Compare Sudafed vs. Nasacort AQ

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Nasacort Aq

Clears your sinuses. Sudafed (Pseudoephedrine) relieves stuffy nose, but it could keep you up at night. Don't forget your photo ID or you won't be able to buy it in the drugstore.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.
How it works
Sudafed (Pseudoephedrine) is a decongestant. It narrows blood vessels and reduces swelling in your nasal passages to make breathing easier.Nasacort Aq (Triamcinolone) is a nasal steroid. It works directly in your nose to help reduce swelling and inflammation from allergies.
Type of medication
DecongestantPrescription or OTC
Prescription or OTC
Available as
  • Pill
  • Extended release
  • Liquid
  • Nasal spray
Used for (click to learn more)
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Reviews & ratings
Button Group. All currently active
Button Group. All currently active
Reviews for Sudafed (Pseudoephedrine)
of people say Sudafed (Pseudoephedrine) is worth it
say it works well
say it's a big hassle
Reviews for Nasacort Aq (Triamcinolone)
15% vs. Sudafed (Pseudoephedrine)
6% vs. Sudafed (Pseudoephedrine)
4% vs. Sudafed (Pseudoephedrine)
Side effects

We haven’t found good data for Sudafed side effects.

FDA side effect reports for Sudafed »
  • Sore throat 2%
  • Cough increased 2%
  • Tooth disorder 2%
  • Headache 2%
  • Throat pain 2%
  • Diarrhea 2%
  • Bronchitis 2%
  • Indigestion 2%
  • Flu syndrome 2%
  • Common cold 1%
More Nasacort AQ side effects »
Risk factors for serious side effects
  • History of high blood pressure
  • History of heart problems
  • Age 65 years or older
  • History of seizures
  • Women of childbearing age
Detailed Sudafed (Pseudoephedrine) risks & warnings »
  • Long-term use
  • Surgery or trauma to the nose or sinuses
  • Exposure to immunizable diseases (chickenpox and measles)
  • Exposure to tuberculosis
  • Long-term use
  • Switching from oral or injectable steroids to inhaled, especially if used long term
  • Using other inhaled steroids with Nasacort Aq (Triamcinolone)
  • Long-term use
  • Taking more than recommended dose
Detailed Nasacort Aq (Triamcinolone) risks & warnings »
Pregnancy category
NFDA pregnancy category (Unknown)

The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

See the FDA package insert
CFDA pregnancy category (Weigh risks vs. benefits)

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.

See the FDA package insert
No specific alcohol-related info.No specific alcohol-related info.
No specific food-related info.No specific food-related info.
Kidneys and liver
No specific kidneys and liver-related info.No specific kidneys and liver-related info.
No specific sex-related info.No specific sex-related info.
  • It can affect the quality of your sleep, so you can't take it too close to going to bed.
No specific sleep-related info.
No specific weight-related info.No specific weight-related info.
Upsides and benefits
  • One of the best over-the-counter options to clear stuffy nose and help you breathe better.
  • Clears nasal congestion better than other decongestants like phenylephrine.
  • Can be helpful in relieving congestion-related headaches and pressure in your ears.
  • Available in regular and extended release forms.
  • 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
  • Pseudoephedrine (a decongestant) can make your heart race or make you feel anxious and restless.
  • It can affect the quality of your sleep, so you can't take it too close to going to bed.
  • Can raise blood pressure so check with your doctor before using it if you have high blood pressure or other heart conditions.
  • Sudafed (Pseudoephedrine) isn't as effective after using it for more than 4 days straight.
  • Need to show a photo ID to buy it in the drugstore and there is a limit on how much you can buy each visit.
  • 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
  • Starts working in 30 minutes.
  • You need to show an ID to buy Sudafed (Pseudoephedrine) in the drugstore because it contains pseudoephedrine.
  • Follow age-specific dosing instructions on how much to take. Don't take more than recommended on the package.
  • Don't take Sudafed (Pseudoephedrine) too close to bedtime since it can keep you awake.
  • Can cause an irregular or fast heartbeat, and can raise your blood pressure.
  • Talk to your doctor if your symptoms don't get better in 1 week.
  • 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 SudafedSide effectsReviews & ratingsAlternativesFDA package insert
More about Nasacort AQSide effectsReviews & ratingsAlternativesFDA package insert