9 doctors weighed in:

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.

9 doctors weighed in
Dr. Avner Aliphas
ENT - Head & Neck Surgery
2 doctors agree

In brief: 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.

In brief: 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. Avner Aliphas
Dr. Avner Aliphas
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Dr. Danny Proffitt
Family Medicine
2 doctors agree

In brief: 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.

In brief: 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. Danny Proffitt
Dr. Danny Proffitt
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1 comment
Dr. Phil Zapanta
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.
Dr. Oscar Novick
Pediatrics
1 doctor agrees

In brief: There is a differenc

Aster in works well if one has vasomotor rhinitis whereas zn also ex works better in allergic conditions.

In brief: There is a differenc

Aster in works well if one has vasomotor rhinitis whereas zn also ex works better in allergic conditions.
Dr. Oscar Novick
Dr. Oscar Novick
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1 comment
Dr. Michael Zacharisen
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.
Dr. Carlo Hatem
Internal Medicine - Pulmonary Critical Care

In brief: 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).

In brief: 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. Carlo Hatem
Dr. Carlo Hatem
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