• 10 Best Nasal Sprays for Allergies in 2022 (Nasacort, Flonase, and More) 1
  • 10 Best Nasal Sprays for Allergies in 2022 (Nasacort, Flonase, and More) 2
  • 10 Best Nasal Sprays for Allergies in 2022 (Nasacort, Flonase, and More) 3
  • 10 Best Nasal Sprays for Allergies in 2022 (Nasacort, Flonase, and More) 4
  • 10 Best Nasal Sprays for Allergies in 2022 (Nasacort, Flonase, and More) 5

10 Best Nasal Sprays for Allergies in 2022 (Nasacort, Flonase, and More)

Looking for a way to get rid of those annoying and embarrassing allergy symptoms? From runny noses to sneezing and congestion, seasonal allergies can take their toll. Prescription and over-the-counter nasal sprays can provide relief within seconds or with continued use. While you'll want to check with your doctor before starting any nasal spray, our best 10 list will give you some idea of where to start. 


One of our picks, Nasacort's Allergy 24Hr Nasal Spray, can help prevent the inflammation that causes your symptoms. If you're still unsure of which type of nasal spray will work for your situation, our buying guide will provide you with a foundation of how to approach the conversation with your medical provider. Keep reading for more information! 

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  • Last updated: 09-06-2022
Table of Contents

How to Choose a Nasal Spray for Allergies - Buying Guide

Nasal sprays for allergies have different ingredients and work in various ways to alleviate symptoms. Before choosing a spray, you should consult with a doctor or allergy specialist. Also, some ingredients can produce side effects and may interact with other medications. 

Consult With an Ear, Nose, and Throat Specialist or Allergist

Consult With an Ear, Nose, and Throat Specialist or Allergist

If you've been experiencing allergy symptoms, you should find out which substances are triggering your immune system. It's also possible to have an auto-immune condition or chronic sinusitis that isn't triggered by allergies. Getting an accurate diagnosis is important since it will determine which medicines will work best. 


Your medical provider may recommend a combination of nasal sprays, oral or systemic pills like Singulair, and saline rinses. This is more likely to be the case if you're diagnosed with chronic or non-seasonal conditions.


Follow medication directions and dosage for the desired effects. Overusing a nasal spray might lead to symptoms such as drowsiness and dizziness. Remember to consult your doctor about any potential side effects or interactions between medications and over-the-counter supplements, including ones you may be taking for unrelated conditions.

Decide Between Steroids, Antihistamines, or a Combination

Depending on your symptoms and condition, your doctor may prescribe or recommend certain nasal sprays such as antihistamines and steroids. Your doctor's recommendation may depend on whether your symptoms are seasonal or chronic. Continue reading to know what steroids and antihistamines are used for. 

Steroids for Long-Term Relief

Steroids for Long-Term Relief

Steroids, also known as corticosteroids, work by reducing inflammation in your nasal passages and are best for alleviating congestion. Due to their strong anti-inflammatory properties, steroids are also used to treat conditions like asthma or arthritis. Some common steroid medications include Prednisone and Dexamethasone. 


However, since steroids are preventative, they can take longer to work and require long-term, consistent use. Steroids might also lead to side effects such as puffy face, facial hair growth, or menstrual irregularity.

Antihistamines Work Quickly but Require a Prescription

Antihistamines Work Quickly but Require a Prescription
Antihistamines work by blocking your body's production of histamine, which can produce symptoms like sneezing or runny and itchy nose. Although antihistamines are not as preventive as steroids, they work quicker. 


But do keep in mind that antihistamines might cause side effects such as drowsiness, constipation, or dry mouth. Some of the most common over-the-counter antihistamines include Zyrtec and Claritin. However, they come in the pill or tablet forms. Currently, there aren't any over-the-counter spray options.


Your doctor may prescribe a nasal spray that combines steroids and antihistamines if you have multiple, consistent, long-term symptoms related to chronic sinusitis. This type of spray isn't available over the counter. Alternatively, you may get a prescription for an antihistamine and be advised to take an over-the-counter steroid spray.

Other Options Dry Mucus or Reduce Inflammation

Other Options Dry Mucus or Reduce Inflammation

Besides steroids and antihistamines, oxymetazoline hydrochloride such as Afrin and Sinex can also help reduce nasal discomfort triggered by allergies. It's a decongestant that shrinks swollen blood vessels in your nose to reduce congestion. 


Cromolyn sodium, or NasalCrom, is a great option for those suffering from a stuffy or runny nose and post-nasal drip. Similar to antihistamines, it works by blocking the production of histamine. It's also pretty safe and doesn't trigger reactions like drowsiness. 


There are also anticholinergic sprays that dry up excess mucus and nasal secretions. These sprays tend to work immediately to relieve symptoms and are not preventive. The prescription drug Atrovent is an anticholinergic spray. 

Natural Sprays and Saline Rinses May Help Address Your Symptoms

Natural Sprays and Saline Rinses May Help Address Your Symptoms

Natural nasal sprays are usually made with a combination of ingredients such as galphimia glauca, luffa operculata, sabadilla, allium cepa, and so on. Each ingredient is only effective against certain symptoms, so the formula has to combine many ingredients to provide different treatments.


Specifically, galphimia glauca can help relieve sneezing and runny nose, while luffa operculata is effective for allergic rhinitis. Sabadilla works for runny noses and itchy watery eyes, and allium cepa can help treat sneezing and allergic rhinitis.


Periodic or daily non-medicated saline rinses help clean allergens out of your nose, moisturize your dry nasal passages, reduce inflammation, and make nasal sprays more effective. They don't cause any side effects and can be used for young children as well!

Consider the Length of Use

Depending on how long your doctor wants you to use nasal sprays as part of your treatment plan, you may need to use ones with different ingredients. While all nasal sprays come with side effects, some are more adverse when used long-term. 

Decongestant Nasal Sprays Are Best for Short-Term Use

Decongestant Nasal Sprays Are Best for Short-Term Use

Decongestant nasal sprays temporarily relieve a stuffy nose that can cause breathing difficulties. Congestion can result from inflammation and the overproduction of mucus. However, these types of sprays should only be used for a maximum of three days.


Using decongestant nasal sprays for longer than three days, especially without a doctor's recommendation, can result in rebound congestion. This condition develops as a result of dependency on the medication in the nasal spray.


Rebound congestion can restrict your nasal passages even more. You will likely experience worse congestion than what you had before you used the spray. 

Long-Term Use of Steroid Nasal Sprays Can Produce Side Effects

Long-Term Use of Steroid Nasal Sprays Can Produce Side Effects

Although steroid nasal sprays are best for long-term and preventative use, they are more likely to produce side effects when used for chronic conditions. Some of these side effects can be serious and may require medical intervention.


The most common long-term use symptom is nosebleeds. Many of these are minor, but some people experience moderate to severe nosebleeds. When used with antihistamines or oral medicines like Singulair, steroid nasal sprays can lead to weight gain and water retention.


Other side effects of nasal steroid use, like cataracts and a weakened immune system, are not as common or severe as they are with other types of steroids. However, these side effects can still occur. Be sure to discuss any underlying conditions and potential side effects with your doctor. 

Antihistamine and Anticholinergic Sprays Also Carry Risks

Antihistamine and Anticholinergic Sprays Also Carry Risks

Some of the more common side effects from antihistamine and other types of sprays include headaches, a bitter taste, fatigue, a burning sensation in the nasal passages, muscle pain, dizziness, sneezing, and dry nasal passages


Specifically, anticholinergic sprays might trigger headache, diarrhea, or nosebleeds, while oxymetazoline might trigger burning, stinging, or dryness inside your nose. It is also possible to develop more severe side effects, such as intrusive, vivid dreams and heartbeat problems. Consult a doctor immediately if these symptoms emerge. 


You may develop an increased tolerance for the medicine in the nasal spray. Your medical provider may need to change your treatment plan or the amount of your dose. 

Evaluate Your Age and Other Medical Conditions

Evaluate Your Age and Other Medical Conditions

Some nasal sprays like Flonase, Nasacort, and Rhinocort also come in children's versions. There are different minimum age recommendations, such as two, four, and six years old. Medical advice is highly recommended before giving nasal sprays to children.


It's also important to keep in mind that non-allergic chronic sinusitis produces many of the same symptoms as allergies. It is best to get tested for allergies before taking over-the-counter medicines. Some autoimmune conditions can also lead to non-allergic chronic sinusitis.


If you're pregnant or considering getting pregnant, some nasal sprays are safe to use. However, some have not been tested for use during pregnancy. It's best to consult with your doctor for advice and safety. Some common nasal sprays that are generally safe for pregnant women include Afrin, Budesonide, Nasonex, and Flonase. 

Talk With Your Provider About Refill Intervals and Your Insurance

Talk With Your Provider About Refill Intervals and Your Insurance

Some over-the-counter nasal sprays like Afrin, NasalCrom, or Flonase can be purchased on a subscription interval with retailers like Amazon. You will automatically receive the spray according to a pre-defined schedule. Also, nasal sprays like Nasacort or Flonase have both prescription and over-the counter varieties.


Check with your insurance provider or prescription plan to see if you can have your prescription nasal spray delivered to your home. Some plans allow you to have enough medication for 90 days shipped to you. 


Keep in mind that not all plans cover combination nasal sprays with antihistamines and steroids. If your medical provider recommends a combination spray, ask the doctor to check your insurance coverage first.

10 Best Nasal Sprays for Allergies

When choosing a nasal spray for allergies, it's critical not to self-diagnose your condition. It's best to make an appointment with your primary care physician or ear, nose, and throat specialist first. Your doctor can determine how a nasal spray fits into an overall treatment plan based on your symptoms and different tests. 

Image
Xlear Natural Saline Nasal Spray 1

Xlear

Nasacort Allergy 24Hr Nasal Spray  1

Nasacort

Rite Aid  Budesonide Nasal Spray 1

Rite Aid

NasalCrom Nasal Allergy Symptom Controller 1

NasalCrom

Mucinex Sinus-Max Clear and Cool 1

Mucinex

Vicks Sinex Saline Nasal Mist 1

Vicks

Afrin Original Maximum Strength 1

Afrin

Flonase Children's Sensimist Allergy Relief 1

Flonase

Similasan Nasal Allergy Relief 1

Similasan

MediaNatura ClearLife Allergy Nasal Spray 1

MediaNatura

Name

Natural Saline Nasal Spray

Allergy 24Hr Nasal Spray

Budesonide Nasal Spray

Nasal Allergy Symptom Controller

Sinus-Max Clear and Cool

Sinex Saline Nasal Mist

Original Maximum Strength

Children's Sensimist Allergy Relief

Nasal Allergy Relief

ClearLife Allergy Nasal Spray

Features

Best Saline Rinse With Xylitol to Clean Your Nasal Passages

Best Short-Term Allergy Relief

Best Prescription-Strength Nasal Spray

Best Non-Habit Forming Nasal Spray That Doesn't Cause Drowsiness

Best Decongestant With Menthol for a Cooling Sensation

Best Ultra-Fine Mist Saline Solution to Moisturize Your Nostrils

Best for Offering 12-Hour Congestion Relief

Best Nasal Spray for Kids That Doesn't Drip Down the Throat

Best Natural Homeopathic Formula

Best Natural Relief for Nose, Eyes, Throat and Headaches

Price$12.49$15.26$20.99$15.99$8.97$8.44$6.96$14.99$6.48$12.99
TypeNasal rinseSteroidSteroidAnti-inflammatoryDecongestantNasal rinseDecongestantSteroidHomeopathicHomeopathic
IngredientsSaline, xylitolTriamcinolone acetonide 55 mcg (glucocorticoid)Budesonide 32 mcg (glucocorticoid)Cromolyn sodium Oxymetazoline hydrochloride 0.05%SalineOxymetazoline hydrochloride 0.05%Fluticasone furoate 27.5 mcg (glucocorticoid)Cardiospermum, galphimia glauca, luffa operculata, sabadilla, salineAllium cepha, ambrosia artemesiaefolia, euphrasia, galphimia glauca, luffa, histaminum, sabadilla, sulphur
DoseAs often as neededOnce a dayOnce a dayUp to 6 times a dayTwice a dayAs often as neededTwice a dayOnce a dayAs neededEvery 2-4 hours
Best forRinsing allergens from nasal passages, easing congestion, soothing dry, itchy noseRelieving nasal congestion, runny nose, sneezing, or itchy noseTreating nasal congestion, runny nose, itchy nose, and sneezingPreventing and relieving nasal congestion, reducing sneezing and runny or itchy noseReducing nasal congestion due to allergies, clearing nasal passages, shrinking swollen blood vessels Clearing congestion, rinsing out allergensTemporarily relieving sinus congestion and pressure, shrinking swollen nasal membranes Temporarily relieving nasal congestion, runny nose, sneezing, and itchy noseRelieving runny nose, itching or burning nose, sneezing, swollen blood vessels, post-nasal dripRelieving minor allergy symptoms such as itchy or runny nose, sneezing, nasal congestion
Minimum age recommendationAny ageChildren 6-12 should take under adult supervision6 years2 yearsChildren 6-12 should take under adult supervision2 yearsChildren 6-12 should take under adult supervision2-11 years2 years4 years
Link

NasacortAllergy 24Hr Nasal Spray

$15.26

TypeSteroid
IngredientsTriamcinolone acetonide 55 mcg (glucocorticoid)
DoseOnce a day
Best forRelieving nasal congestion, runny nose, sneezing, or itchy nose
Minimum age recommendationChildren 6-12 should take under adult supervision

Rite Aid Budesonide Nasal Spray

$20.99

TypeSteroid
IngredientsBudesonide 32 mcg (glucocorticoid)
DoseOnce a day
Best forTreating nasal congestion, runny nose, itchy nose, and sneezing
Minimum age recommendation6 years

NasalCromNasal Allergy Symptom Controller

$15.99

TypeAnti-inflammatory
IngredientsCromolyn sodium
DoseUp to 6 times a day
Best forPreventing and relieving nasal congestion, reducing sneezing and runny or itchy nose
Minimum age recommendation2 years

XlearNatural Saline Nasal Spray

$12.49

TypeNasal rinse
IngredientsSaline, xylitol
DoseAs often as needed
Best forRinsing allergens from nasal passages, easing congestion, soothing dry, itchy nose
Minimum age recommendationAny age

MucinexSinus-Max Clear and Cool

$8.97

TypeDecongestant
IngredientsOxymetazoline hydrochloride 0.05%
DoseTwice a day
Best forReducing nasal congestion due to allergies, clearing nasal passages, shrinking swollen blood vessels
Minimum age recommendationChildren 6-12 should take under adult supervision

SimilasanNasal Allergy Relief

$6.48

TypeHomeopathic
IngredientsCardiospermum, galphimia glauca, luffa operculata, sabadilla, saline
DoseAs needed
Best forRelieving runny nose, itching or burning nose, sneezing, swollen blood vessels, post-nasal drip
Minimum age recommendation2 years

AfrinOriginal Maximum Strength

$6.96

TypeDecongestant
IngredientsOxymetazoline hydrochloride 0.05%
DoseTwice a day
Best forTemporarily relieving sinus congestion and pressure, shrinking swollen nasal membranes
Minimum age recommendationChildren 6-12 should take under adult supervision

FlonaseChildren's Sensimist Allergy Relief

$14.99

TypeSteroid
IngredientsFluticasone furoate 27.5 mcg (glucocorticoid)
DoseOnce a day
Best forTemporarily relieving nasal congestion, runny nose, sneezing, and itchy nose
Minimum age recommendation2-11 years

VicksSinex Saline Nasal Mist

$8.44

TypeNasal rinse
IngredientsSaline
DoseAs often as needed
Best forClearing congestion, rinsing out allergens
Minimum age recommendation2 years

MediaNaturaClearLife Allergy Nasal Spray

$12.99

TypeHomeopathic
IngredientsAllium cepha, ambrosia artemesiaefolia, euphrasia, galphimia glauca, luffa, histaminum, sabadilla, sulphur
DoseEvery 2-4 hours
Best forRelieving minor allergy symptoms such as itchy or runny nose, sneezing, nasal congestion
Minimum age recommendation4 years

Allergies Got You Feeling Helpless?

Fight back against allergens and their nasty symptoms. These products can help you reduce your exposure as well as make you feel better.

Amazon's Best Selling Nasal Sprays and Drops

Haven't found a good pick? Check out Amazon's best-selling nasal sprays and drops! 

Author: Helen Akers

Updated: Thuy Nguyen, 3/8/2022


  • Follow us on Facebook and Instagram for more mybest recommendations! For questions or comments, leave us feedback via a Google Form on our Contact Us page.

Disclaimer

The products listed do not guarantee any effects or results as described in the buying guide, nor do terms like "effective" or "safe" ensure that you will not experience symptoms or side effects.


None of the content on this website is intended to act as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a licensed medical practitioner or other qualified healthcare provider for healthcare concerns.


We referenced the following links when researching for and compiling our buying guide:

https://www.medicinenet.com/antihistamines_vs_corticosteroids/article.htm

https://www.healthline.com/health/allergies/nasal-sprays-for-allergies-how-well-do-they-work
https://www.drugs.com/mtm/nasalcrom-nasal.html

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    Tooth powder has become a lifesaver for many people, particularly those with sensitive teeth and gums. It is usually made with natural abrasives like baking soda, charcoal, and clay, as well as antibacterial essential oils. It doesn't contain fluoride, so it's less likely to cause irritation to your teeth and gums. But if you're new to tooth powder, choosing one might seem a little bit challenging.That's why we've compiled a list of highly recommended tooth powders to save you some research time. Our top pick is One Living Earth's Black Pearl Teeth Whitening Powder. This product is formulated with charcoal to power away stains and plaque. Other products on our top 9 list are also worth checking out, so give them a look, and check the buying guide reviewed by a dental hygienist to help you find the right product for you!
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  • 10 Best Writing Journals in 2022 (Moleskine, Leuchtturm1917, and More)
    10 Best Writing Journals in 2022 (Moleskine, Leuchtturm1917, and More)
    Are you looking for a new journal to write in? Whether you're a student hoping to take lesson notes, a writer planning their next novel, or someone hoping to journal their life, there is a journal for you. Journals come in a variety of sizes and paper styles so finding the right one for you can be tricky.That's why we've done the research and found our 10 best writing journals. We picked the Classic Notebook by Moleskine as our favorite due to the quality of the paper, how the journal lies flat, and its durability. We also have a buying guide to help you make your decision.
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