor.<\/span><\/p>\n<h3 id=\"does-flonase-help-sinus-pressure\"><span style=\"font-weight: 400;\">Does Flonase help sinus pressure?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Flonase can be helpful in managing sinus symptoms. However, if the sinus pressure is caused by a bacterial infection, Flonase may help the symptoms but will not clear the infection. If you have a bacterial infection, you will need to take prescription antibiotics.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you suffer from seasonal or year-round allergies, you are not sneezing alone. More than 50 million Americans suffer from allergies each year.\u00a0 Flonase (fluticasone propionate, or fluticasone) and Nasacort (triamcinolone acetonide, or triamcinolone) are two popular medications used for allergy relief. They are in a class of medications called corticosteroids, more commonly known as [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":9432,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8313],"tags":[554],"coauthors":[10668],"class_list":["post-4313","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-vs-drug","tag-allergies","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Flonase and Nasacort comparison: Effectiveness, side effects, and dosage<\/title>\n<meta name=\"description\" content=\"Flonase and Nasacort are popular nasal sprays for allergies. 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