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: 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 Children: 6-12 years 0.1% or 0.15%: 1 spary per nostril BID Perennial allergic rhinitis 6-<12 years 0.1% or 0.15%: 1 spary per nostril BID | ||
Azelastine and Fluticasone Propionate | Nasal Antihistamine and Nasal Steroid | Seasonal allergic rhinitis (hay fever) ages 6 and over | Children 6-12 1 spray in each nostril 2 times a day | ||
Beclomethasone | Q-Nasl | 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 | 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: | |
Ciclesonide | Omnaris [This is the same medication that is in Alvesco.] | Nasal | 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: Perennial allergic rhinitis: | |
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 | Seasonal and year round allergic rhinitis (hay fever) | Age 6 to 14: Age 15 and older: | |
Fluticasone Furoate | Flonase Sensimist | Nasal Steroid | Seasonal and perennial allergic rhinitis (hay fever) | 2-11 y/o 1 spray each side per day | |
Fluticasone Propionate | Flonase Nasal Spray Fluticasone Nasal Propionate Generic Generic products are also available. | Nasal Steroid | 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 Adults: 2 sprays in each nostril once a day; Long-term use can reduce to one spray each nostril once a day | |
Fluticasone | Xhance | Add-on treatment for uncontrolled chronic rhinosinusitis with nasal polyposis (CRSwNP) Nasal Steroid | 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% | Anticholinergic | 0.03% 0.06% Symptoms such as runny nose associated with allergies and colds. | Age 5 and above; Do not use for more than 3 weeks for allergies | |
Mometasone Furoate Monohydrate | Nasonex | 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: Age 12 and older: | ||
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: | |
Olopatadine and Mometasone furoate | Ryaltris (this is a combination of the medications found in Patinase and Nasonex) | Antihistamine and Nasal Steroids | For the treatment of symptoms associated with seasonal allergic rhinitis in adults and children aged 12 years and older. | Adults 12 and over 2 sprays in each nostril 2 times a day | |
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 | Nasacort AQ
| Management of | 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 |
Nasal Sprays | AAAAI (2025)
References
- https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
- https://www.msdmanuals.com/home/ear-nose-and-throat-disorders/nose-and-sinus-disorders/rhinitis
- https://www.aaaai.org/tools-for-the-public/drug-guide/nasal-sprays
- https://comenzi.farmaciatei.ro/info-tei/afectiuni-medicale/rinita-alergica
- https://www.aafp.org/pubs/afp/issues/2015/1201/p985.html
- https://www.healthline.com/health/chronic-rhinitis
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