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Nasal Sprays and Sinus Medications
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Generic Name
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Brand Name
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Class
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Use
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Usual Dosage
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Azelastine
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Astelin Nasal Spray
[This is the same medication as Optivar (eye drop).]
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Antihistamine
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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.
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Children 5 to 11:
1 spray per nostril twice a day
Children and adults 12 and older: 2 sprays per nostril twice a day
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Astepro (0.1%, 0.15%)
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Antihistamine
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Seasonal and perennial allergic rhinitis (hay fever)
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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
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Azelastine and Fluticasone Propionate
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Dymista
Dymista.com
(This is a combination of the medicines found in Flonase and Astepro)
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Nasal Antihistamine and Nasal Steroid
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Seasonal allergic rhinitis (hay fever) ages 6 and over
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Children 6-12 1 spray in each nostril 2 times a day
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Beclomethasone
Diproprionate
(Dry nasal spray)
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Q-Nasl
QNasl.com
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Steroid
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Seasonal and perennial nasal allergies (hay fever) in 12 years or older.
Seasonal and perennial nasal allergies in children 4-11.
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2 sprays each nostril once a day- 80 mcg/spray
1 spray in each nostril once a day – 40 mcg/spray
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Budesonide
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Rhinocort
[This is the same medication that is in Pulmicort.]
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Nasal
Steroid
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Seasonal and year round allergic rhinitis (hay fever) age 6 and older.
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Age 12 and older: 1 to 4 sprays each nostril
Age 6 to 11:
1 to 2 sprays each nostril
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Ciclesonide
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Omnaris
Nasal Spray
[This is the same medication that is in Alvesco.]
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Nasal
Steroids
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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.
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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
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Zetonna
[Dry nasal spray- same medicine as in Omnaris]
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Steroid
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Seasonal and perennial nasal allergies (hay fever) in 12 years or older.
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1 spray each nostril once a day- 37 mcg/spray
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Cromolyn Sodium
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Nasalcrom Nasal Spray
Many OTC generic brands.
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Mast Cell Inhibitor
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To prevent and relieve symptoms of allergic rhinitis (hay fever).
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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
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Flunisolide
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Generic: Flunisolide 0.025% Solution
There are several generic products available.
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Nasal
Steroids
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Seasonal and year round allergic rhinitis (hay fever)
age 6 and older.
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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
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Fluticasone Furoate
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Flonase Sensimist
Flonase Website
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Nasal Steroid
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Seasonal and perennial allergic rhinitis (hay fever)
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2-11 y/o 1 spray each side per day
12 and above 2 sprays each nostril per day
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Fluticasone Propionate
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Flonase Nasal Spray
Fluticasone Nasal Propionate Generic
Generic products are also available.
Flonase Website
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Nasal Steroid
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Management of nasal symptoms associated with seasonal and year-round allergic and non-allergic rhinitis (hay fever).
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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
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Fluticasone
propionate 93 mcg
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Xhance
Xhance Website
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Add-on treatment for uncontrolled chronic rhinosinusitis with nasal polyposis (CRSwNP)
Nasal Steroid
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18 and above
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1-2 spray each nostril two times a day
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Ipratropium Bromide
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Atrovent Nasal Spray 0.03%
Generic preparation are available.
Ipratropium Nasal Spray
0.06%
Ipratropium Nasal Spray0.06% Package Insert
Ipratropium Nasal Spray 0.03% Package Insert
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Anticholinergic
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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.
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Age 5 and above;
2 sprays per nostril 2 or 3 times a day
Do not use for more than 3 weeks for allergies
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Mometasone Furoate Monohydrate
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Nasonex
Nasal Spray
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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).
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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.
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Olopatadine
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Patanase
[This is the same medication as Pataday and Patanol (eye drops).]
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Antihistamine
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Management of symptoms associated with seasonal allergic rhinitis (hay fever) age 6 and older.
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Age 12 and older:
2 sprays each nostril twice daily
Age 6-11:
1 spray in each nostril twice daily
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Olopatadine and Mometasone furoate
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Ryaltris (this is a combination of the medications found in Patinase and Nasonex)
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Antihistamine and Nasal Steroids
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For the treatment of symptoms associated with seasonal allergic rhinitis in adults and children aged 12 years and older.
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Adults 12 and over 2 sprays in each nostril 2 times a day
Children <12 not approved.
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Oxymetazoline
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Afrin and many other brands.
Many OTC generic brands.
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Decongestant
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To reduce nasal swelling.
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Age 6 and older
Do not use these sprays for more than 3 days in a row
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Triamcinolone
Acetonide
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Nasacort AQ
Nasacort AQ Website
Now OTC
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Management of
symptoms associated with seasonal and
perennial
allergic rhinitis (hay fever)
age 6 and older.
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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
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