Top 10 Best Nasal Sprays for Allergies | Buoy (2024)

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
Top 10 Best Nasal Sprays for Allergies | Buoy (2024)

FAQs

Top 10 Best Nasal Sprays for Allergies | Buoy? ›

Best Overall

Steroid nasal sprays are like the MVPs of allergy relief—and Flonase is the best of the best. It's 24-hour relief, non-drowsy, and addresses multiple allergic symptoms, including nasal congestion, sneezing, and itchy, watery eyes while being gentle enough on your nose for daily use.

What is the most effective allergy nasal spray? ›

Best Overall

Steroid nasal sprays are like the MVPs of allergy relief—and Flonase is the best of the best. It's 24-hour relief, non-drowsy, and addresses multiple allergic symptoms, including nasal congestion, sneezing, and itchy, watery eyes while being gentle enough on your nose for daily use.

What is the strongest over the counter allergy medicine? ›

Antihistamines, such as Claritin (loratadine), can provide quick relief and can help prevent symptoms if taken every day. Nasal steroids, such as Flonase (fluticasone propionate), are generally the most effective allergy medicines but can take up to 2 weeks to fully work.

What nasal spray is safe to use daily? ›

Nasal antihistamine sprays (Asteline®, Patanase®, Dymista®, etc) are also safe to use on a daily basis and work by blocking the effects of allergens in the nasal lining.

What nasal spray is better than Flonase? ›

Official answer. Nasacort and Flonase are equally effective, safe, and well tolerated for the treatment of allergic rhinitis. Therefore the choice of either Nasacort or Flonase comes down to personal preference, availability or price.

What nasal sprays do doctors prescribe? ›

Some examples: Nasal steroids are often a first-line treatment for allergies. Examples like triamcinolone acetonide (Nasacort) and fluticasone propionate (Flonase) are available over the counter. Doctors can also prescribe nasal sprays like beclomethasone (Beconase), ciclesonide (Zetonna), and mometasone (Nasonex).

What nasal spray has the least side effects? ›

Of the different types of allergy nasal sprays, saline nasal spray is known to cause the fewest side effects because it does not contain any medication.

What can I buy for severe allergies? ›

Antihistamines can help relieve sneezing, itching, a stuffy or runny nose, and watery eyes. Examples of oral antihistamines include cetirizine (Zyrtec Allergy), fexofenadine (Allegra Allergy) and loratadine (Claritin, Alavert). Corticosteroid nasal sprays. These medications improve nasal symptoms.

What allergy medicine is best for sinuses? ›

Nasal steroid sprays such as Flonase® (fluticasone), Nasacort ®(triamcinolone) or Rhinocort® (budesonide) and Sensimyst® will help to reduce nasal and sinus inflammation. These can be used in addition to oral antihistamines to treat upper respiratory allergies (sneezing, runny nose, etc.).

What spray is good for allergic rhinitis? ›

Nasal sprays — Azelastine (brand names: Astelin, Astepro) and olopatadine (brand name: Patanase) are nasal antihistamine sprays that can be used daily or when needed to relieve symptoms of postnasal drip, congestion, and sneezing. These sprays start to work within minutes after use.

Which is better, Nasonex or Nasacort? ›

Nasonex and Nasacort are both nasal sprays for allergies that are available over the counter. However, they have some differences. Active ingredient: Nasonex has mometasone furoate, while Nasacort has triamcinolone acetonide. Timing: Nasonex may take a few days to work, while Nasacort may provide quicker relief.

What is a natural alternative to FLONASE? ›

Saline sprays are a natural alternative to medicated sprays, using a mixture of non-iodized salt and baking soda dissolved in sterile water to alleviate nasal congestion, reduce inflammation, and flush out allergens. Similarly, neti pots can clear sinus passages and offer allergy relief.

Why was FLONASE discontinued? ›

The nasal spray, known by its brand name Fluticasone Propionate Nasal Spray USP and manufactured by Apotex Corp., of Weston, Fla., was pulled voluntarily from the market by the company, which said the glass particles could clog the bottle and cause it to malfunction and, more importantly, abrade the inside of the nose.

What is the best nasal spray for allergic rhinitis? ›

OTC steroid and antihistamine nasal sprays work best for treating allergy symptoms. Common examples include Flonase Allergy Relief (fluticasone), Nasacort Allergy 24 Hour (triamcinolone), and Astepro Allergy (azelastine). They're safe for both adults and children to use every day.

What allergy nasal spray works in 30 minutes? ›

Cromolyn Sodium (NasalCrom)

Some people see results in only 30 minutes. For it to work best, you need to start using it one to two weeks before allergy season starts and then use it one or more times every day. It doesn't work as well as steroid nasal sprays. You can buy NasalCrom as a nasal spray at the drugstore.

Which allergy medicine is best for nasal congestion? ›

Antihistamine nasal sprays help relieve sneezing, itchy or runny nose, sinus congestion, and postnasal drip. Side effects of antihistamine nasal sprays might include a bitter taste, drowsiness or feeling tired. Prescription antihistamine nasal sprays include: Azelastine (Astelin, Astepro)

Why was Flonase discontinued? ›

The nasal spray, known by its brand name Fluticasone Propionate Nasal Spray USP and manufactured by Apotex Corp., of Weston, Fla., was pulled voluntarily from the market by the company, which said the glass particles could clog the bottle and cause it to malfunction and, more importantly, abrade the inside of the nose.

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