Patanase® is an antihistamine nasal spray.(2)  Antihistamines block histamine, a chemical in the body that plays a major role in allergic rhinitis. Patanase® is similar to Astelin®, another antihistamine nasal spray.  It is indicated for patients over 12 years old who seek relief from allergic rhinitis.(2) One advantage Patanase® may have over Astelin® is that it may cause less of the metallic taste users often complain of.(2)

Omnaris® works differently than Patanase®. Omnaris® is a steroid nasal spray.(1) There are other steroid nasal sprays available on the market. Currently there is no proof that Omnaris® works better  than any of the others. It costs about the same as most other brands and actually costs more than Nasarel® (flunisolide) and fluticasone.
Side effects commonly reported with Omnaris® include headache(6%), nosebleed (4.9%), nasal/throat irritation (3.7%) and ear pain (2.2%).(1)  Side effects commonly reported with Patanase® include bitter taste (12.8%), headache (4.4%), nosebleed (3.2%), throat pain (2.2%) and cough (1.4%). Since Patanase® is an antihistamine that can cause drowsiness, use with alcohol should be avoided.

Typically, oral antihistamines are used first for mild to moderate allergic rhinitis symptoms. Nasal steroids are usually reserved for severe or persistent symptoms.(3)  Side effects, drug interactions and preference will all plays roles in which medication will be best for treating your allergic rhinitis. You and your doctor will best be able to decide which therapies are right for you.

Author: Christi Larson, Pharm. D.

Dr. Larson is a Clinical Infusion Pharmacist, author of Empowered Medicine; A Guide for Consumers and creator of www.empoweredmedicine.com. You can read more about her by visiting www.EmpoweredMedicine.com and clicking on the 'About Us' tab.  EmpoweredMedicine.com is committed to providing evidence-based medical information.