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Measure content performance. Develop and improve products. List of Partners vendors. Nasacort Allergy 24 Hour triamcinolone was the first intranasal corticosteroid nasal spray available over-the-counter OTC without a prescription.
Soon after, Flonase fluticasone and Rhinocort budesonide also became available OTC as effective corticosteroid sprays. Deciding whether to use a nasal corticosteroid spray or an oral OTC antihistamine like Zyrtec or Allegra can be confusing. Which is more effective? Which is longer lasting? Which causes the fewest symptoms? The choice depends largely on the type and severity of your symptoms.
The intranasal corticosteroids, Nasacort, Flonase, and Rhinocort, are probably the most effective OTC medications for the treatment of nasal allergy symptoms.
A downside to them is that they will not work on an as-needed basis. Intranasal corticosteroids take time to work. They may begin to give relief to allergy symptoms after about six to 10 hours, but full relief may not be obtained for three to six weeks with daily use. Antihistamines, such as Zyrtec cetirizine , Allegra fexofenadine , and Claritin loratadine , on the other hand, tend to work fairly quickly, usually within a couple of hours or less of taking the medication.
Therefore, these medications work well when taken on an as-needed basis. Antihistamines work best for the treatment of itchy nose, itchy eyes, and sneezing—and less well for symptoms of nasal congestion or a runny nose. Of the three newer and less sedating oral antihistamine options, Zyrtec and Allegra work especially well in relieving nasal allergy symptoms, usually within an hour. Claritin, on the other hand, doesn't work as well and takes about three hours to take effect. All three of these antihistamines are a good choice for spring allergy relief and are generally preferred over a sedating antihistamine such as Benadryl.
Another antihistamine option may include Astepro azelastine hydrochloride , a nasal spray which has been approved for nonprescription use in adults and children over the age of six.
The only other medicated nasal sprays available OTC are nonsteroidal decongestants like Afrin oxymetazoline and NasalCrom cromolyn.
Another aspect to consider is that many professional organizations of allergists, pediatricians, and otolaryngologists were against intranasal corticosteroids being made available OTC. They previously opposed the antihistamine Claritin becoming available without a prescription.
However, during the s, the FDA labeled allergic rhinitis as a disease that could be recognized and treated without a healthcare professional.
This means that the FDA felt that it was safe to have the general public self-diagnose and treat allergic rhinitis using OTC products. The mechanism by which INCS treatment of allergic rhinitis reduces itching, sneezing, and rhinorrhea, the characteristic symptoms of an early-phase response involving mast cell release of histamine, remains to be determined. Studies should be conducted to characterize the broad range of mechanisms by which INCS produce their therapeutic effects in allergic rhinitis.
Publication types Review. Once symptoms are gone, you are still likely to need to use a steroid nasal spray regularly, to keep symptoms away. Your doctor may advise that you reduce the dose to a lower maintenance dose once symptoms have gone.
The aim is to find the lowest dose that controls symptoms. An occasional forgotten dose should not be a problem, but symptoms usually return after a few days if you stop taking the spray. Steroid nasal sprays rarely cause side-effects. This is because they are applied directly to the nose and very little of this medicine is absorbed into the body. Therefore, they are much less likely to cause side-effects in other parts of the body. Occasionally, they cause dryness, crusting, and bleeding of the nose.
If this occurs, stop it for a few days and then restart. There have been reports of nasal steroids possibly having an effect on behaviour, particularly in children. This is thought to be rare. However, a few people have reported hyperactivity, problems sleeping, anxiety, depression, and aggression. You can buy a number of steroid nasal sprays from the supermarket and your local pharmacy. These include beclometasone, fluticasone and triamcinolone.
Most people can use a steroid nasal spray, unless they have ever had an allergic reaction to this medicine. However, you should talk with your doctor or pharmacist before using a steroid nasal spray if you:.
If you think you have had a side-effect to one of your medicines you can report this on the Yellow Card Scheme. You can do this online at www. The Yellow Card Scheme is used to make pharmacists, doctors and nurses aware of any new side-effects that medicines or any other healthcare products may have caused.
If you wish to report a side-effect, you will need to provide basic information about:. Hi guys, I make a point of avoiding forums where medical matters are concerned but im out of options so here i am.
About 2 years ago, I noticed that I was getting a blocked nose more often, certainly Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.
For details see our conditions. In this series. In this article What are steroid nasal sprays? How to use a steroid nasal spray How long does it take for steroid nasal sprays to work? What is the usual length of treatment? What are the possible side-effects?
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