Differences Between Nose Sprays per my Research
There are 4 Rx nose sprays on the market. Flonase, Nasacort AQ, Nasonex and Rhinocort Aqua.
Rhinocort Aqua is by far the weakest. Unlike the others on the market, you need to titrate up for maximum efficacy. This can mean 4 sprays per nostril per day - and a prescription that only lasts about 2 weeks. But RA does lack alcohol, which is a good thing.
Head to head studies of Nasonex vs. Flonase demonstrate that Flonase has superior efficacy. But Nasonex does lack alcohol whereas Flonase contains alcohol (which causes nose bleeds and heads).
Head to head studies of Flonase vs. Nasacort AQ demonstrate equal efficacy (even in patients with severe symptoms). Nasacort AQ lacks alcohol as well.
Nasacort AQ is the winner.