2 doctors weighed in:

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

2 doctors weighed in
Dr. Gary Steven
Internal Medicine - Allergy & Immunology

In brief: 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.

In brief: 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.
Dr. Gary Steven
Dr. Gary Steven
Thank
Dr. John Chiu
Internal Medicine - Allergy & Immunology

In brief: No big difference

Theoretically, Astelin (azelastine) should be used first since it starts working in minutes to decongest the nose followed by Flonase 10-15 minutes later. In practice, not much difference either way.
In fact , the combination product is already available but most insurers would deny it because it is fractionally more expensive than buying the two separately. Too bad we now live in a bottom-line world.

In brief: No big difference

Theoretically, Astelin (azelastine) should be used first since it starts working in minutes to decongest the nose followed by Flonase 10-15 minutes later. In practice, not much difference either way.
In fact , the combination product is already available but most insurers would deny it because it is fractionally more expensive than buying the two separately. Too bad we now live in a bottom-line world.
Dr. John Chiu
Dr. John Chiu
Thank
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