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I've been using Astelin for years, and it's been effective until the last year or two, when I noticed that it doesn't seem as effective anymore. Tried Fluonase (increased my blood pressure) and Nasonex (not at all effective--caused thick mucuous drainage, couldn't sleep at night), decided to stick with the Astelin. But, my doctor recommended Astepro, saying that it didn't have the "bad" aftertaste that Astelin did. She assured me the product was exactly the same except for the taste.
Astepro is HORRIBLE--it makes you nauseous! I never really had a big issue with the Astelin. It doesn't taste good, but if one uses the nasal spray as directed, the Astelin doesn't cause excessive post nasal drip, and as such, there is no taste. The Astepro, on the other hand, has a very cloying, annoying taste of artificial sugar. And, it DOES cause excessive post nasal drip--which tastes like kool aid pouring from your sinuses. It made me feel ill almost instantly. Who the heck wants to taste sugary snot coming from their sinuses? It's REALLY DISGUSTING!
If you've not really had an issue with the flavor/taste of the original product, Astelin, I would advise avoiding the Astepro. The manufacturer doesn't seem to have improved the efficacy of the product, they've just made it syrupy-tasting. That may make the product more tolerable for children, but adults will find it saccharine (literally), and no more effective than the Astelin. Stay with the Astelin and avoid the obnoxious after-taste.