Ladies and Gentlemen, Start Your…Nasal Sprays!


Are you a spring allergy sufferer? Or have you become noncompliant over the winter months? Not only is the NASCAR season about to start, but it’s also time to start your steroid nasal spray. I often tell patients that Valentine’s Day is your reminder to start nasal sprays. It may even be a bit late, depending on what’s already in the air.

Nasal steroids are more effective than oral and nasal antihistamines. However, they can take 2-4 weeks to achieve a significant response. Nasal antihistamines such as azelastine (Astelin, Astepro) and olapatadine (Patanase) can have a noticeable response in as little as 30 minutes but are not as effective as nasal steroids. Combining these two types of nasal sprays can have even better results.

Here is a list of the most common nasal steroids:

  1. Generic Fluticasone or Flonase
  2. Generic Triamcinalone or Nasacort AQ
  3. Generic Flunisolide or Nasalide
  4. Nasonex
  5. Veramyst
  6. Qnasl
  7. Omnaris
  8. Zetonna
  9. Rhincort AQ
  10. Dymista (contains both fluticasone and the antihistamine azelastine)

High counts of spring tree pollen and mold spores will hit the Kentuckiana area soon. Whether you cheer for Gordon or Earnhardt, Jr., start your engines (and nasal sprays)!

Be sure to “like” my Facebook page at and share this page with other allergy sufferers.

Disclaimer: This blog is not intended to create a doctor-patient relationship with any reader. If you need personalized medical advice, contact your primary care physician or other physician in your community.


2 responses to “Ladies and Gentlemen, Start Your…Nasal Sprays!

  1. Are there any OTC allergy sprays that work well?

    • OTC choices are mainly saline and one called Nasalcrom. None are as effective as prescription choices. Nasalcrom does have a niche. It works well if used BEFORE the allergen exposure and with continued use 4-6 times per day while still exposed.

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