12.2.1 Drugs used in nasal allergy

Systemic absorption may occur from any nasal steroid particularly if the doses are high and prolonged.

The CSM recommends that on the rare occasion that children are receiving prolonged treatment with nasal corticosteroids the height of the child should be monitored. If growth is slowed, then paediatric referral should be considered.

Many of these products are cheap to buy and are readily available, along with advice, from pharmacies. Some self-care medicines are available in shops and supermarkets. Please click here for further information and a patient leaflet

Beclometasone dipropionate
  • Nasal spray 50 micrograms / spray (£2.02 = 200 sprays)

Indications

  • Allergic rhinitis

Dose

  • Use one or two sprays each nostril twice daily

Notes

  1. Beclometasone nasal spray should be prescribed in 200 dose containers as other sizes cost considerably more per dose.
  2. Beclometasone is licensed for both allergic and vasomotor rhinitis.
Mometasone
  • Nasal spray 50 micrograms / spray (£2.01 = 140 sprays)

Indications

  • Allergic rhinitis (following treatment failure of first line agent)

Dose

  • Initially 2 sprays each nostril once daily. Dose can be titrated, maintenance treatment should be with the lowest effective dose which can include 1 spray once daily.
Fluticasone furoate
  • Avamys® nasal spray 27.5 micrograms / spray (£6.44 = 120 sprays)

Indications

  • Allergic rhinitis

Dose

  • Initially two sprays into each nostril once daily
Fluticasone propionate
  • Unit dose nasal drops 400 micrograms (£12.99 = 28 units)

Indications

  • Nasal polyps

Dose

  • Use one container once or twice daily
Dymista®

Not routinely commissioned for use in NEW Devon CCG and South Devon and Torbay CCG, following consideration by the clinical policy committee. Click here for more information.

 

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