Nasal Sprays

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Medication Indications Notes
Steroid
Rhinalar (flunisolide)
Rhinocort (budesonide)
Nasacort (triamcinolone)
Beconase (beclomethasone)
Flonase (fluticasone)		 Allergic Rhinitis
Chronic Sinusitis		 General
  • Requires two weeks for effect.
  • Long term use.
  • Dries nasal mucous, might be minor bleeding.
  • May sting Flonase: Not absorbed systemically.
Antihistamine
Biotin (levocarbastine)		 Allergic Rhinitis Immediate effect. If there is no effect in three days then discontinue use.
Use during allergy season
Decongestant
Otrivin (xylometazoline)
Dristan (oxymetazoline)
Neosynephrine(phenylephrine)		 Acute Sinusitis
Rhinitis		 Careful if patient has hypertension.
Short term use (< 5 days).
If long term use: Rhinitis medicamentosa.
Antibiotic/Decongestant
Soframycin (framycetin, gramicidin, phenylephrine)		 Acute Sinusitis  
Anticholinergic
Atrovent (ipratropium bromide)		 Vasomotor Rhinitis Careful–not to spray into eyes. Increased rate of epistaxis when combined with topical nasal steroids.
Lubricants
Rhinaris
Secaris
Polysporin
Vaseline		 Dry nasal mucosa Rhinaris and Secaris may cause.