<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>CaliSally</b></i>
flonase was making my nose bleed. (so now I take zyrtec and singulair instead).
also, too many anti inflamatories (ibuprofen) can cause bleeding.
..those are my only two experiences with nose bleeds.</end quote></div>
Flonase contains alcohol. Yes, alcohol. That can be very drying and if you read the prescribing information, this intranasal steroid can cause massive amounts of nose bleeds.
Nasacort AQ, Nasonex and Rhinocort Aqua are all intranasal steroids, but do not contain alcohol. So nose bleed rates are lower.
Head to head studies of Nasonex vs. Flonase show that Flonase is more effective.
Head to head studies of Nasacort AQ vs. Flonase show that both are equally as effective, even in patients with severe symptoms.
Rhinorcort Aqua is extremely weak - weaker than even Nasonex. Rhinocort can require a titration dose of 256 micrograms QD, which is a bunch of sprays, to reach maximum efficacy. This will make your script last about 2 weeks. How pointless.
Intranasal steroids are useful because many allergy symptoms are associated with the nose. Headaches, sinus issues are often associated with allergies and these symptoms are more effectively treated with intranasal steroids.