Compare Flonase vs. Qnasl

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

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Flonase (fluticasone)

Prescription or OTC

Qnasl (beclomethasone)

Prescription only
Relieves nasal allergy symptoms.

Flonase (fluticasone) is a good first-choice treatment for allergies of the nose, but long-term use can increase the risk of nosebleeds.

3.7/ 5 average rating with 890 reviewsforFlonase
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
  • Only need to use Flonase (fluticasone) once a day. Its effects can last for up to 24 hours.
  • Available over-the-counter and cheaper than many of its alternatives.
  • Highly effective treatment of allergy symptoms in the nose.
  • Flonase (fluticasone) gives you very little to no side effects since it's a nasal spray and doesn't expose the rest of your body to the medicine.
  • 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
  • Flonase (fluticasone) is not an appropriate medicine for people who have an injured nose or had a recent surgery in the nose.
  • Can slow down the growth rate in children.
  • Can increase the risk of bleeding and fungal infections in the nose.
  • Not recommended for those who are also taking other medicines that lower their ability to fight off infections.
  • 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
  • Nasal spray
  • Nasal spray
Price
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Reviews
890 reviews so far
72%
saidit'sworth it
43%
saiditworked well
7%
saidit'sa big hassle

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Side effects
7possible side effects
  • Headache
    7%
  • Asthma-like symptoms
    7%
  • Sore throat
    6%
  • Nosebleed
    6%
  • Nausea/vomiting
    5%
  • Cough
    4%
  • Nasal burning/nasal irritation
    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
  • Decreased growth rate in children
    • Children
    • Using the medicine for a long period of time
  • Effect on wound healing
    • People who had recent surgery or injury to the nose
  • Lowered ability to fight off infections
    • People who come into contact with others who have chickenpox, measles, or tuberculosis
    • People who have not received a vaccine for chickenpox, measles, or tuberculosis
  • Damage to nose
    • Using the medicine for a long period of time
  • Sinus infection
    • People who recently had the cold or flu
  • Increased risk of nosebleeds
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