this post was submitted on 24 Nov 2023
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I wish it was that easy. Flonase did nothing for me other than cause my nose to bleed. Azelastine helped some though and that makes sense for me, my congestion is likely caused by dust mite allergy.
Affrin is amazing for what it is. A few weeks ago I had a sinus headache so bad I threw up. Affrin cleared it up in 30 seconds, and I was able to maintain it without affrin after that.
Nosebleeds can happen and certainly do for some. Nasal hydration helps (for instance, ayr gel in combination with saline spray or irrigations). Ultimately, a good portion of patients that don't tolerate or fail nasal steroids get surgery.
Azelaetine is fantastic - there's a lot of patients I prescribe it in conjunction with Flonase. Allergic rhinitis or even just excessive secretions is common in patients with inferior turbinate hypertroph/nasal obstruction, and both meds have a function. They sell it as a combination, actually, but often insurance doesn't cover the combo.