Question: are all nasal sprays the same?
Answer: In the past, all steroid nasal sprays were available by prescription only. But now, budesonide, fluticasone, and triamcinolone are available over the counter (OTC). Some steroid nasal sprays have an OTC and a prescription option. For example, both Flonase and Xhance have the same active ingredient: fluticasone.