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Rhinocort and Flonase are steroid nasal sprays that can treat nasal allergy symptoms, such as nasal congestion, sneezing, and runny nose. However, they contain different active ingredients and have different age restrictions. In addition, they have different dosages and strengths. Is Rhinocort or Flonase better? The recommended dose for adults and the elderly is two sprays of Rhinocort Aqua into each nostril in the morning. Alternatively your doctor may ask you to take one spray of Rhinocort Aqua into each nostril every morning and evening. This may be reduced by your doctor once your symptoms have improved. It is important to use Rhinocort Aqua regularly. Know the medicines you take. Keep a list of your medicines with you to show your healthcare provider and pharmacist when you get a new medicine. The precise mechanism of corticosteroid actions on inflammation in seasonal and perennial allergic rhinitis is not well known. Inflammation is an important component in the pathogenesis of seasonal and perennial allergic rhinitis. Corticosteroids have a wide range of inhibitory activities against multiple cell types (e.g., mast cells, eosinophils, neutrophils, macrophages, and lymphocytes) and mediators (e.g., histamine, eicosanoids, leukotrienes, and cytokines) involved in allergic and non-allergic-mediated inflammation. These anti-inflammatory actions of corticosteroids may contribute to their efficacy in seasonal and perennial allergic rhinitis. Pharmacodynamics In clinical studies of 3 to 52 weeks’ duration epistaxis was observed more frequently in patients treated with RHINOCORT AQUA Nasal Spray than those who received placebo [ see Adverse Reactions (6.1)].

RHINOCORT AQUA (budesonide) Nasal Spray if such reactions occur [see CONTRAINDICATIONS, WARNINGS AND PRECAUTIONS and ADVERSE REACTIONS]. Immunosuppression Tell your doctor if you have rare but serious side effects of Rhinocort Aqua nasal spray including: Speak to your doctor or pharmacist before you start using Rhinocort Aqua nasal spray if any of the following applies to you: Serious side effects may include infections, impaired wound healing, and severe nosebleeds or septal perforations. Hypersensitivity or allergic reactions are also possible while using a steroid nasal spray. Seek immediate medical attention if you experience rash, hives, itching, swelling of the face or throat, or trouble breathing after using a nasal spray. you are, or have recently been, using any other product containing a corticosteroid, including creams, ointments, tablets, asthma medicines, eye drops or other nasal sprays or drops

Mixing budesonide nasal spray with herbal remedies and supplements

If you forget to use your nasal spray use it as soon as you remember, unless it is nearly time for your next dose. In this case just leave out the forgotten dose and take the next dose as normal. Don't use a double dose to make up for a missed dose. A 3-week clinical study in seasonal rhinitis, comparing RHINOCORT Nasal Inhaler, orally ingested budesonide, and placebo in 98 patients with allergic rhinitis due to birch pollen, demonstrated that the therapeutic effect of RHINOCORT Nasal Inhaler can be attributed to the topical effects of budesonide. HPA Axis Effects Other allergy medications are available, including antihistamines like Claritin (loratadine) and Zyrtec (cetirizine). These medications may also be combined with other drugs like decongestants . Other intranasal corticosteroids are also available, such as Nasonex (mometasone) and Nasacort (triamcinolone). Coverage and cost comparison of Rhinocort vs. Flonase

Budesonide nasal spray can be bought without a prescription from pharmacies as the brand Benacort nasal spray.Hypercorticism and Adrenal Suppression: When intranasal steroids are used at higher than recommended dosages or in susceptible individuals at recommended dosages, systemic corticosteroid effects such as hypercorticism and adrenal suppression may appear. If such changes occur, the dosage of RHINOCORT AQUA Nasal Spray should be discontinued slowly, consistent with accepted procedures for discontinuing oral corticosteroid therapy. Because of the inhibitory effect of corticosteroids on wound healing, patients who have experienced recent nasal septal ulcers, nasal surgery, or nasal trauma should not use a nasal corticosteroid until healing has occurred. Hypersensitivity Reactions Including Anaphylaxis This medication is for use in the nose, usually 1 or 2 sprays in each nostril once or twice a day or as directed by your doctor. Avoid spraying this medication in your eyes. Gently blow your nose before using this drug. Gently shake the container before each use. Follow the instructions to properly prime the spray pump if you are using it for the first time or if you have not used it for 2 or more days. Follow the instructions to clean/prime the spray pump if you have not used it for 14 or more days. The recommended starting dosage for adults and children 6 years of age and older is 64 mcg per day administered as one spray per nostril of RHINOCORT AQUA (budesonide) Nasal Spray 32 mcg once daily. Some patients who do not achieve symptom control at the recommended starting dosage may benefit from an increased dosage. The maximum recommended dosage for adults (12 years of age and older) is 256 mcg per day administered as four sprays per nostril once daily of RHINOCORT AQUA (budesonide) Nasal Spray 32 mcg and the maximum recommended dose for pediatric patients (6 to < 12 years of age) is 128 mcg per day administered as two sprays per nostril once daily of RHINOCORT AQUA (budesonide) Nasal Spray 32 mcg.

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Read the Patient Instructions for Use carefully before you start to use RHINOCORT AQUA (budesonide) Nasal Spray. If you have any questions, ask your healthcare providerassure optimal dose delivery [see PATIENT INFORMATION]. Nonclinical Toxicology Carcinogenesis, Mutagenesis, Impairment of Fertility Adults and adolescents should use one spray in each nostril twice a day, morning and evening, for up to three months. Follow the instructions given by your doctor. Regular use of this nasal spray can reduce inflammation in the nose and help prevent these symptoms. Controlled clinical studies have shown that intranasal corticosteroids may cause a reduction in growth velocity in pediatric patients. This effect has been observed in the absence of laboratory evidence of hypothalamic- pituitary-adrenal (HPA)-axis suppression, suggesting that growth velocity is a more sensitive indicator of systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA-axis function. The long-term effects of this reduction in growth velocity associated with intranasal corticosteroids, including the impact on final adult height, are unknown. The potential for "catch-up" growth following discontinuation of treatment with intranasal corticosteroids has not been adequately studied. Read the Patient Information that comes with RHINOCORT AQUA (budesonide) Nasal Spray before you start using it and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment. If you have questions about RHINOCORT AQUA (budesonide) Nasal Spray, ask your healthcare provider or pharmacist.

RHINOCORT AQUA (budesonide) Nasal Spray is a nasal spray suspension. Each spray delivers 32 mcg of budesonide. Each bottle of RHINOCORT AQUA (budesonide) Nasal Spray 32 mcg contains 120 metered sprays after initial priming. The priming effect remains for about 24 hours. If you leave a gap of more than a day before the next dose, you will need to prime the nozzle again. This time spray it into the air just once. Rarely, it is possible that corticosteroids given in the nose will be absorbed into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children and people who use this medication for a long time and in high doses. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Patients previously treated for prolonged periods with systemic corticosteroids should be weaned off slowly when transferred to topical corticosteroids and carefully monitored for acute adrenal insufficiency in response to stressFlonase nasal spray contains the corticosteroid fluticasone. It is approved to treat nonallergic and seasonal or perennial allergic rhinitis in adults and children over the age of 4. Flonase is available as a brand and generic drug with a prescription or over-the-counter. Are Rhinocort and Flonase the same?