Compare Rhinocort Aqua vs. Astepro

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

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Astepro (azelastine)

Prescription only
Relieves nasal allergy symptoms.

Rhinocort Aqua (Budesonide) is a steroid nasal spray that works best when used regularly for your nasal allergy symptoms.

Relieves nasal allergy symptoms.

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

Upsides
  • Rhinocort Aqua (Budesonide) lowers the number of nasal symptoms you'll get during allergy season.
  • Most people don't have many side effects since it works in the nose and doesn't affect the rest of your body.
  • Doesn't make you drowsy or dizzy.
  • 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 used everyday to work, so it can't be used as needed.
  • Can hace an unpleasant smell or taste.
  • It's good for 120 sprays, but there isn't a counter to help you keep track of sprays.
  • Can't be used in kids younger than age 6 years.
  • Need a prescription to get Rhinocort Aqua (Budesonide).
  • 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
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Side effects
5possible side effects
  • Epistaxis
    8%
  • Pharyngitis
    4%
  • Bronchospasm
    2%
  • Coughing
    2%
  • Nasal Irritation
    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
  • Changes to your nose
    • Long-term use
  • Poor wound healing
    • Surgery or trauma to the nose or sinuses
  • Increased risk of infections
    • Long-term use
    • Untreated infections
  • Glaucoma and cataracts
    • Long-term use
  • Withdrawal
    • Long-term use
  • 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