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Doctor insights on: Astelin Vs Flonase

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Can I take loratadine before taking azelastine and flonase?

Can I take loratadine before taking azelastine and flonase?

Unnecessary.: Azelastine is an antihistamine, just like Loratidine. So I don't think you'd need the both. The two nasal sprays should be sufficient to control your symptoms. ...Read more

Dr. Milroy Samuel
346 doctors shared insights

Fluticasone (Definition)

Fluticasone is a nasal preparation which is a kind of ...Read more


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I use astelin (azelastine) and flonase. Which should I spray into my nose first for best results?

I use astelin (azelastine) and flonase.  Which should I spray into my nose first for best results?

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

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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

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What are azelastine and fluticasone?

What are azelastine and fluticasone?

Nasal sprays: 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

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Can you tell me about post nasal drip and azelastine and fluticasone?

Can you tell me about post nasal drip and azelastine and fluticasone?

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

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Is azelastine and fluticasone effective for post nasal drip?

Is azelastine and fluticasone effective for post nasal drip?

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

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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?

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?

Yes!: I generally use the Astelin (azelastine) first, as it is a decongestant. Inhale gently, it tastes yucky, but works well! then do the fluticasone at night or a couple minutes after the astelin (azelastine). ...Read more

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Bad congestion ! Was sick two months ago w cold & seems to be back! Took Allegra (fexofenadine) ... Prednisone ... Azelastine HCl ..,fluticasone nothing works! Help!

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

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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?

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

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What's better than flonase?

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

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I would like something like Flonase but cheap?

Nasocort OTC: You can buy Nasacort (triamcinolone) OTC for about $12 for a one month supply. This is the cheapest you will find. ...Read more

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Is azelastine addictive?

Is azelastine addictive?

Azalastine: Its a nasal spray
One can and, not only to this nasal spray
but other sprays as well want to have every night ...Read more

Dr. Janice Alexander
47 doctors shared insights

Azelastine (Definition)

Azelastine is a nasal preparation which is a kind of ...Read more


Flonase (Definition)

Flonase is the brand name of a nasal steroid spray ...Read more