Flonase vs Veramyst

was just prescibed veramyst but can get flonase a lot cheaper....is there any real difference?
thanks

NO!!!!

Ask your doctor!!! Anyone asking for advice on a site like this is either

1. Stupid
2. Trying to set someone up

Originally Posted by Anonymous

was just prescibed veramyst but can get flonase a lot cheaper....is there any real difference?
thanks

yeah jerkoff- you have Veramyst, and you DO NOT have flonase! Any more stupid questions?

why is there no scent with veramyst? I thought the smell of the scent actually ment the drug was working. Didnt we question why nasonex went scent free?

No, there is no clinically siginifcant difference between the two compounds.

Originally Posted by Anonymous

Ask your doctor!!! Anyone asking for advice on a site like this is either

1. Stupid
2. Trying to set someone up

well i wasnt to stupid to leave gsk, sell my stock before it fell and now in surgical sales...

The flonse molecule was changed (the side chain) anyway. There is no head to head data, however it does have an indication to treat ocular symptoms which Flonase did not, and the device is friendlier to the nose. It doesn't contain the same preserative which caused the scent.

LISTEN - Veramyst DOES NOT have an ocular indication, only some sort of approval thing. My doctors are getting pissed that we are all running around even talking about it! They say all the sprays work to some degree and oral anti-hists too! I believe this marketing stategy is starting to back-fire!!

It's an ocular claim. Flonase and others have tried to get this claim and have been unable to. So, maybe they all do work on ocular symptoms to some degree, but Veramyst has the claim because they were able to prove it in three different studies.

Do your homework jerko, I have read competitor's studies and they all include ocular symptoms in their total symptom relief scores. If you drink this corporate kool-aide, then I have some GSK stock to sell you. Yes, this ocular talk is backfiring and we're losing our credibility. Stop the insanity!

Originally Posted by Anonymous

was just prescibed veramyst but can get flonase a lot cheaper....is there any real difference?
thanks

There is a huge difference, Flonase comes in an amber glass bottle and was a class leader along with mometasone (Nasonex) in efficacy. Veramyst is our leftover Flonase bottles with a plastic shell around it to make sure that when you drop your Flonase bottle it does not shatter. We have that different side chain to which has no clinical relevance as stated in our own PI...oh and Veramyst will cost you 3 times as much minimum per month as generic Flonase and twice as much as Nasonex.

Originally Posted by Anonymous

There is a huge difference, Flonase comes in an amber glass bottle and was a class leader along with mometasone (Nasonex) in efficacy. Veramyst is our leftover Flonase bottles with a plastic shell around it to make sure that when you drop your Flonase bottle it does not shatter. We have that different side chain to which has no clinical relevance as stated in our own PI...oh and Veramyst will cost you 3 times as much minimum per month as generic Flonase and twice as much as Nasonex.

Sounds great! I can't wait to go out and change my current prescription of Nasonex to Veramyst!

Oh great Lord in heaven, thanks so much for giving us GSK!

Trust me when I say that currently there are petitions around concerning the problems with increased occular pressure (people losing their eyesight), glaucoma and cataracts with veramyst, which other NIS's don't have problems with. Hey, if you told me that I could lose my eyesight by using an allergy medication, I would shoot the doc who prescribed it to me.

Originally Posted by Anonymous

Trust me when I say that currently there are petitions around concerning the problems with increased occular pressure (people losing their eyesight), glaucoma and cataracts with veramyst, which other NIS's don't have problems with. Hey, if you told me that I could lose my eyesight by using an allergy medication, I would shoot the doc who prescribed it to me.

Come on now GSK would never sell a drug that could hurt you??

Originally Posted by Anonymous

Come on now GSK would never sell a drug that could hurt you??

Hey Cappy, like another poster said - go slit your wrist.

There is no difference between Veramyst and Flonase. It is the drug du jour so doctors are starting to use it because they are getting free samples. The only advantage I use it for is for kids because it is easier to activate than flonase for kids.

I'm sure your kids' parents will be happy to know you are prescribing their kids the most expensive option as well! If you truly are a pediatrician and you're not prescribing at least 75% Nasonex, you're either incompetent or the SP reps in your area are idiots.

Response to the pediatrician. Wow...It take almost three pounds more pressure to actuate the veramyst pump than both the old flonase device or the nasonex device (we gave the device to a local college lab to test it). Additionally, if the device it self is like trying to pull the trigger of a double action pistol, when the patient presses on the device, it has two separate friction points, which most pediatricians when demonstated this property have agree that the child will spray most of the dose in the front of the nose and have it drip out.

The device is cute, but really doesn't cut the mustard. Veramyst would be more effective in the same old pump device the other INSs are in.

Originally Posted by Anonymous

Response to the pediatrician. Wow...It take almost three pounds more pressure to actuate the veramyst pump than both the old flonase device or the nasonex device (we gave the device to a local college lab to test it). Additionally, if the device it self is like trying to pull the trigger of a double action pistol, when the patient presses on the device, it has two separate friction points, which most pediatricians when demonstated this property have agree that the child will spray most of the dose in the front of the nose and have it drip out.

The device is cute, but really doesn't cut the mustard. Veramyst would be more effective in the same old pump device the other INSs are in.

You and your friends need to go back to school. The device actually has one (1) fulcrum and one (1) inclined sliding friction point. It is nothing like pulling the trigger of a double action pistol. Its fucking idiots like you that shoot others or even themselves. Do the latter! The device as designed is more ergonomic for the end user, the patient. Now go back to school and do some homework.

To the last poster: UNC Chapel Hill physics lab tested the device. Yes, it has a sliding friction point, but for those people who push down slowly (ie those people with little grip strenght - children and elderly) they will experience what is almost like pulling the trigger of a double action pistol. The devices that doctors donated to do the little experiment (approximately 50 devices - 30 from samples and 20 actual prescribed devices) also demonstrated different spray volumes - but wasn't significant in the difference of spary volumes when pulled at a normal speed, but when pulled at a slower rate, volumes differed dramatically. Two of the devices were defective and had a pull rate of over 5 pounds compared to the old flonase device. It would be interesting to find if more devices are faulty, since 4% of devices being faulty would be significant.

Again novel device, but due to the nature of the steriods, patients will result in uneven spraying in the nasal cavity and the device is linked to the high rate of nose bleeds in patients.

We have been looking to do a little bit more deeper study on it.

?

Originally Posted by Anonymous

To the last poster: UNC Chapel Hill physics lab tested the device. Yes, it has a sliding friction point, but for those people who push down slowly (ie those people with little grip strenght - children and elderly) they will experience what is almost like pulling the trigger of a double action pistol. The devices that doctors donated to do the little experiment (approximately 50 devices - 30 from samples and 20 actual prescribed devices) also demonstrated different spray volumes - but wasn't significant in the difference of spary volumes when pulled at a normal speed, but when pulled at a slower rate, volumes differed dramatically. Two of the devices were defective and had a pull rate of over 5 pounds compared to the old flonase device. It would be interesting to find if more devices are faulty, since 4% of devices being faulty would be significant.

Again novel device, but due to the nature of the steriods, patients will result in uneven spraying in the nasal cavity and the device is linked to the high rate of nose bleeds in patients.

We have been looking to do a little bit more deeper study on it.

Wow...I smell alot of fear out there. Lots of gloom and doom. I think the best thing you can do for us is lie to your docs like you are lying here. Or those saying intraocular pressure increases and more glaucoma. If it is the same as Flonase, like you are ALSO saying, why would it have this dramatically different AE profile? Keep the noise up for Veramyst. you are helping us by talking about it. Why would you mention it to a doc if it wasn't a threat???

crazy crazy

my 10yo uses flonase, has for years. it works for him. i tryed it once for a sore throat, allergy related, it worked for me. the allergist gave me a little sample of veramyst. it has not had the chance to work but i do know i will buy whatever comes in generic...its all about cost. even tho the doc gave me a 25$ coupon off, i can not afford several bottles of it AND we do not share. so all you medical people can run your money hungry mouths but the bottom line is main stream like me, who gives a crap about our health but the all mighty payck dont allow high end meds. we have what we have. so i either have to lie, beg, borrow or steal to get just the mim required meds. they cost too damn much. we did not ask to be born into the gene pool we were. so there..put a sock in your wind hole and smoke it..lord knows us weakies cant!! heehee

so i came on here to see which is a better med?
have no conclusion with all the bull being tossed around.
i dont care about the molecular distinctions between the 2 only want to know which is more effective..id take flonase over the other due to no one has ever said NOTHING about flonase, like the site for veramyst..... verbatium>>>>"Important Information about VERAMYST
Side effects include nosebleed or nasal sores. Nasal fungal infection, glaucoma, or cataracts may occur. Have regular eye exams. Do not spray in eyes.<<<<
were talkin about controlling a mist!! a very fine mist!! in a stupid'lly designed bottle!!
i have the solution, ill take the cancer one my son will stick to the flonase.
is everybody happy?
yeah
right!!

also wanted to address this issue...to any male species who thinks he can out wit me with some lame ass reply. i will not be a frequent visitor to this board. so go ahead and say what you want, i know you will , there are too may smart azz post on here already.
but you have no wt over me when im a single mom putting a kid thru college (for nursing non the less) nothing can be said about my ability or attempt to make things work. too bad OUR land/people does not care about our health enought to make it where in this dayNage we have to research our med's on our own, have to take what we can when we can and pay more to see an allergist then the all mighty prescribing PCP! woo hoo who can do absolutely nothing these days. think its not true..hold a poll with more mom's in my range! you will see the truth, the light.
besides it was jerks like you who left your children behind to survive the big bad world with no father, role model, leader, fine example of a dad, what a real man should be.
how'd u like those apples?
not far from the tree huh?
i work better on stage..thank you
thank you very much!


aint nothing you can say i have not thought of already !! seriously

Yes but isn't blue better than green anyday of the week? We are moving science and the field of medicine leaps and bounds everyday!

Originally Posted by Anonymous

Yes but isn't blue better than green anyday of the week? We are moving science and the field of medicine leaps and bounds everyday!

Help! Our GSK board has been taken over by Schering employees and Redneck Crackers!

Well, let me see, I AM a previous Flonase user and have recently switched to Veramyst (during my worst allergy season),,,,I can tell you this,, I have less congestion and less eye and throat itching. Out of experience can any of you "experts" match that?

I can match that. It has already been studied that as an added side effect of all NISs that reduction in ocular symptoms. This is referenced from an old study done by GSK on Flonase from the late 90s, plus studies done by Nasonex and published in 2006, and as a part of a total sypmtom score in a study done by Nasacort. Patients only talk about any reduction in ocular symptoms, because as one allergist put it - "the commercial talks about reduction of eye allergies".

Additionally due to the subjective studies that any NIS undergoes, the overall efficacy for one NIS to be better than another will never be proven. That means it all comes down to cost and sampling.

Most docs will write generic over most other NISs, then will write for managed care coverage and then for the amount of samples they have in a closet.

All INS will work, some better than others for individual patients. Fluticasone is the cheapest, but is the least tolerable, patients won't take it as prescribed, therefore will not work as well. Veramyst has a nifty bottle, but if you're old, have arthritis, or a child you may not be able squeeze hard enough and it will just drip, and is also the most expensive even after the $25 coupons because most MC plans won't cover it. Nasacort and Rhinocort work well, but are only covered on about 50% of MC plans, and usually at Tier 3. Nasonex works well, is scent and alcohol free, can be used down to 2 years, has a few extra indications (however most INS are used for Polyps and Prophylaxis as well, just don't have the "official" approval), is Tier 2 (lowest branded copay) on over 90% of MC plans. However, as long as MC plans are more concerned about profit as opposed to patients, fluticasone will continue to dominate. Yes, I'm an SP rep, but I'm just stating facts. Tell me anything I said is wrong.

That's all true, and I'm not even a Schering rep. Just a Board Certified Allergist. I didn't Rx Nasonex till they removed the PhenylEthyl Alcohol. Half of my patients want generic fluticasone, and I tell them to go to a pharmacy that sells the generic with the uniquely shaped Orange cap (which is identical in shape to the Green cap of Flonase). That drug is from GSK's generic division, my Veramyst rep tells me.

Nasacort is a joke. Old technology. The only advantage is that the bottle unscrews, so you can make a 50:50 mixture w/ Astelin. Or Afrin!

You drug reps are hilarious. I love reading your board.

Originally Posted by Anonymous

All INS will work, some better than others for individual patients. Fluticasone is the cheapest, but is the least tolerable, patients won't take it as prescribed, therefore will not work as well. Veramyst has a nifty bottle, but if you're old, have arthritis, or a child you may not be able squeeze hard enough and it will just drip, and is also the most expensive even after the $25 coupons because most MC plans won't cover it. Nasacort and Rhinocort work well, but are only covered on about 50% of MC plans, and usually at Tier 3. Nasonex works well, is scent and alcohol free, can be used down to 2 years, has a few extra indications (however most INS are used for Polyps and Prophylaxis as well, just don't have the "official" approval), is Tier 2 (lowest branded copay) on over 90% of MC plans. However, as long as MC plans are more concerned about profit as opposed to patients, fluticasone will continue to dominate. Yes, I'm an SP rep, but I'm just stating facts. Tell me anything I said is wrong.

Originally Posted by d allergist

That's all true, and I'm not even a Schering rep. Just a Board Certified Allergist. I didn't Rx Nasonex till they removed the PhenylEthyl Alcohol. Half of my patients want generic fluticasone, and I tell them to go to a pharmacy that sells the generic with the uniquely shaped Orange cap (which is identical in shape to the Green cap of Flonase). That drug is from GSK's generic division, my Veramyst rep tells me.

Nasacort is a joke. Old technology. The only advantage is that the bottle unscrews, so you can make a 50:50 mixture w/ Astelin. Or Afrin!

You drug reps are hilarious. I love reading your board.

I am hoping that any Veramyst rep would know that GSK does not have a generic division. It could be that we make that paticular brand of fluticasone propionate for the particular generic company under a licensing agreement.

Yes, indeed we do manufacture generic fluticasone propionate and it IS the product with the orange cap. Looks exactly like the original Flonase packaging - except orange label and orange cap. So, if you have any family members who have RX coverage where they might pay $5 for a generic and $25-40 for a brand and they currently need an INS, tell them to tell their pharmacist that they want the fluticasone with the orange cap- it IF real fluticasone propionate manufactured in Zebulon!

oops! meant to say it IS real Flonase manufactured in Zebulon!

I noticed that when Flonase went generic, the mechanism for spraying the medicine didn't work as well as before. The drug might be the same stuff but if it's not dispensed as well, how can they claim it's just as good?

Flonase has NEVER been made in Zebulon. It was always made in Europe, because whenever we ran into sample shortages, we had to wait for shipments and customs, etc.

Originally Posted by d allergist

That's all true, and I'm not even a Schering rep. Just a Board Certified Allergist. I didn't Rx Nasonex till they removed the PhenylEthyl Alcohol. Half of my patients want generic fluticasone, and I tell them to go to a pharmacy that sells the generic with the uniquely shaped Orange cap (which is identical in shape to the Green cap of Flonase). That drug is from GSK's generic division, my Veramyst rep tells me.

Nasacort is a joke. Old technology. The only advantage is that the bottle unscrews, so you can make a 50:50 mixture w/ Astelin. Or Afrin!

You drug reps are hilarious. I love reading your board.

Flonase is sold in the UK as Flixonase (GSK), it is OTC and comes in the same bottle as Flonase, but with the ORANGE cap, like the allergist mentioned. There are also generic fluticasone and generic Beconase (beclamethasone) nasal sprays available OTC. These all sell for $5-$10 each and sometimes even go on mult-save offers, like BOGO or 3 for 2.

Azalastine nasal spray was available OTC for about $10, but has sadly been discontinued there - if you think I'm paying US prices for Astelin, keep dreaming. Zirtec (Zyrtec) and Clarityn (Claritin) have been OTC and generic for several years in the UK. It's easy to find a 7-day generic pack of either for about $1.50. Ironically, Benadryl (trade name) in the UK is actually cetirizine (OTC). If you want diphenhydramine you have to ask for blue NYTOL, which is only stocked behind the pharmacy counter, so they can counsel you on the severe drowsiness it causes!

British asthma inhalers have not been destroying the ozone layer for some years now, and are cheap and generic. The patent protection for HFA propellant here in the US is ridiculous for such an old drug (albuterol/salbutamol) and I believe, result in people not getting the LIFE-SAVING medication they need. Some people without insurance may buy epinephrine inhalers OTC, which ironically have a broader action on adrenergic receptors and therefore more side effects, than the RX only albuterol.

I am sorry to see that Serevent cannister inhalers are no longer available in the US. GSK informs me that we can blame the ozone layer for that also - oddly it must be OK over Canada. I'm sure this has nothing at all to do with trying to switch people over to Advair and hide from some bad serevent press. Shame, serevent worked well for me.

GSK does make some good drugs, but they shoot themselves in the foot with their stretching of the truth.

PS: I'll continue to enjoy my third-world, socialist, non- FDA, can't be trusted substandard drugs from Australia, Britain and Canada whenever I travel there!

Hey, all! Anybody ever had a nasal ulcer? I've just had a nostril cauterized, chemically, and it isn't a whole lot of fun to await full recovery. Neither my MD nor his Nurse Practitioner mentioned a risk with Nasonex ("practice good nasal hygiene") of nose bleeds - the most obvious symptom of a nasal wound - but urged frequent use to keep chronic sinus infections under control. Only the TV ad for Veramyst included the last minute chatter including reference to nose bleeds a few minutes ago. Drove me to the internet.

There are 7 trials that show veramyst works on ocular symptoms

Originally Posted by Anonymous

Do your homework jerko, I have read competitor's studies and they all include ocular symptoms in their total symptom relief scores. If you drink this corporate kool-aide, then I have some GSK stock to sell you. Yes, this ocular talk is backfiring and we're losing our credibility. Stop the insanity!

No mixing INS with oxymetazoline! At least one case involving a long-term user of oxymetazoline placed on an INS resulted in death 2/2 meningitis. She developed so many infarcts and necrotic areas from use of the oxymetazoline that she had no barrier.

Originally Posted by d allergist

That's all true, and I'm not even a Schering rep. Just a Board Certified Allergist. I didn't Rx Nasonex till they removed the PhenylEthyl Alcohol. Half of my patients want generic fluticasone, and I tell them to go to a pharmacy that sells the generic with the uniquely shaped Orange cap (which is identical in shape to the Green cap of Flonase). That drug is from GSK's generic division, my Veramyst rep tells me.

Nasacort is a joke. Old technology. The only advantage is that the bottle unscrews, so you can make a 50:50 mixture w/ Astelin. Or Afrin!

You drug reps are hilarious. I love reading your board.

Wow! I googled "Flonase versus Veramyst" and got here.

I have seasonal allergies and just started using my generic Flonase (with the orange cap) again. I think it works as well as the non-generic Flonase. I got a new prescription for Flonase last fall and this time my insurance company (Medco) sent me the generic. Shortly after getting it, I no longer needed it due to the change in weather. I just started using it again last week and it seems to work well.

My doctor also, at that same time he wrote the last script for (generic) Flonase, gave me several samples of Optivar for my itchy and burning eyes. I didn't use the Optivar too much in the winter but need it once again.

I had never heard that Flonase could help relieve burning/itchy/red eyes before. My doctor never mentioned it, obviously. Now I saw the commercial for Veramyst and they mention the eyes. I don't know what to believe.

Does anyone know if it is a good idea to use both Flonase and the eye drops or if you have any other advice. Thanks!!

I know this next part is a subject for another thread but I still have 3 canisters of Albuterol and love it. I don't like the new stuff. My doctor keeps telling me to use Advair but I swear it makes me feel worse. Since I stopped the Advair, I don't get asthmatic broncitis even half as much as I did while on the Advair.

Originally Posted by Anonymous in Chicago

Wow! I googled "Flonase versus Veramyst" and got here.

I have seasonal allergies and just started using my generic Flonase (with the orange cap) again. I think it works as well as the non-generic Flonase. I got a new prescription for Flonase last fall and this time my insurance company (Medco) sent me the generic. Shortly after getting it, I no longer needed it due to the change in weather. I just started using it again last week and it seems to work well.

My doctor also, at that same time he wrote the last script for (generic) Flonase, gave me several samples of Optivar for my itchy and burning eyes. I didn't use the Optivar too much in the winter but need it once again.

I had never heard that Flonase could help relieve burning/itchy/red eyes before. My doctor never mentioned it, obviously. Now I saw the commercial for Veramyst and they mention the eyes. I don't know what to believe.

Does anyone know if it is a good idea to use both Flonase and the eye drops or if you have any other advice. Thanks!!

I know this next part is a subject for another thread but I still have 3 canisters of Albuterol and love it. I don't like the new stuff. My doctor keeps telling me to use Advair but I swear it makes me feel worse. Since I stopped the Advair, I don't get asthmatic broncitis even half as much as I did while on the Advair.

Why listen to your doctor when you can simply use google and have the experts at cafepharma provide you with your medical care.

Do I have any thing to beat the one guy who said he has experience with the sprays helping him or the board certified allergist who defended these sprays? Yep ....a nasal fungal infection that will be there for the riest of my life with no cure...that is unless I want to use the nasal spray STERIOD that caused the problem in the first place. I don't know why I bother to ask this but....hey allergist, got any cures for nasal fungal infections that DON'T include nasal STERIOD sprays???



catco02@hotmail.com

no advertisements for steriod nasal sprays please

I just had to jump in...

Veramyst is the ONLY thing that has ever worked for my puffy swollen and red eyes!!!!! I didn't even know they were puffy due to allergies - just thought I'd love to have eyelid surgery someday.

I've used flonase, nasonex, nasalcort AQ - nothing ever worked on my eyes. After a week on Veramyst I didn't even look like the same person. Now I'm in my peak allergy season, and haven't touched an Allegra 180 all year! Plus - they give anyone who wants one a $25 coupon off their prescription. It costs me next to nothing with my insurance.

Just my opinion, but it's the best thing since sliced bread.

Honestly people...doesn't anyone have anything better to do than sit on here and go back and forth fighting with complete strangers about medication? Most people come on here because they do a search to find out more about the medication they were just prescribed or are taking...they aren't interested in having to read through all the BS in order to get an answer. The bottom line is this. Do what works for you as an individual. Whether that be Flonase, Nasonex, Veramyst or something else. Each person is going to respond differently to drugs because we're all made differently with different genes and DNA. I've been on both Flonase and now Veramyst and have had success with both of them thankfully. I really don't care what it is I use as long as it is helping me to not be miserable anymore. That is the bottom line. I don't want to feel sick or have such severe allergies that I cannot function...so I take a medicine to help me cope with the pain. To all of you suffering with severe allergies like this, good luck to you and I hope whatever medication you choose to use you will get relief from it!

Originally Posted by Anonymous

yeah jerkoff- you have Veramyst, and you DO NOT have flonase! Any more stupid questions?

What an asshole comment. The question anyone with a brain would realize the question is "is there a functional difference"

Originally Posted by Anonymous

was just prescibed veramyst but can get flonase a lot cheaper....is there any real difference?
thanks

Molecule tweak bc Flonase patent extensions had/were expiring. Welcome to bid pharma moron. There's no innovation happening in these companies.

I suffer from allergies very badly. I have used Flonase a few years ago and it really didn't do anything to help me....Finally gave up after one bottle. Never tried Nasonex.

Claritin makes me miserable, Zirtec makes me sleepy....so I have just been coping with my symptoms the best I could.

I finally decided to go back to the doctor to see about allergy shots. This time the doctor precribed me so Veramyst. It took it a few days to kick in but it has really made a difference for me. It's amazing to actually breath through both nostrils...lol.

I am actually considering not taking the allergy shots just because I don't think I can go to the doctor every week for the next 5 years.