Compare Nasonex vs. Astepro
Head-to-head comparisons of medication uses, side effects, ratings, and more.
Relieves allergy symptoms.
Nasonex (Mometasone) is a good first-choice treatment for stuffy and runny noses caused by allergies.
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3.6/ 5 average rating with 675 reviewsforNasonex
Relieves nasal allergy symptoms.
Astepro (azelastine) is an antihistamine nasal spray that can help with allergy or nasal symptoms.
Upsides
- 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.
- Can be used as needed to help control symptoms in people age 13 years or older.
- Available as a generic, which is cheaper.
- 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
- Needs to be primed 10 times before it can be used, or re-primed if not used for more than 2 weeks.
- Doesn't have a counter on it, so it can be hard to remember how many sprays are left (each bottle has 120 sprays).
- Since the medicine in Nasonex (Mometasone) is a steroid, it can slow down your healing process if you've hurt your nose or had nose surgery.
- 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
Price
Lowest price
$61.69
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$20.24
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Reviews
675 reviews so far
68%
saidit'sworth it
39%
saiditworked well
8%
saidit'sa big hassle
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Side effects
5possible side effects
- Bitter Taste8%
- Nose discomfort4%
- Nosebleeds2%
- Headache2%
- Fatigue2%
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
- Glaucoma and cataracts
- Long-term use
- Reduced immune system
- Exposure to immunizable diseases (chickenpox and measles)
- Exposure to tuberculosis
- Decrease in growth in children and teenagers
- Long-term use
- Taking more than recommended dose
- Difficulty concentrating
- Taking with alcohol
- Taking other medicines that make you less alert