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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد

Glucocorticoid nasal sprays for treatment of rhinitis: Adult dosing

Glucocorticoid nasal sprays for treatment of rhinitis: Adult dosing
Name Common brand name(s) and strength Generic available Available without a prescription (OTC) Usual adult dose
per nostril
Type of preparation
(alcohol content)*
Second generation (systemic bioavailability <1% or undetectable)
Ciclesonide Omnaris (50 mcg/spray) No No 2 sprays once daily Aqueous suspension pump spray
Zetonna (37 mcg/spray) No No 1 spray once daily Pressurized aerosol spray (3.4% alcohol)
Fluticasone furoate Flonase Sensimist (OTC) (27.5 mcg/spray) No Yes 2 sprays once daily Aqueous suspension pump spray
Fluticasone propionate Flonase Allergy Relief (OTC) (50 mcg/spray) Yes Yes 2 sprays once daily or 1 spray twice daily Aqueous suspension pump spray (0.25% alcohol)
Mometasone Nasonex 24HR Allergy (OTC) (50 mcg/spray) Yes Yes 2 sprays once daily Aqueous suspension pump spray
First generation (systemic bioavailability 10 to 50%)
Beclomethasone Qnasl (80 mcg/spray) No No 2 sprays once daily Pressurized aerosol spray (8% alcohol)

Beconase AQ (50 mcg/spray)

Available in some areas (not US or Canada)

No No 1 to 2 sprays twice daily Aqueous suspension pump spray (0.25% alcohol)
Budesonide Generic (formerly Rhinocort Allergy) (OTC) (32 mcg/spray) Yes Yes 1 to 2 sprays once daily Aqueous suspension pump spray
Flunisolide Generic (formerly Nasalide) (25 mcg/spray) Yes No 2 sprays 2 or 3 times daily (maximum 2 sprays 4 times daily) Aqueous suspension pump spray (contains propylene glycol, a possible irritant)
Triamcinolone GoodSense Nasal Allergy (OTC), Nasacort Allergy 24HR (OTC) (55 mcg/spray) Yes Yes 2 sprays once daily Aqueous suspension pump spray

Nasal sprays work best when they are administered properly and the medication remains in the nose rather than draining down the back of the throat. Note that the recommended techniques for the aqueous and aerosol sprays are different. If the nose is crusted or contains mucus, it should first be cleaned with a saline nasal spray prior to use of intranasal sprays. Some people find that holding the other nostril closed with a finger improves their ability to draw the spray into the upper nose.

Once symptoms are controlled, the daily dose can be reduced to the lowest dose that maintains control.

Dosing and product descriptions are based upon products available in the United States and some other countries. Product descriptions in other countries may differ in some detail. Consult the UpToDate Lexidrug monographs and local product information for additional detail.

OTC: over the counter (available without a prescription in the United States and some other countries).

* Alcohol may contribute to dryness or irritation.

Data from: UpToDate Lexidrug. More information available at https://online.lexi.com/.
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