Rhinitis/rhinorrhea (intranasal products):
Indications for QNASL:
Seasonal and perennial allergic rhinitis.
Adults and Children:
<4yrs: not established. 4–11yrs: 1 spray (40mcg) in each nostril once daily; max: 2 sprays per day. ≥12yrs: 2 sprays (80mcg) in each nostril once daily; max: 4 sprays per day.
Avoid in recent nasal septal ulcers, nasal surgery, or nasal trauma until healed. Monitor periodically for possible changes in nasal mucosa or Candida infection with long-term use. Discontinue if nasal erosion/ulceration or Candida infection occur (treat with local therapy). Change in vision, history of increased intraocular pressure, blurred vision, glaucoma, and/or cataracts: monitor closely. Respiratory tract tuberculosis. Untreated infections (eg, fungal, bacterial, viral, ocular herpes simplex). If exposed to measles or chickenpox, consider anti-infective prophylactic therapy. If adrenal insufficiency exists following systemic corticosteroid therapy, replacement with intranasal corticosteroids may exacerbate symptoms of adrenal insufficiency (eg, lassitude, depression). Monitor for hypercorticism and adrenal suppression (if occur discontinue gradually). Monitor for growth suppression in children. Avoid eyes, mouth and face. Pregnancy (Cat.C). Nursing mothers.
Nasal discomfort, epistaxis, headache, pyrexia, upper respiratory tract infection, nasopharyngitis; hypersensitivity reactions (discontinue if occurs).
Generic Drug Availability:
Aerosol 40mcg—4.9g (60 actuations), 8.7g (120 actuations); 80mcg—8.7g (120 actuations)