Nasal Steroids for Allergic Rhinitis

Intranasal corticosteroids

Intranasal corticosteroids are the first-choice treatment for patients with allergic rhinitis. They are more effective than oral antihistamines in controlling rhinitis symptoms, particularly nasal congestion.

Intranasal corticosteroids have a good long-term safety profile. Nosebleed (usually minor and self-limiting) is the most commonly reported adverse effect. They do not have a clinically significant effect on the hypothalamic-pituitary-adrenal axis or cause mucosal atrophy when used continuously.

Corticosteroid nasal sprays are:

  • Effective medicines for managing allergic rhinitis. People with allergic rhinitis often put up with symptoms that a non-allergic person would not tolerate, and don’t realize they can feel better if symptoms are properly controlled.
  • Intended for everyday use. For best results, these medications are taken regularly and long term, just like preventers for asthma

Make sure to follow the manufacturer's directions for the specific product.

How to administer nasal steroid spray

1. Prime the spray device according to the manufacturer’s instructions (the first time and after a period of non-use, as instructed)

2. Shake the bottle before each use.

3. Blow nose before spraying (if blocked by mucus) or use saline irrigation.

4. Tilt head slightly forward and gently put nozzle into nostril. Avoid pushing it in hard to avoid damaging.

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