Compare Accolate vs. Qnasl

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

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Accolate (zafirlukast)

Prescription only

Qnasl (beclomethasone)

Prescription only
Controls asthma.

Although it's less effective than inhaled steroid medications for controlling asthma, Accolate (zafirlukast) has less side effects.

Relieves nasal allergy symptoms.

Qnasl (beclomethasone) is a steroid nasal spray that works best when used regularly for nasal allergy symptoms, but is not available as a generic so it may be expensive.

Upsides
  • Can easily take as a tablet.
  • Relatively well tolerated. Serious side effects are rare.
  • Available in affordable generic form.
  • Qnasl (beclomethasone) treats runny and stuffy nose due to allergies for children ages 4 or older.
  • Since it's used directly where the inflammation is happening, Qnasl (beclomethasone) has fewer side effects than oral steroids and has a lower chance of causing withdrawal symptoms once the medication is stopped.
  • Doesn't make you drowsy or dizzy unlike anti-allergy pills.
  • Has a built-in counter to help keep track of remaining doses.
Downsides
  • Not a first-choice medicine to control asthma.
  • People with liver problems should not take Accolate (zafirlukast).
  • Must take twice a day compared to Singulair which is only once a day.
  • Only for children 5 or older and adults.
  • You have to store Accolate (zafirlukast) in its original bottle.
  • Need to use daily instead of on an as needed basis for full effects.
  • Only works for nasal symptoms, unlike anti-allergy pills which can help with other allergic symptoms such as watery and itchy eyes.
  • Since Qnasl (beclomethasone) is a steroid, it can slow down your healing process if you've hurt your nose or had nose surgery.
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Used for
Dosage forms
  • Pill
  • Nasal spray
Price
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Reviews
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Side effects
14possible side effects
  • Headache
    13%
  • Infection
    4%
  • Nausea
    3%
  • Diarrhea
    3%
  • Generalized pain
    2%
  • Weakness
    2%
  • Abdominal pain
    2%
  • Accidental injury
    2%
  • Dizziness
    2%
  • Muscle pain
    2%
  • Fever
    2%
  • Back pain
    2%
  • Vomiting
    2%
  • Elevated liver enzymes
    2%
See more detailed side effects
4possible side effects
  • Headache
    3%
  • Fever
    3%
  • Upper lung infection
    3%
  • Common cold
    2%
See more detailed side effects
Risks and risk factors
  • Liver damage
    • Liver disease
  • Not for sudden asthma attack
  • Behavior changes
    • Mental health history
  • Low white blood cells
    • Tapering or discontinuing steroids
  • Increased bleeding risk
    • Antiplatelets
    • Anticoagulation
See more detailed risks and warnings
  • Thrush in the nose and throat
    • Long-term use
  • Changes in the nasal septum
    • Long-term use
  • Decreased wound healing
    • Surgery or trauma to the nose or sinuses
  • Immune suppression
    • Long-term use
    • Untreated infections
    • Exposure to infectious diseases such as chickenpox and tuberculosis
  • Glaucoma and cataracts
    • Long-term use
    • History of glaucoma or cataracts
  • Adrenal insufficiency
    • Switching from oral or injectable steroids to inhaled, especially if used long term
See more detailed risks and warnings