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Nasal Sprays

Last updated March 2020

 

Nasal Sprays and Sinus Medications

Generic Name

Brand Name

Class

Use

Usual Dosage

Azelastine

Astelin Nasal Spray

[This is the same medication as Optivar (eye drop).]

Antihistamine

Management of symptoms associated with seasonal allergic rhinitis (hay fever) in children and adults over 5 years of age.

Management of  symptoms associated with non-allergic/vasomotor rhinitis and allergic rhinitis (hay fever) 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

Astepro (0.1%, 0.15%)

Antihistamine

Seasonal and perennial allergic rhinitis (hay fever)












 

Adults: vasomotor rhinitis
12 years or older: 2 sprays per nostril BID

Children:
seasonal allergic rhinitis 2-6<6 years 0.1%: 1 spary per nostril BID

6-12 years 0.1% or 0.15%: 1 spary per nostril BID

Perennial allergic rhinitis
6 months - <6 years 0.1%: 1 spary per nostril BID

6-<12 years 0.1% or 0.15%: 1 spary per nostril BID

Azelastine and Fluticasone Propionate





 

Dymista

Dymista.com

(This is a combination of the medicines found in Flonase and Astepro)






 

Nasal Antihistamine and Nasal Steroid




 

Seasonal allergic rhinitis (hay fever) ages 6 and over




 

Adults 12 and over 1 spray each nostril 2 times a day Children < 12- not approved
 

Beclomethasone
Diproprionate
(Dry nasal spray)

Q-Nasl

QNasl.com

Steroid

Seasonal and perennial nasal allergies (hay fever) in 12 years or older.

Seasonal and perennial nasal allergies in children 4-11.

2 sprays each nostril once a day- 80 mcg/spray

1 spray in each nostril once a day – 40 mcg/spray

Budesonide

Rhinocort

[This is the same medication that is in Pulmicort.]

Nasal
Steroids

Seasonal and year round allergic rhinitis (hay fever) age 6 and older.

Age 12 and older: 1 to 4 sprays each nostril

Age 6 to 11:
1 to 2 sprays each nostril

Ciclesonide

Omnaris
Nasal Spray

[This is the same medication that is in Alvesco.]

Nasal
Steroids

Management of nasal symptoms associated with:

Seasonal allergic rhinitis (hay fever) age 6 and older.

Year round or perennial allergic rhinitis (hay fever) age 12 and older.

Seasonal allergic rhinitis:
Age 6 and older 2 sprays each nostril once a day

Perennial allergic rhinitis:
12 years of age and older  2 sprays each nostril once a day

Zetonna

[Dry nasal spray- same medicine as in Omnaris]

Steroid

Seasonal and perennial nasal allergies (hay fever) in 12 years or older.

1 spray each nostril once a day- 37 mcg/spray

Cromolyn Sodium

Nasalcrom Nasal Spray

Many OTC generic brands.

Mast Cell Inhibitor

To prevent and relieve symptoms of allergic rhinitis (hay fever).

Age 2 and older: 1 spray each nostril 3 to 4 times a day. This can be used every 4 hours up to 6 times a day

Flunisolide

Generic: Flunisolide 0.025% Solution

 

There are several generic products available.

 

Nasal
Steroids

Seasonal and year round allergic rhinitis (hay fever)
age 6 and older.

Age 6 to 14:
1 spray each nostril 3 times a day or
2 sprays each nostril 2 times a day

Age 15 and older:
1 to 2 sprays each nostril 2 to 4 times a day

Fluticasone Furoate






 

Flonase Sensimist

Flonase Website



 

 

Seasonal and perennial allergic rhinitis (hay fever)



 

2-11 y/o 1 spray each side per day
12 and above 2 sprays each nostril per day


 

Fluticasone Propionate

Flonase Nasal Spray

Fluticasone Nasal Propionate Generic

Generic products are also available.

Flonase Website

 

Management of nasal symptoms associated with seasonal and year-round allergic and non-allergic rhinitis (hay fever).

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 reduce to one spray each nostril once a day

fluticasone
propionate 93 mcg   

Xhance

Xhance Website

 Add-on treatment for uncontrolled chronic rhinosinusitis with nasal polyposis (CRSwNP)

18 and above

 1-2 spray each nostril two times a day  

Ipratropium Bromide

Atrovent Nasal Spray 0.03%

Generic preparation are available.

 

 

 

Ipratropium Nasal Spray

0.06%

Ipratropium Nasal Spray0.06% Package Insert

Ipratropium Nasal Spray 0.03% Package Insert

Anticholinergic

 0.03%
Management of  symptoms associated with rhinorrhea (runny nose) that is associated with seasonal allergic (hay fever) and non-allergic or vasomotor rhinitis. For children 6 and older and adults.

0.06%
Above age 5

Symptoms such as runny nose associated with allergies and colds.

Age 5 and above;
2 sprays per nostril 2 or 3 times a day

Do not use for more than 3 weeks for allergies

Mometasone Furoate Monohydrate

Nasonex
Nasal Spray

 

Management of symptoms of allergic rhinitis (hay fever) (seasonal and year-round) age 2 and older.

Prevention of seasonal allergic rhinitis (hay fever) symptoms age 12 and older (starting a 2 to 4 weeks before the season begins).

Children 3 to 11 years old:
1 spray in each nostril once a day.

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

 

Olopatadine

Patanase

[This is the same medication as Pataday and Patanol (eye drops).]

Antihistamine

Management of symptoms associated with seasonal allergic rhinitis (hay fever) age 6 and older.

Age 12 and older:

2 sprays each nostril twice daily

Age 6-11:
 1 spray in each nostril twice daily

Oxymetazoline

Afrin and many other brands.

Many OTC generic brands.

Decongestant

To reduce nasal swelling.

Age 6 and older

Do not use these sprays for more than 3 days in a row

Triamcinolone
Acetonide

Nasacort AQ

Nasacort AQ Website


Now OTC

 

Management of
symptoms associated with seasonal and
perennial
allergic rhinitis (hay fever)
age 6 and older.

Children 2-5: 1 spray in each nostril once a day

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

Older than 12: 2 sprays into each nostril once a day

Mechanical Allergen Particle Blocker (marketed as a device)

hydroxypropyl
methylcellulose


 

Alzair

Alzair Website



 

Allergy Blocker



 

 Allergic rhinitis 8 years and above


 

At least three times a day


 



Find out more about hay fever.