Compare Nasacort AQ vs. Astepro

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

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Nasacort Aq (Triamcinolone)

Prescription or OTC

Astepro (azelastine)

Prescription only
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.

3.6/ 5 average rating with 328 reviewsforNasacort AQ
Relieves nasal allergy symptoms.

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

Upsides
  • 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.
  • 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
  • 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.
  • 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
Dosage forms
  • Nasal spray
  • Nasal spray
Price
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Reviews
328 reviews so far
67%
saidit'sworth it
39%
saiditworked well
10%
saidit'sa big hassle

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Side effects
The Nasacort Aq (Triamcinolone) FDA package insert doesn’t have numbers about how common side effects are.
5possible side effects
  • Bitter Taste
    8%
  • Nose discomfort
    4%
  • Nosebleeds
    2%
  • Headache
    2%
  • Fatigue
    2%
See more detailed side effects
Risks and risk factors
  • Changes in the nasal septum
    • Long-term use
  • Decreased wound healing
    • Surgery or trauma to the nose or sinuses
  • Reduced immune system
    • Exposure to immunizable diseases (chickenpox and measles)
    • Exposure to tuberculosis
  • Glaucoma and cataracts
    • Long-term use
  • Adrenal suppression
    • Switching from oral or injectable steroids to inhaled, especially if used long term
    • Using other inhaled steroids with Nasacort Aq (Triamcinolone)
  • Decrease in growth in children and teenagers
    • Long-term use
    • Taking more than recommended dose
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