Doctor insights on:
Astelin Vs Flonase
See below: I believe they are the same thing ...Read more
No difference: Neither one, when used first, will add to the effect of the second; in fact, there is one product on the market that includes both of these medications in a single nose spray. To maximize the effect of the medications, though, you can spray nasal saline into your nose 10-15 minutes before you use the medications, in order to remove any secretions that would interfere with the meds being absorbed. ...Read more
What causes chronic nasal congestion which responds to afrin but not astelin, flonase, or sinus rinses? Can surgery even work in a case like this?
Afrin (oxymetazoline) rebound: Afrin (oxymetazoline) causes severe narrowing of the blood vessels in the nose and thus the effect on decongestion. However prolonged constriction leads to decrease blood supply to the tissue and may lead to permanent damages. The nose also becomes less responsive to afrin (oxymetazoline) with prolonged use . Flonase counteracts inflammation and Astelin is an antihistamine and neither constricts the blood vessels. ...Read more
Azelastine- a nasal antihistamine spray. This is like claritin/fexofenadine and should not make one sleepy
fluticasone- a nasal steroid spray. This is usually intended to decrease the symptoms of nasal allergies.
While the main indications for both relate to nasal congestion related to allergies, sometimes docs give them for things like ear dysfunction. ...Read more
Yes: should be effectiveGet a more detailed answer ›
See Below: Post nasal drip is most often caused by allergies, although there is a syndrome called non-allergic rhinitis that can sometimes cause it. Flonase treats allergic inflammation which will reduce stuffiness and drainage. Azelastine will treat drainage, sneezing, itching, and it treats the non-allergic rhinitis if it's there as well. ...Read more
One or the other: Depending on the cause of post nasal drip, either azelastine or fluticasone can be beneficial for allergic or non-allergic rhinitis, vasomotor rhinitis. All can cause post nasal drip, as can a cold. Saline nasal spray or rinses are also beneficial to improve post nasal drip. ...Read more
The dr. Prescribed azelastine and fluticasone nasal sprays. 1. Can I use both at the same time? 2. If not, how long do I wait between each?
Bad congestion ! Was sick two months ago w cold & seems to be back! Took Allegra (fexofenadine) ... Prednisone ... Azelastine HCl ..,fluticasone nothing works! Help!
Go see your doctor!: You are taking way too many medications at the same time of which none of them will address your congestion. Best if you're seen, examined, evaluated and treated properly by a doctor vs. guessing. This is not the time to self-medicate thinking you're saving time & money. Prednisone is not a normally used for colds, nor allergy meds as first line drugs. Get expert help! You'll save time. ...Read more
Flying in 3 days, ear congested after resp bug last wk - taking allegraD, mucinex, (guaifenesin) fluticasone, azelastine. Anything I can do to clear this ear before flying?
Yes, but some cost: AS you didn't state dosages, be sure you're taking maximum dosages-check with pharmacist re this. If still a problem, consider asking your physician for a brief course of corticosteroids which you will need to begin at least 24 hours before your flight. NOTE: there are some medical and psychiatric conditions for which such a treatment would be problematic--if so ,best delay your flight. ...Read more
Currently on 2 x 20mg Omeprazole and Dymista nasal spray(Fluticasone/Azelastine) for PND and LPR. Can I take oregano oil and probiotics also?
Yes: There should be no problem taking these products in combination. ...Read more
All about the same: All of the topical steroids have about equal efficacy (activity) and safety. I do not think changing from Flonase to another topical steroid will significantly change your nasal function. Remember, these drugs are specifically used for allergic and non-allergic rhinitis. Check with an allergist. Finally, although these topical steroids are about the same, some people do prefer a particular one. ...Read more