In terms of over-the-counter options, nasal steroids are the most effective single treatment for moderate to severe seasonal ...

9 Azelastine differs from INCS in its mechanism of action. It is not a steroid but is still effective in treating nasal congestion, runny nose, itchy nose, and sneezing associated with AR.

Azelastine HCl 137mcg/spray; aqueous nasal spray; contains benzalkonium chloride. Avoid engaging in hazardous occupations requiring complete mental alertness such as driving or operating machinery ...