Class

Generic name

Photo

Brand name

Use

Usual Dosage

Tips and Product Link

Nasal
steroids

Beclomethasone

Beconase AQ

Seasonal and Perennial Allergic Rhinitis
Nonallergic Rhinitis
Age 6 and older

Over age 12:
1 0r 2 sprays each nostril twice a day;
Ages 6 to 12:
Start 1 spray per nostril twice a day; do not exceed 2 sprays per nostril twice a day

Beconase AQ Package Insert

Pregnancy Category C

Budesonide

Rhinocort Aqua

Seasonal and year round allergic rhinitis age 6 and older

One spray each nostril once a day;
Increase dose up to 4 sprays each nostril once a day age 12 and older
Increase to 2 sprays per nostril age 6 to 11.

Relief of symptoms may begin to occur on the first
day of use.

Pregnancy Category B

Rhinocort Aqua Package Insert

Flunisolide

Nasarel®

Seasonal or year-round allergic rhinitis

Children 6 to 15: one spray 3 times a day
Adults:
Two sprays twice a day

No shaking necessary for Nasarel.

No links to Nasarel package Insert available.

Pregnancy Category C

Flunisolide 0.025% nasal solution

Fluticasone propionate

Flonase Nasal Spray

Generic
Version also.

Management of the nasal symptoms of seasonal and year-round allergic and nonallergic rhinitis

Age 4 and older: 1 spray in each nostril once a day.
(May use 2 sprays in each nostril for short time)

Adults: 2 sprays in each nostril once a day;
Can also be 1 spray in each nostril twice a day;

Long-term use can be one spray each nostril once a day.

Use it regularly.

Symptom control may occur after 12 hours however the full benefit needs several days to take effect.

Shake gently before use

Some people with seasonal allergies can use this as needed during their season.

Pregnancy Category C

Flonase Information and Package Insert

Mometasone furoate monohydrate

NASONE X®
Nasal Spray

Treatment of symptoms of allergic rhinitis (seasonal and year-round) age 2 and older;

Prevention of seasonal allergic rhinitis symptoms age 12 and older

Treatment of nasal polyps

Children 2 to 11 years old:
1 spray in each nostril once a day

Age 12 and older:
Two sprays in each nostril once a day

Nasal Polyps:
2 sprays in each nostril twice a day.

Shake well before use.

Discard after 120 sprays.

Approved to treat nasal polyps
In patients 18 and older

Pregnancy Category  C

Nasonex Package Insert

Nasacort AQ

Children 6 to 12: one to two sprays each nostril once a day

Older than 12: two sprays into each nostril once a day

Shake well.
Prime the pump.
Individualize the dose.
May be able to taper after one week of use.

Pregnancy Category  C

Nasacort Web Site

antihistamine

azelastine

Astelin Nasal Spray

To treat the symptoms of seasonal allergic rhinitis in children and adults over 5 years of age;

To treat the symptoms of non-allergic / vasomotor rhinitis and allergic rhinitis ages 12 and above.

Children 5 to 11:
1 spray per nostril twice a day.
Children and adults 12 and older: 2 sprays per nostril twice a day

This is an antihistamine.

Sedation may be a side effect in some people.

Therefore, exercise caution when mental alertness is of concern while taking this medication.

Prime pump after several days of no use
Discard after 100 sprays.

Pregnancy Category  C

Astelin Package Insert

anticholinergic

Ipratropium bromide

Atrovent Nasal Spray 0.03%

Ipratropium
Bromide 0.03%
Solution
(generic)

 0.03%To treat the symptom of rhinorrhea (runny nose) that is associated with allergic and nonallergic/vasomotor rhinitis. For children 6 and older and adults.

Age 6 and above;
2 sprays per nostril 2 or 3 times a day

Symptoms such as nasal congestion, sneezing and postnasal drip will not be relieved by this medication.

Prime the pump.

Caution if using if patient has narrow-angle glaucoma or prostate problems.

Pregnancy Category  B

Atrovent Nasal Spray Package Insert

Mast Cell inhibitor

Cromolyn sodium

Nasalcrom Nasal Spray

To prevent and relieve symptoms of allergic rhinitis

[This is an OTC product and does not require a prescription]

Age 2 and older:
One spray each nostril 3 to 4 times a day. This can be used every 4 hours up to six times a day.

To prevent allergy symptoms start this up to one week before contact with allergens and continue using during exposure.
Nasalcrom needs several days to take effect and may require up to two weeks before improvement is noticed.

Decongestant

oxymetazoline

There are many brands

Other than Afrin

To reduce nasal swelling

Age 6 and older
Use this for 3 days only.

This class of nasal spray should only be used for three days only.

Longer use than 3 days may result in rebound nasal congestion.