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I have used Flonase for years and can't go without it...I bought the Costco brand... I am miserable... my nose itches so bad, I want to scream. Can't wait to get to the store and buy Flonase. Not in my head,....
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I've taken Fluticasone Propionate for years, but my new insurance company will no longer pay for it. It has kept me allergy/sinus infection free since I started it over 10 years ago. I guess I'll go with Flonase and hope for the best.

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I agree with you 100%
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I’ve used them both, I have get severe sinus infections on eve a year. Especially when the weather changes. The prescription strength is much better. The otc dries your nasal cavity. My nose felt raw but still stuffy. Prescription is more affordable and works great at unswellong your sinuses. Both do contain same igredients but the prescription strength works better for me. Takes 2 days to feel full effect. I use it before bed.
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I noticed the OTC not as effective also. My doctor told me that several of his patience told him the same thing.
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I noticed the OTC not as effective also. My doctor told me that several of his patience told him the same thing.
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same active ingredient & cost was enough to sway me
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Flonase Fluticasone Propionate has steroid in it, Flonase does not. Both are good. The later is used 2 times/day vs once/day.
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I have chronic sinusitis, rhinitis, and asthma. I have been on prescription flucticason for more than 20 years along with various other meds for my other issues. I've learned that everyone's body is different and what works for one, doesn't work for another. I'm one of those people that cannot used Flonase. That's what my insurance wants me to use now, but with with this combination of drugs, I have managed to stay out of ER rooms and hospitals. I am planning to contest their decision and try to continue getting my prescription, There must be some stabilizing ingredient or some propellant in these two that is different. So for those who insist there is no difference, maybe not for you but I have so many sensitivities that just one ingredient can make the difference.
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does it make the back of your throat and or tongue feel weird, like dried up or slightly swollen?
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I had this prescription called Fluticasone Propionate Nasal Spray for 10 or 15 years because of my sinus problem in San Mateo County, CA. Nothing affects me like headache or increase dry nose. The prescription is very helpful with my nose to clear any disposal in my nose, like Snotty. I blow my nose and it came completely clear and I breathe better. I visit a new doctor yesterday Dr. Debruin, in Orangevale, CA. I didn't like him much because he doesn't have inside compassion, caring and joking around, etc., and so the problem is he was always in a hurry for another patient. I was in the room for only 10 mins left (all the time). Anyway,I asked the doctor for a new prescription, and he look at my prescription Fluticasone Propionate nasal spray, and HE said you can get off the counter "Flonase". I was sad because my prescription help me clear and breathe better. What do you think Flonase might help me? Please let me know. I have an appointment in Sept. 19, 2023. Every time I visit him and done within less 10 mins. I was disappointment, depresson and I don't believe i him.

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User avatar
Health Hero
1626 posts
Hello, guest.

Building trust and understanding with a healthcare provider is vital for quality care, and it sounds like you felt rushed during your visit.

To address your concerns:

- Fluticasone Propionate Nasal Spray: Fluticasone Propionate is the generic name for the medication commonly branded as Flonase. So, the medication you've been prescribed (Fluticasone Propionate) is essentially the same as the over-the-counter (OTC) Flonase. The primary difference is that one is a prescription product, and the other is available without a prescription. Depending on the specific prescription and the OTC product, the concentration might be the same, but it's essential to compare the two to be sure.

- Cost & Insurance: One of the reasons doctors might recommend an OTC version is that, in some cases, it might be less expensive for the patient, especially if insurance doesn't cover the prescription or requires a high co-pay.

- Seeking a Second Opinion or New Doctor: If you feel uncomfortable or not heard by your current doctor, consider seeking a second opinion or looking for a new primary care provider. It's crucial to have a doctor who listens to your concerns, gives you the time you need, and with whom you can build a trusting relationship.

- Expressing Your Concerns: It might be beneficial to communicate your feelings to Dr. Debruin directly or provide feedback to the clinic. They might not be aware of how their approach impacts you, and your feedback can help them adjust their patient care.

- Medical History & Continuity: When seeing a new doctor after having been with a previous one for a long time, it's essential to ensure the new doctor has a complete understanding of your medical history, including what treatments have worked best for you in the past. If Fluticasone Propionate Nasal Spray has been effective and you have concerns about switching to OTC Flonase, it's crucial to communicate this.

Remember, you are an advocate for your own health, and you have every right to seek care that aligns with your needs and provides you with the comfort and understanding you deserve. If you feel that your needs are not being met, it's essential to explore other options to ensure you receive the best care possible.
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