Nasal sprays are an effective solution for alleviating allergy symptoms by reducing swelling and clearing mucus directly in the nasal passages where irritation from allergens often occurs. Some of them work within 15 minutes after use. Their localized treatment minimizes side effects compared to oral medications and provides fast, effective relief at the source of the problem.
This article will discuss the 10 best nasal sprays to help relieve allergy symptoms. We’ll also discuss what makes each suitable and how they can help you feel better.
Types of Nasal Sprays for Allergies
Nasal sprays are liquid medications squirted into the nasal passages to alleviate nasal congestion commonly caused by colds or allergies. They work by relieving stuffiness and reducing nasal discharge. These sprays deliver the medication in a fine mist, released from a pressurized container with a valve for adequate symptom relief.
There are a variety of nasal sprays on the market with different mechanisms of action. Knowing the differences is essential in making an informed choice on allergy relief. Here are the different types of nasal sprays that combat allergy symptoms.
1. Antihistamine Sprays
These sprays target nasal allergy symptoms by blocking histamine. Common side effects of antihistamine nasal sprays include the following:
- Bitter taste
- Dizziness
- Drowsiness
- Dry mouth and nose
You can get these with a prescription; some are also available over the counter. Prescription options include the following medications:
- Patanase (Olopatadine)
- Astelin (Azelastine)
An example of an OTC antihistamine is Astepro (the OTC version of Astelin)
2. Steroid Nasal Sprays
These are preferred for various allergy symptoms, especially for reducing inflammation and congestion. They work best when used regularly, typically once daily for a few weeks.
Common side effects of using steroid nasal sprays include the following:
- Headaches
- Nosebleeds
- Nasal irritation
- Cough
If you've had nose surgery, an untreated sinus infection, tuberculosis, or if you're pregnant or breastfeeding, talk to a doctor before using steroid nasal sprays.
Examples of steroid nasal sprays in the market are:
- Rhinocort (Budesonide)
- Flonase (Fluticasone)
- Nasonex (Mometasone)
- Nasacort (Triamcinolone)
- Veramyst (Fluticasone furoate)
3. Mast Cell Inhibitor Sprays
Mast cell inhibitor nasal sprays work by helping prevent the release of histamine, reducing allergy symptoms when used consistently. They help control allergic reactions over time but don't provide quick relief. Still, they're essential for long-term allergy management.
Typical side effects are the following:
- Sneezing
- Nasal burning or irritation
- Unpleasant taste
Given their safety profile, mast cell inhibitor sprays suit many users, including children and adults.
An example of a mast cell inhibitor nasal spray available OTC is Cromolyn sodium (Nasalcrom).
4. Decongestant Sprays
Decongestant nasal sprays provide immediate relief for nasal congestion but should be used short-term to avoid rebound congestion. It is generally advisable to avoid use beyond 3-4 consecutive days before taking a break from use.
These sprays shrink blood vessels in the nose to lessen congestion, but they don't stop sneezing or a runny nose. They give quick relief and are often used for sudden nasal blockage.
Common side effects associated with decongestant sprays are the following:
- Sneezing
- Nausea
- Sinus pains
- Vomiting
- Dryness or burning in the nose
- Rebound congestion with prolonged use, which can be difficult to treat
Contraindications for decongestant sprays include individuals who have the following conditions:
- Cardiovascular conditions, such as high blood pressure or heart disease
- Overactive thyroid or enlarged prostate
- Pregnant women should consult a doctor before use
Some of the decongestant nasal sprays found on the market are the following:
- Afrin (Oxymetazoline)
- Zicam (Oxymetazoline)
- Sinex (Oxymetazoline)
- Dristan (Phenylephrine)
- Neo-Synephrine (Phenylephrine)
5. Saline Sprays
Saline nasal sprays moisturize the nasal passages, which helps to thin mucus and moisturize the nasal lining. They can be used without side effects except for possible mild irritation.
Common side effects are minimal but can include the following:
- Mild nasal irritation
- A brief stinging sensation if the nasal passages are very dry
Examples of saline nasal spray products include the following:
- Arm & Hammer Simply Saline (Sodium chloride, sodium bicarbonate)
- Ayr (Sodium chloride 0.65%)
- Amazon Basic Care Premium Saline Nasal Moisturizing Spray
- Ocean nasal
6. Anticholinergic Sprays
Anticholinergic nasal sprays help dry up a runny nose by blocking acetylcholine, making them effective for allergic and nonallergic rhinitis.
Side effects associated with anticholinergic sprays can include the following:
- Dryness of the nasal mucosa
- Irritation or burning sensation in the nose
- Headache
- Dry mouth
People with narrow-angle glaucoma or trouble urinating should be careful with anticholinergics, and they're recommended for children.
The market offers Atrovent (Ipratropium bromide, 0.03%) as a prescription anticholinergic nasal spray. There are no OTC anticholinergic nasal sprays available.
Top 10 Best Nasal Sprays for Allergies
We understand the importance of effective allergy relief, especially in wanting to feel comfortable doing daily tasks without allergy symptoms. That's why we have meticulously researched and compiled a list of the top 10 best nasal sprays for allergies.
Our selection is based on carefully evaluating factors such as the following:
- Efficacy
- Active Ingredient
- Potency
- Each of administration
- Potential side effects
Whether you're seeking immediate relief from acute symptoms or a long-term solution for managing your allergies, our top recommendations are detailed below.
Flonase Allergy Relief Nasal Spray, a nasal steroid, is distinguished by its 24-hour efficacy in providing exceptional relief from a broad spectrum of symptoms triggered by various allergens. Each spray contains 50 mcg of fluticasone propionate, a corticosteroid that reduces inflammation in the nasal passages, thus alleviating allergy symptoms. The spray is engineered to deliver metered doses, ensuring accurate medication delivery with every use. A single nasal spray contains 144 sprays priced at approximately $18.30.
Pros
- Delivers 24-hour relief from a wide range of . allergy symptoms
- Prescription-strength results without drowsiness
- User-friendly nasal spray suitable for adults and children over twelve
Cons
- Possible side effects include headaches and sore throat
- It may not be effective for all users or suitable for specific health conditions
- Nosebleeds
- Headaches
- Sore throat
- Nasal burning or itching
Afrin's No Drip Nasal Decongestant Spray, featuring 0.05% oxymetazoline, a potent decongestant, is an excellent choice for individuals grappling with severe nasal congestion seeking a rapid and mess-free remedy. The inclusion of menthol not only clears the sinuses but also imparts a refreshing sensation, enhancing the relief experience. This nasal decongestant spray is available at a price of $17.23 for two bottles. As with any decongestant, limiting Afrin's use to no more than 3-4 consecutive days is crucial to avert rebound congestion, a common concern with decongestant nasal sprays.
Pros
- Provides instant relief with effects that last up to 12 hours
- No-drip formula stays in place, preventing it from going down your throat
- Infused with menthol for a cooling, soothing feel
Cons
- Risks rebound congestion if used for a long time
- The strong menthol formula might be too intense for some
- Severe burning or stinging in the nose
- Chest pain
- Fast or uneven heart rate
- Severe headaches
Pros
- Guarantees 24-hour relief from nasal allergy discomfort
- Its non-drowsy formula means your daily activities won't be hindered by fatigue
- Offers 120 metered sprays, ensuring a lasting supply for symptom management
- Suitable for children over four with adult supervision
Cons
- Not intended for use by children younger than four
- Must be used daily to maintain its full effect
- Change in the sense of smell or taste
- Cough and headache
- Sore throat
- Runny nose
Pros
- Provides 24-hour relief from allergy symptoms with just one daily dose
- Potent and effective formulation without the need for a prescription
- Scent-free and alcohol-free formula for a gentle experience
- Suitable for both adults and children aged six and above
Cons
- Not intended for children under six years of age
- Some users may experience slower growth with long-term use in children
- Sore throat
- Cough
- Nosebleeds
- Unpleasant taste/ smell
Neo-Synephrine Extra Strength Formula could be the answer if you're searching for a reliable and budget-friendly nasal spray for congestion. Neo-Synephrine contains 0.1% of phenylephrine HCl, which is a decongestant. It offers swift action in clearing congestion due to colds, allergies, or other respiratory issues. You can get this 15ml bottle of nasal spray for only $4.59. As a decongestant nasal spray, Neo-Synephrine should not be used for more than 3-4 consecutive days before taking a break from the medication. This will help prevent rebound congestion.
Pros
- Provides fast relief from nasal congestion
- The non-drowsy formula means you can use it during the day without getting sleepy
- Comes in a maximum-strength dose for powerful symptom relief
- Available in a value pack, which is convenient for ongoing use or for several people
Cons
- The relief is temporary, so you may need to use it repeatedly
- It is not suitable for everyone, especially if you have certain health conditions or are sensitive to its ingredients
- Severe sneezing
- Stuffy nose
- Swelling or redness
- Stinging/burning sensation in the nasal cavity
- Rebound congestion
Pros
- Hydrates and cleans nasal passages using a natural saline solution
- Includes xylitol to lessen inflammation and block irritants
- A safe and non-addictive option free from GMOs, steroids, and chemicals
- Provides approximately 240 fine mist applications per bottle for easy use
Cons
- Might need to be used often for the best results
- The xylitol content might not be preferred by all due to personal sensitivities or tastes
- Temporary burning in the nose
- Dryness
- Runny nose
- Sneezing
Pros
- Delivers prevention and control of allergy symptoms without steroids
- Its non-drowsy formula is safe for frequent use, even for young children
- Offers the strength of a prescription allergy solution over-the-counter
- Its gentle formulation makes it appropriate for children as young as two years old
Cons
- It may take several days of use before you notice the full benefits
- Some users might experience a brief sensation of stinging or sneezing after application
- Severe burning
- Irritation, or stinging in the nose
- Nosebleeds
Pros
- Delivers prescription-strength relief from allergy symptoms without a prescription
- Tackles various allergens like pollen, dander, mold, and ragweed effectively
- Offers 24-hour symptom relief in a scent-free, alcohol-free, non-drowsy formula
- Its non-stinging mist directly treats the inflammation causing nasal symptoms
Cons
- Effectiveness may vary depending on your specific allergen sensitivities
- Consistent, regular use is necessary for optimal symptom management
- Unpleasant smell or taste
- Headache
- Cough
Pros
- Offers up to 12 hours of relief from severe congestion and sinus pressure
- Uses a potent decongestant for fast-acting relief right where it's needed
- Enhanced with soothing aloe and Vicks Vapors for a more comfortable use
- Eligible for purchase with health savings and flexible spending accounts
Cons
- Not intended for daily or long-term use
- Only suitable for children aged 6 and above with supervision
- Headache
- Dizziness
- Mild burning, dryness, irritation, and a cold feeling in the nose.
Pros
- Begins to relieve symptoms in as little as 30 minutes
- Provides all-day relief from nasal allergy symptoms
- Free from steroids, alcohol, and fragrance, making it gentle and non-irritating
Cons
- Some may need to use it twice a day for optimal effect
- It's focused on nasal symptoms and doesn't address full-body allergic reactions
- Drowsiness
- Mouth or throat pain
- Bitter taste in the mouth
- Headache
- Nasal pain or discomfort
