Compare Beconase AQ vs. Astepro

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


Astepro (azelastine)

Prescription only
Relieves nasal allergy symptoms .

Beconase AQ (beclomethasone) is a strong steroidal nasal spray that is very effective at relieving nasal allergy symptoms, but is only available as brand so it may be expensive.

Relieves nasal allergy symptoms.

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

  • Beconase AQ (beclomethasone) is very strong and can be used in children as young as 6 years old.
  • Since it's used directly where the inflammation is happening, Beconase AQ (beclomethasone) has fewer side effects than oral steroids do and has a lower chance of causing withdrawal symptoms once the medication is stopped.
  • Beconase AQ (beclomethasone) doesn't make you drowsy or dizzy unlike other anti-allergy medications.
  • 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.
  • Beconase AQ (beclomethasone) needs to be used daily to work instead of on an as needed basis.
  • Beconase AQ (beclomethasone) doesn't have a dose counter to help you keep track of the number of sprays left in the bottle.
  • Unlike anti-allergy pills, Beconase AQ (beclomethasone) only works on nasal symptoms and not other allergic symptoms such as watery and itchy eyes.
  • May not be a good choice if you've recently had surgery on your nose.
  • Beconase AQ (beclomethasone) is available only as an expensive brand name prescription product.
  • Astepro (azelastine) has 200 sprays, but no counter to help keep track of sprays.
  • It can cause a bitter taste in your mouth.
Used for
  • Allergies
Dosage forms
  • Nasal spray
  • Nasal spray
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Side effects
1possible side effects
  • Mild nose/throat irritation
See more detailed side effects
5possible side effects
  • Bitter Taste
  • Nose discomfort
  • Nosebleeds
  • Headache
  • Fatigue
See more detailed side effects
Risks and risk factors
  • 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
  • Difficulty concentrating
    • Taking with alcohol
    • Taking other medicines that make you less alert
See more detailed risks and warnings