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A 37-year-old member asked:

I have nasonex (mometasone) and astelin (nasal spray) but i am not sure wich one will be the best for sinus congestion. please suggest me which one to take.

4 doctor answers9 doctors weighed in
Dr. Danny Proffitt
Family Medicine 43 years experience
Depends.: Nasonex (mometasone) is more of a preventative medication uses for allergic conditions. If one controls the allergy then no stuffy nose. For more acute action, the Astelin may be better. It is a topical antihistamine spray of sorts. At your next visit, ask your pcp for advise or your allergist.
Dr. Phil Zapanta
ENT and Head and Neck Surgery 21 years experience
Nasonex is in the class of steroid nasal sprays and they work best when used daily. Once started you will need to be on it at least 2 weeks for the medicine to start working and a good trial period is 1 month. Like Dr. Proffitt said astelin is an antihistamine spray. It is very useful as a nasal spray to be used as needed. Sometimes, you may need both nasal spray classes to control allergies.
Dec 27, 2011
Dr. Carlo Hatem
Pulmonary Critical Care 25 years experience
Saline wash: If you are not using saline, talk to your doctor about this option since it is the most effective single treatment and the usual first step. It clears the nose from irritants and allergens. Nasonex (mometasone) is a steroid and is more potent (powerful) than astelin; Astelin works quicker than nasonex (mometasone).
Dr. Avner Aliphas
ENT and Head and Neck Surgery 15 years experience
They are different: The best first line treatment should include saline nasal irrigation and nasal steroid spray. The steroid spray is long acting and takes affect over the first few weeks of use. The steroid spray helps decrease long term nasal inflammation. Astelin is a topical antihistamine ( like claritin) and can be used in conjunction for symptomatic relief.
Dr. Oscar Novick
Pediatrics 58 years experience
There is a differenc: Aster in works well if one has vasomotor rhinitis whereas zn also ex works better in allergic conditions.
Dr. Michael Zacharisen
Allergy and Immunology 33 years experience
A new medication called Dymista which contains Astelin and the nasal steroid fluticasone (rather than Nasonex) is now available. Both are good and together seem to be even better.
Feb 21, 2013

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Last updated Apr 1, 2018

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