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Nasal-sprays and their Classifications?

My doctor wants me to try different classes of nasal-spray(s) from the one I am using now, which is Flonase-Sensimist.  At the office-visit, I didn't think much of it until I starting to research.  So… Help to clarify/correct the below?

Classes: 1) Antihistamine  2) Steroid  3) Mast Cell Inhibitor  4) Anticholinergic  5) Decongestant  6) Allergy Blocker

Currently using OTC Flonase-Sensimist (Steroid)

Here's where it's confusing, and I know it's a lot to ask… What classes/products are available Over-The-Counter?

 

Antihistamine(s):

Steroid(s): Flonase-Sensimist

Mast Cell Inhibitor(s):

Anticholinergic(s):

Decongestant(s):

Allergy Blocker(s): 

 
 
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  • Melissa G

    Hi CCinPA! Welcome to the AAFA forums! 

    Which nasal spray does your dr want you to try?

    As for the other information you asked for: you can get otc allergy medications and decongestants. 

    I am pretty sure mast cell stabilizers and anticholinergics are all by prescription. I would definitely talk with your dr which medications you should be taking and which otc medications are right for you. 

  • StephM

    It's also worth noting that steroids are talked about as belonging to different "classes" sometimes so that adds another point to possibly clarify. A good pharmacist can help with finding OTC product options to discuss with your doctor, too.

  • CCinPA

    Okay… Different "classes" of steroids, as in different "ingredients".

    I also just got done chatting with an online pharmacist. 

    As a result… Here is my working document: 

     

    Antihistamine(s): Azelastine and olopatadine – Prescription only

     

    Steroid(s): Flonase,  Allergy 24HR, and

     

    • : fluticasone propionate
    • : Allergy 24HR: Triamcinolone acetonide
    • : Budesonide

     

    Mast Cell Inhibitor: NasalCrom

     

    Anticholinergic: Ipratropium – Prescription only

     

    Decongestant: Afrin

     

    Allergy Blocker: Cream only

     

  • K8sMom2002

    CCinPA, I love that you reached out to your pharmacist! Did you decide on what type of medication might be a good option to discuss with your doc?

  • CCinPA

    Thanks for asking! 

    Final document submitted to my doctor, below.  By his instruction, I will be trying Nasacort and Rhinocort each for two weeks before my next doctor's appointment.  Then report the results of using the two nasal-sprays at that time.    

     

     

    Steroid(s): Flonase,  Allergy 24HR, and

     

    • :           Fluticasone propionate
    • Allergy 24HR:         Triamcinolone acetonide
      • :                          Budesonide

     

     

     

     

     

    Decongestant: Afrin           Oxymetazoline – Too many side-effects

     

    Mast Cell Inhibitor: NasalCrom – 1-2 weeks before pollen season

                       – Not as good as Steriod-spray

     

    Antihistamine(s): Azelastine and olopatadine – Prescription only

    Anticholinergic: Ipratropium – Prescription only

    Allergy Blocker: Cream only

     

     

     

  • Kathy P

    hope it helps! I've been using Flonase for years. If it does help and you will be using it long term, Costco has multi-packs that come out less expensive than the pharmacy. 

  • micheleann

    Kathy P, do you every have nose bleeds from the flonase. Flonase was so helpful to me and then I started to have blood in my nose. I stopped using and now have started back up every other day because without it my nose is almost completely blocked. Any advice?

  • CCinPA
    micheleann posted:

    Kathy P, do you every have nose bleeds from the flonase. Flonase was so helpful to me and then I started to have blood in my nose. I stopped using and now have started back up every other day because without it my nose is almost completely blocked. Any advice?

    I was using Flonase-Sensimist for many years without any problems. 

    Since Nasacort and Rhinocort serve the same purpose… Try these since the active ingredients are different. My ENT doctor recommends Rhinocort.  

     

    :           Fluticasone propionate

    Allergy 24HR:         Triamcinolone acetonide

    :                          Budesonide

  • micheleann

    I have not tried anything different. I am using a saline spray. I am using the flonase every other day. It is helping. Anyone suffer from anxiety? My anxiety is through the roof.

  • Melissa G

    Oh my, Micheleann!  I personally don't have anxiety issues. Has anything in particular happened? Have you spoken with your dr?

  • micheleann

    I have always had anxiety. As I get older it gets worse. Asthma does not help the situation. I do have a doctor that I see for my anxiety. 

  • micheleann

    Thank you so much. I am doing ok. Unfortunately, I am dealing with shoulder issues now. Very painful. I have scoliosis and as I age it is becoming more painful. All of this contributes to my anxiety. I am so fortunate to have an amazing support system, including this forum.

  • Melissa G

    Uughh, Micheleann! That has to be very painful. Are you in physical therapy to help with the pain? 

  • Melissa G

    I am doing well, thanks for asking. 

    I hope the chiropractor is able to help you get some relief. 

  • micheleann

    I'm sorry. I am so off topic. Went to an orthopedic doctor yesterday and was diagnosed with bursitis. I'm glad you are well. Once again, I am sorry to have gotten so off topic.

  • Melissa G

    Michele, don't you worry about it! Oh my on the bursitis! That has to be painful. What is the treatment plan?

  • K8sMom2002

    MicheleAnn, lots of our members here have other issues that they manage along with their asthma. Managing two chronic conditions together can be a juggling act … I can help you start a new topic about that if you would like.

    As for nosebleeds … Flonase and other steroid-based nasal sprays can have the side effect of triggering nosebleeds. In Flonase's clinical trials, about 7% of patients developed nosebleeds. Could you speak to your doctor about those nosebleeds?

    One other thing — Flonase, unless you are instructed otherwise by a doctor, is not meant to be used for more than six months. So you might ask your doc if going off of Flonase during "off-peak" allergy seasons might help you reduce the side effects.

    Here's the label: