Steroid nasal sprays (2024)

Steroid nasal sprays, also called corticosteroid nasal sprays, are anti-inflammatory medicines thatyou spray into your nose.

They can beused to treat a range of conditions, including hay fever, sinusitis, non-allergic rhinitisand nasal polyps.

Some steroid nasal sprays are available to buy from pharmacies and shops, while others are only available on prescription. Steroid nasal drops are also available.

Commonexamples of steroid nasal sprays include:

  • beclometasone
  • budesonide
  • fluticasone
  • mometasone

Howand when to use steroid nasal sprays

Steroid nasal sprays can be used as a long-term treatment orjust when they're needed.

Forhay fever, it's best to usethem from 1 to 2 weeks before you think your symptoms will start, as they can take a few days to work.

The leaflet that comes with yourspray should explain how to use it and how often. Ask a pharmacist or doctor if you're not sure.

It's important to use yourspray regularly, even if you're feeling better.It will onlyhelp if it's used every day.

If you miss a dose or take too much

If you forget to take a dose, take it as soon as you remember. If it's nearly time for your next dose, skip the one you missed.

Do not take a double dose to make up for a forgotten dose.

Accidentally using too much steroid nasal spray is unlikely to be harmful. Speak toa pharmacist ordoctor if you're worried.

Using a steroidnasal spraytoo much over a long period can increase your risk of getting side effects.

Stopping treatment

If you've bought a steroid nasal spray from a pharmacy or shop,check the leaflet that comes with the medicine. This will tell you how long you can continuously use it for without speaking to a doctor or pharmacist. This is usually between 1 and 3 months.

Stop using it when you think you no longer need it. Ask a pharmacist for advice if you're not sure when to stop.

If you're taking a prescription spray, do not stop using it unless the doctor advises you to do so.

Sideeffects of steroid nasal sprays

Steroid nasal sprays do not usually cause any significant side effects if used correctly and atnormal doses.

Side effects can include:

  • a stinging or burning sensation in the nose
  • dryness and crustiness in the nose
  • a dry, irritated throat
  • an unpleasant taste inthe mouth
  • itchiness, redness and swelling in the nose
  • nosebleeds

Serious side effects are rare but can include changes to your eyesight, such as blurred vision or a cloudy lens in the eye, or problems with your breathing. See a doctor or contact 111 straight away if you have these.

If you're taking a high dose for a long time, there's also a small chance you could get some of the side effects of steroid tablets, such as increased appetite, mood changes and sleeping problems (insomnia).

You canreport any suspected side effect on the UK Yellow Card safety scheme website.

Usingsteroid nasal sprays with other medicines, food or alcohol

Some medicines can interfere with the way steroidnasal sprayswork, although this is uncommon.

Check the leaflet that comes with your spray to see if it could be affected by other medicines. Ask a pharmacist or doctor if you're unsure.

You canusually drink alcohol while using a steroid nasal spray andyou do notnormally need to avoidany particular foods.

Whocan use steroid nasal sprays

Most people can use steroid nasal sprays.

Ask a pharmacist or doctor for advice before using one if you:

  • have had an allergic reaction to steroids in the past
  • have recently had surgery on your nose
  • have ever hadtuberculosis (TB)
  • have an infection in your nose or sinuses
  • are taking, or have recently taken, other steroid medicines
  • are looking for a nasal spray for your child (some nasal sprays are not suitable for children)
  • are pregnant, breastfeeding or trying for a baby

Steroid nasal sprays are normally safe to usewhile breastfeeding and during pregnancy, but it's a good idea to get medical advice first.

Howsteroid nasal sprays work

Steroids closely copy the effects of hormones normally produced bythe adrenal glands, which are 2 small glands above the kidneys.

Whensprayed into the nose, steroids reduce inflammation (swelling).

This can help relieve symptoms such as sneezing and a runny or blocked nose. It can also help to reduce the size of any swellings (such as polyps in your nose.

Steroid nasal sprays are not the same asanabolic steroids, which are often used illegally by some people to increase their muscle mass.

Page last reviewed: 15 June 2023
Next review due: 15 June 2026

Steroid nasal sprays (2024)

FAQs

What is the most effective steroid nasal spray? ›

Experts say that over-the-counter (OTC) anti-inflammatory nasal sprays—such as FLONASE nasal sprays or Nasacort® 24 Hour—are the most effective form of nasal allergy symptom relief.

What is the downside of steroid nasal spray? ›

Side effects of steroid nasal sprays

dryness and crustiness in the nose. a dry, irritated throat. an unpleasant taste in the mouth. itchiness, redness and swelling in the nose.

What are prescription steroid nasal sprays? ›

A nasal corticosteroid spray reduces swelling and mucus in the nasal passageway. The sprays work well for treating: Allergic rhinitis symptoms, such as congestion, runny nose, sneezing, itching, or swelling of the nasal passageway. Nasal polyps, which are noncancerous (benign) growths in the lining of the nasal passage.

How long can you treat with steroid nasal spray? ›

For allergies or other nasal conditions: For nasal aerosol dosage form: Adults and children 12 years of age and older—Two sprays in each nostril two or three times a day for up to two weeks. Children 6 to 12 years of age—One to two sprays in each nostril two times a day for up to two weeks.

Which steroid nasal spray has the least side effects? ›

Triamcinolone acetonide, budesonide, fluticasone propionate, and mometasone tend not to cause any significant side effects, presumably because they have lower systemic bioavailability (particularly fluticasone and mometasone) and are used in low dosages.

Is there a better nasal spray than Flonase? ›

Official answer. Nasacort and Flonase are equally effective, safe, and well tolerated for the treatment of allergic rhinitis. Therefore the choice of either Nasacort or Flonase comes down to personal preference, availability or price.

Is there an over the counter steroid nasal spray? ›

What nasal steroid sprays are available without a presription? Over-the-counter steroid nasal sprays include Flonase (fluticasone), Nasacort (triamcinolone), and Rhinocort (budesonide).

What is the safest nasal spray to use? ›

The bottom line

OTC steroid and antihistamine nasal sprays work best for treating allergy symptoms. Common examples include Flonase, Nasacort, and Astepro. They're safe for both adults and children to use every day. Just be sure to follow the recommended dosage.

What happens when you stop using steroid nasal spray? ›

Stopping treatment

If you're taking a prescription spray, don't stop using it unless advised to by your doctor. You may need to reduce your dose gradually. This can help avoid unpleasant side effects (withdrawal symptoms), such as severe tiredness, joint pain, vomiting and dizziness.

What is the downside of FLONASE? ›

Nasal side effects — such as nosebleeds, irritation, and burning — can happen, too. Most side effects are generally mild and can be managed at home. Serious Flonase side effects include vision changes, asthma symptoms, and thrush. Discuss these risks with your healthcare provider or pharmacist before using Flonase.

What nasal spray can be used long term? ›

Nasal steroids sprays (Flonase®, Nasocort®, Nasonex®, etc. ) are safe to use on a daily basis and are now largely over-the-counter. These sprays are non-addictive and typically do not cause any long term changes to the nasal passages.

Do steroid nasal sprays help sinusitis? ›

Nasal steroid sprays are used to treat chronic sinusitis and allergies that affect your breathing, like hay fever. They can also be used to treat snoring and nasal polyps, noncancerous growths in the nasal passages.

What is the best steroid for sinus? ›

Steroids can be helpful in relieving inflammation associated with sinusitis and may be prescribed when symptoms are severe or in the post-operative period. Most commonly, you will be prescribed oral prednisone to take twice a day for 5 to 7 days.

What is better Nasonex or Flonase? ›

Official answer. The difference is Flonase is available over-the-counter (OTC) and Nasonex is prescription only. There is no difference in their effect or side effects. Flonase and Nasonex are both corticosteroid nasal sprays that are effective at treating hay fever, perennial allergic rhinitis and allergies.

Which is better, Nasonex or Nasacort? ›

Nasonex and Nasacort are both nasal sprays for allergies that are available over the counter. However, they have some differences. Active ingredient: Nasonex has mometasone furoate, while Nasacort has triamcinolone acetonide. Timing: Nasonex may take a few days to work, while Nasacort may provide quicker relief.

Which nasal spray is better fluticasone furoate or budesonide? ›

Both Fluticasone propionate and budesonide showed statistically significant decrease in eosinophil count but fluticasone showed faster onset of action and greater immunologic improvement compared to budesonide.

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