Rhinitis & Nasal Congestion Treatments
| RHINITIS & NASAL CONGESTION TREATMENTS** | |||||
|---|---|---|---|---|---|
| Brand & Company | Generic | Strength | Usual Dose | ||
| ANTICHOLINERGIC | |||||
| ATROVENT NASAL SPRAY 0.03%
(Boehringer Ingelheim) |
Rx | Ipratropium bromide | 0.03%
(21mcg/spray) |
Adults and Children: <6yrs: not recommended. ≥6yrs: 2 sprays in each nostril 2–3 times daily. | |
| ATROVENT NASAL SPRAY 0.06%
(Boehringer Ingelheim) |
Rx | Ipratropium bromide | 0.06%
(42mcg/spray) |
Adults and Children: <5yrs: not recommended. 5–11yrs: 2 sprays in each nostril 3 times daily. ≥12yrs: 2 sprays in each nostril 3–4 times daily. | |
| ANTIHISTAMINE | |||||
| ASTELIN*
(Meda) |
Rx | Azelastine HCl | 137mcg/spray | Children: Seasonal allergic rhinitis: <5yrs: not recommended.
5–11yrs: 1 spray in each nostril twice daily. Vasomotor rhinitis: not recommended.
Adults: 2 sprays in each nostril twice daily. |
|
| ASTEPRO 0.15%*
(Meda) |
Rx | Azelastine HCl | 0.15%
(205.5mcg/spray) |
Children: Not recommended.
Adults: Seasonal allergic rhinitis: 1 or 2 sprays in each nostril twice daily or 2 sprays in each nostril once daily. Perennial allergic rhinitis: 2 sprays in each nostril twice daily. |
|
| PATANASE*
(Alcon) |
Rx | Olopatadine HCl | 0.6%
(665mcg/spray) |
Children: <6yrs: not recommended. 6–11yrs: 1 spray in each nostril
twice daily.
Adults: 2 sprays in each nostril twice daily. |
|
| ANTIHISTAMINE + STEROID | |||||
| DYMISTA
(Meda) |
Rx | Azelastine HCl + fluticasone propionate | 135mcg/50mcg per spray | Children: Not established.
Adults: 1 spray per nostril twice daily. |
|
| MAST CELL STABILIZER | |||||
| NASALCROM
(McNeil Cons & Specialty) |
OTC | Cromolyn sodium | 5.2mg/spray | Adults and Children: Use on a regular basis. <2yrs: not recommended. ≥2yrs: 1 spray in each nostril every 4–6 hours. Prevention: Begin 1 week before exposure to known allergen. | |
| STEROID | |||||
| BECONASE AQ
(GlaxoSmithKline) |
Rx | Beclomethasone dipropionate | 42mcg/spray | Adults and Children: <6yrs: not recommended. ≥6yrs: 1–2 sprays in each nostril twice daily. | |
| FLONASE
(GlaxoSmithKline) |
Rx | Fluticasone propionate | 50mcg/spray | Children: <4yrs: not recommended. ≥4yrs: initially 1 spray in each
nostril once daily; may increase to 2 sprays in each nostril once daily. Maintenance: 1 spray in each
nostril once daily; max 2 sprays in each nostril daily.
Adults: Initially 2 sprays in each nostril once daily or 1 spray in each nostril twice daily (AM and PM). Maintenance: may reduce to 1 spray in each nostril daily. Seasonal allergic rhinitis: 2 sprays in each nostril once daily as needed may suffice. |
|
| NASACORT AQ
(Sanofi Aventis) |
Rx | Triamcinolone acetonide | 55mcg/spray | Children: <2yrs: not recommended. 2–5yrs: 1 spray in each nostril once
daily. 6–12yrs: 1 spray in each nostril once daily; max 2 sprays in each nostril once daily.
Reduce dose as condition improves.
Adults: 2 sprays in each nostril once daily. Reduce dose as condition improves. |
|
| NASALIDE
(Teva) |
Rx | Flunisolide | 25mcg/spray | Children: <6yrs: not recommended. 6–14yrs: Initially 1 spray in each
nostril 3 times daily or 2 sprays twice daily; max 4 sprays/nostril per day.
Adults: ≥15yrs: Initially 2 sprays in each nostril twice daily; max 8 sprays/nostril per day. |
|
| NASAREL
(Teva) |
Rx | Flunisolide | 25mcg/spray | Children: <6yrs: not recommended. 6–14yrs: initially 1 spray in each
nostril 3 times daily or 2 sprays in each nostril twice daily; max 4 sprays/nostril per day.
Adults: ≥15yrs: initially 2 sprays in each nostril twice daily; may increase to 2 sprays in each nostril 3 times daily; max 8 sprays/nostril per day. |
|
| NASONEX
(Merck) |
Rx | Mometasone furoate (as furoate monohydrate) | 50mcg/spray | Children: Allergic rhinitis: <2yrs: not recommended. 2–11yrs: 1 spray
in each nostril once daily. Nasal polyps: <18yrs: not recommended.
Adults: Allergic rhinitis: 2 sprays in each nostril once daily; prophylaxis: begin 2–4 weeks prior to anticipated start of pollen season. Nasal polyps: ≥18yrs: 2 sprays in each nostril 1–2 times daily. |
|
| OMNARIS
(Sunovion) |
Rx | Ciclesonide | 50mcg/spray | Children: Seasonal allergic rhinitis: <6yrs: not recommended.
≥6yrs: 2 sprays in each nostril once daily (200mcg/day).
Adults: 2 sprays in each nostril once daily (200mcg/day). |
|
| QNASL
(Teva) |
Rx | Beclomethasone dipropionate | 80mcg/actuation | Children: Not established.
Adults: 2 sprays in each nostril once daily; max 4 sprays per day. |
|
| RHINOCORT AQUA
(AstraZeneca) |
Rx | Budesonide (micronized susp) | 32mcg/spray | Adults and Children: <6yrs: not recommended. ≥6yrs: initially 1 spray in each nostril once daily; 6–12yrs: max 2 sprays per nostril once daily (128mcg/day); >12yrs: max 4 sprays per nostril once daily (256mcg/day). | |
| VERAMYST◊
(GlaxoSmithKline) |
Rx | Fluticasone furoate | 27.5mcg/spray | Children: <2yrs: not recommended. 2–11yrs: initially 1 spray in each
nostril once daily; may increase to 2 sprays in each nostril once daily. Maintenance: 1 spray in each
nostril once daily.
Adults: Initially 2 sprays in each nostril once daily. Maintenance: may reduce to 1 spray in each nostril daily. |
|
| ZETONNA
(Sunovion) |
Rx | Ciclesonide | 37mcg/spray | Children: Not recommended.
Adults: One actuation in each nostril once daily (37mcg/actuation); max 74mcg/day. |
|
| SYMPATHOMIMETIC | |||||
| AFRIN ALL NIGHT NO DRIP§
(Merck) |
OTC | Oxymetazoline HCl | 0.05% | Adults and Children: <6yrs: individualize. ≥6yrs: 2–3 sprays in each nostril not more than every 10–12 hours. Max 2 doses/day. | |
| AFRIN NO DRIP EXTRA MOISTURIZING
(Merck) |
OTC | Oxymetazoline HCl | 0.05% | ||
| AFRIN NO DRIP ORIGINAL
(Merck) |
OTC | Oxymetazoline HCl | 0.05% | ||
| AFRIN NO DRIP SEVERE CONGESTION†
(Merck) |
OTC | Oxymetazoline HCl | 0.05% | ||
| AFRIN NO DRIP SINUS
(Merck) |
OTC | Oxymetazoline HCl | 0.05% | ||
| AFRIN ORIGINAL
(Merck) |
OTC | Oxymetazoline HCl | 0.05% | ||
| DRISTAN 12-HR NASAL SPRAY
(Pfizer Consumer Healthcare) |
OTC | Oxymetazoline HCl | 0.05% | Children: Individualize.
Adults: 2–3 sprays into each nostril not more than every 10–12 hours. Max 2 doses/day. |
|
| MUCINEX NASAL SPRAY FULL FORCE†
(Reckitt Benckiser) |
OTC | Oxymetazoline HCl | 0.05% | Adults and Children: Shake well. <6yrs: individualize. ≥6yrs: 2–3 sprays in each nostril not more than every 10–12 hours. Max 2 doses/day. | |
| MUCINEX NASAL SPRAY MOISTURE SMART‡
(Reckitt Benckiser) |
OTC | Oxymetazoline HCl | 0.05% | ||
| NEO-SYNEPHRINE
(Bayer) |
OTC | Phenylephrine HCl | 0.5%
1% |
Children: Not recommended.
Adults: 2–3 sprays OR 2–3 drops of 0.5% or 1% in each nostril up to every 4 hours as needed; max 3 days. |
|
| NEO-SYNEPHRINE SPRAY
(Bayer) |
OTC | Phenylephrine HCl | 0.5%
1% |
||
| NEO-SYNEPHRINE 12 HOUR
(Bayer) |
OTC | Oxymetazoline HCl | 0.05% | Adults and Children: <6yrs: not recommended. ≥6yrs: 2–3 sprays in each nostril up to every 10–12 hours; max 3 days. | |
| VICKS SINEX NASAL SPRAY*,†,^,°
(Procter & Gamble) |
OTC | Phenylephrine HCl | 0.5% | Children: Not recommended.
Adults: 2–3 sprays in each nostril not more than every 4 hours; max 3 days. |
|
| VICKS SINEX ULTRAFINE MIST*,†,^,°
(Procter & Gamble) |
OTC | Phenylephrine HCl | 0.5% | ||
| VICKS SINEX 12 HOUR NASAL SPRAY*,†,^,°
(Procter & Gamble) |
OTC | Oxymetazoline HCl | 0.05% | Adults and Children: <6yrs: not recommended. ≥6yrs: 2–3 sprays in each nostril not more than every 10–12 hours; max 2 doses/24 hours for 3 days. | |
| VICKS SINEX 12 HOUR ULTRAFINE MIST*,†,^,°
(Procter & Gamble) |
OTC | Oxymetazoline HCl | 0.05% | ||
| NOTES | |||||
|
*Contains benzalkonium chloride ◊Alcohol-free §Contains chamomile †Contains menthol ‡Contains aloe ^Contains camphor °Contains eucalyptol **Not an inclusive list. Please see drug monographs or visit www.eMPR.com. (Rev. 11/2012) |
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