AAAAI Allergy & Asthma Medication Guide

Nasal Sprays and Sinus Medications

Generic Name

Brand Name

Class

Use

Usual Dosage

Product Links (if available)

Azelastine

Astelin Nasal Spray

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

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

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







 

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
 

Dymista.com

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



 

Beclomethasone
Diproprionate
(Dry nasal spray)

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

QNasl.com

Budesonide

Rhinocort

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

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

Ciclesonide

Omnaris
Nasal Spray

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

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

Zetonna

Steroid

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

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

[Dry nasal spray- same medicine as in Omnaris]

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
 

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



 

Flonase Website


 

Fluticasone Propionate

Flonase Nasal Spray

Fluticasone Nasal Propionate Generic

Generic products are also available.

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

Flonase Website

Ipratropium Bromide

Atrovent Nasal Spray 0.03%

Generic preparation are available.

Ipratropium Nasal Spray

0.06%

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

Ipratropium Nasal Spray0.06% Package Insert

Ipratropium Nasal Spray 0.03% Package Insert

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

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

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

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

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

Nasacort AQ Website

Now OTC