Compare Flonase vs. Nasacort AQ

Flonase (Fluticasone) and Nasacort AQ (Triamcinolone) are both nasal steroids effective at relieving allergy symptoms. Flonase (Fluticasone) is a good first-choice medicine for treating a runny or stuffy nose caused by allergies, and it's cheaper than some alternatives. Nasacort AQ (Triamcinolone) is the only medication in its class available over the counter for treating stuffy and runny nose due to allergies and you have to use it every day for it to work.

Flonase
(fluticasone)

Nasacort Aq
(triamcinolone)

Relieves allergy symptoms. Flonase (Fluticasone) is a good first-choice medicine for treating a runny or stuffy nose caused by allergies, and it's cheaper than some alternatives.Relieves allergy symptoms. Nasacort Aq (Triamcinolone) is the only medication in its class available over the counter for treating stuffy and runny nose due to allergies. You have to use it every day for it to work.
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
5.05Flonase
Reviews for Flonase
72%
of people (All ages) say Flonase is worth it
43%
say it works well
7%
say it's a big hassle
890 reviews
Have you used Flonase (fluticasone)?
Worth itNot sureNot worth it
Reviews for Nasacort AQ
67%
+5% better vs. Flonase
39%
+4% better vs. Flonase
10%
+3% better vs. Flonase
328 reviews
Have you used Nasacort Aq (triamcinolone)?
Worth itNot sureNot worth it
Side effects
FlonaseNasacort AQ
  • Asthma symptoms 4%
  • Nosebleed 1%
  • Nausea/vomiting 3%
  • Cough 1%
  • Blood in mucus 2%
  • Bronchitis 2%
  • Abdominal pain 2%
More Flonase side effects »
  • Sore throat 1%
  • Nosebleed 3%
  • Flu syndrome 2%
  • Bronchitis 2%
  • Indigestion 2%
  • Tooth disorder 2%
  • Headache 2%
  • Throat pain 2%
  • Common cold 1%
More Nasacort AQ side effects »
How it works
FlonaseNasacort AQ
Flonase (Fluticasone) is a nasal steroid. It works directly in your nose to reduce swelling and inflammation caused by allergies.Nasacort Aq (Triamcinolone) is a nasal steroid. It works directly in your nose to help reduce swelling and inflammation from allergies.
Type of medication
FlonaseNasacort AQ
Prescription or OTCPrescription or OTC
Available as
FlonaseNasacort AQ
  • Nasal spray
  • Nasal spray
Used for
FlonaseNasacort AQ
Risk factors for serious side effects
FlonaseNasacort AQ
  • Switching from oral or injectable steroids to inhaled, especially if used long term
  • Using other inhaled steroids with Flonase (Fluticasone)
  • Long-term use
  • Taking more than recommended dose
Detailed Flonase (fluticasone) risks & warnings »
  • Long-term use
  • Surgery or trauma to the nose or sinuses
  • Exposure to immunizable diseases (chickenpox and measles)
  • Exposure to tuberculosis
Detailed Nasacort Aq (triamcinolone) risks & warnings »
Pregnancy

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Pain
FlonaseNasacort AQ
  • Long-term use of Flonase (Fluticasone) can increase your chances of getting thrush in the nose and throat. Your doctor will check your nose and throat if you have to be on this medication for a long time. Also, tell your doctor if you notice pain in the nose and throat with redness and white patches.
No pain related info.
Upsides and benefits
FlonaseNasacort AQ
  • First-choice medication for treating runny and stuffy noses caused by allergies. It works by reducing inflammation in the nose.
  • Because it's used directly where the inflammation is happening, it has fewer side effects than oral steroids do and has a lower chance of causing withdrawal symptoms once the medication is stopped.
  • Can be used as needed to help control symptoms in people age 13 years or older.
  • Available as a generic medication.
  • Available over the counter without a prescription.
  • First-choice medication for treating runny and stuffy noses caused by allergies. It works by reducing inflammation in the nose.
  • Because it's used directly where the inflammation is happening, it has fewer side effects than oral steroids do and has a lower chance of causing withdrawal symptoms once the medication is stopped.
Downsides and risks
FlonaseNasacort AQ
  • Flonase (Fluticasone) doesn't have a counter on it, so it can be hard to remember how many sprays are left (each bottle has 120 sprays).
  • Needs to be primed (pressed/pumped until a fine spray appears) up to six times prior to using it for the first time, or if you haven't used it in 2 weeks.
  • Since the medicine in Flonase (Fluticasone) is a steroid, it can slow down your healing process if you've hurt your nose or had nose surgery.
  • Can't be used on as-needed basis. Must be taken every day.
  • Doesn't have a counter on it, so it can be hard to remember how many sprays are left.
  • Since the medicine in Nasacort Aq (Triamcinolone) is a steroid, it can slow down your healing process if you've hurt your nose or had nose surgery.
  • Needs to be primed before use and re-primed if not used for more than 2 weeks.
Tips from our pharmacists for people taking the medication
FlonaseNasacort AQ
  • It can take several days for Flonase (Fluticasone) to start working fully.
  • Don't take more of it than was prescribed for you.
  • Blow your nose before using Flonase (Fluticasone).
  • Can cause thrush (a fungal infection) inside the nose and throat.
  • Can also cause a headache, sore throat, or nosebleeds.
  • Use Nasacort Aq (Triamcinolone) once a day, following age-specific recommendations on how many sprays to use. Don't take more than prescribed.
  • Blow your nose before using.
  • Can cause thrush (a fungal infection) inside the nose and throat.
  • Can also cause nosebleeds, a sore throat, and headaches.
  • Needs to be used regularly during allergy season for it to work. It can take 1 to 2 weeks for the medicine to start working fully.
  • Check with your doctor or pharmacist on how to use the nasal spray the right way.
  • Shake well before using it. Before the first use, prime the bottle by spraying it until you see a fine mist.
Learn more
More about FlonaseSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Flonase (fluticasone)?
Worth itNot sureNot worth it
More about Nasacort AQSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Nasacort Aq (triamcinolone)?
Worth itNot sureNot worth it