Compare Allegra vs. Astepro

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

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Allegra (fexofenadine)

Over-the-counter

Astepro (azelastine)

Prescription only
Treats allergy symptoms.

Allegra (fexofenadine) relieves allergy symptoms without making you feel drowsy.

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3.9/ 5 average rating with 24 reviewsforAllegra
Relieves nasal allergy symptoms.

Astepro (azelastine) is an antihistamine nasal spray that can help with allergy or nasal symptoms.

Upsides
  • Allegra (fexofenadine) is effective at reducing symptoms for seasonal allergies and chronic hives without significant drowsiness, unlike Benadryl.
  • Approved for kids aged 6 months or older.
  • Allegra (fexofenadine) comes in many forms, like tablet, liquid, and quick-dissolving tablet.
  • Astepro (azelastine) is good for relieving nasal symptoms during allergy season.
  • Since Astepro (azelastine) goes in the nose, it's unlikely you'll get side effects anywhere else in your body.
  • Astepro (azelastine) works faster than steroid nasal sprays and can be used as needed.
  • People usually tolerate Astepro (azelastine) well since there are few side effects.
Downsides
  • Allegra (fexofenadine)'s effectiveness can wear off over time.
  • The dose needs to be adjusted for people with kidney problems.
  • Astepro (azelastine) has 200 sprays, but no counter to help keep track of sprays.
  • It can cause a bitter taste in your mouth.
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Used for
  • Allergies
Dosage forms
  • Pill
  • Dissolving tablet
  • Liquid
  • Nasal spray
Price
Lowest price
$7.57
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Lowest price
$15.79
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Reviews
24 reviews so far
79%
saidit'sworth it
63%
saiditworked well
0%
saidit'sa big hassle

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Side effects
4possible side effects
  • Dizziness
    2%
  • Back Pain
    2%
  • Stomach discomfort
    2%
  • Pain in hands/feet
    2%
See more detailed side effects
5possible side effects
  • Bitter Taste
    8%
  • Nose discomfort
    4%
  • Nosebleeds
    2%
  • Headache
    2%
  • Fatigue
    2%
See more detailed side effects
Risks and risk factors
  • Driving impairment
    • Taking with alcohol
    • Taking other medicines that make you less alert
  • Brain damage from too much phenylalanine
    • History of phenylketonuria (PKU)
See more detailed risks and warnings
  • Difficulty concentrating
    • Taking with alcohol
    • Taking other medicines that make you less alert
See more detailed risks and warnings
Learn more about Allegra (fexofenadine)
Learn more about Astepro (azelastine)