|
ANTICHOLINERGIC |
|
ipratropium bromide |
Atrovent Nasal Spray 0.03% |
Rx |
0.03%
(21mcg/spray) |
<6yrs: Not recommended. ≥6yrs: 2 sprays per nostril 2–3 times daily. |
|
Atrovent Nasal Spray 0.06% |
Rx |
0.06%
(42mcg/spray) |
<5yrs: Not recommended. 5–11yrs: 2 sprays in each nostril 3 times daily. ≥12yrs: 2 sprays in each nostril 3–4 times daily. |
|
ANTIHISTAMINE |
|
azelastine HCl |
Astelin1 |
Rx |
137mcg/spray |
Seasonal allergic rhinitis: <5yrs: Not recommended. 5–11yrs: 1 spray per nostril twice daily. ≥12yrs: 1 or 2 sprays per nostril twice daily. Vasomotor rhinitis: <11yrs: Not recommended. ≥12yrs: 2 sprays per nostril twice daily. |
|
Astepro 0.15%1 |
Rx |
0.15%
(205.5mcg/spray) |
Seasonal allergic rhinitis: 6–11yrs: 1 spray per nostril twice daily. ≥12yrs: 1 or 2 sprays per nostril twice daily or 2 sprays per nostril once daily. Perennial allergic rhinitis: 6–11yrs: 1 spray per nostril twice daily. ≥12yrs: 2 sprays per nostril twice daily. |
|
olopatadine HCl |
Patanase1 |
Rx |
0.6%
(665mcg/spray) |
<6yrs: Not recommended. 6–11yrs: 1 spray per nostril twice daily. ≥12yrs: 2 sprays per nostril twice daily. |
|
ANTIHISTAMINE + STEROID |
|
azelastine HCl + fluticasone propionate |
Dymista |
Rx |
135mcg/50mcg per spray |
<11yrs: Not established. ≥12yrs: 1 spray per nostril twice daily. |
|
MAST CELL STABILIZER |
|
cromolyn sodium |
Nasalcrom |
OTC |
5.2mg/spray |
<2yrs: Not recommended. ≥2yrs: 1 spray in each nostril every 4–6hrs. Prevention: Begin 1wk before exposure to known allergen. |
|
STEROID |
|
beclomethasone dipropionate |
Beconase AQ |
Rx |
42mcg/spray |
<6yrs: Not recommended. ≥6yrs: 1–2 sprays in each nostril twice daily. |
|
Qnasl |
Rx |
80mcg/actuation |
Children: Not established.
Adults: 2 sprays in each nostril once daily; max 4 sprays per day. |
|
budesonide (micronized susp) |
Rhinocort Aqua |
Rx |
32mcg/spray |
<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). |
|
ciclesonide |
Omnaris |
Rx |
50mcg/spray |
Seasonal allergic rhinitis: <6yrs: Not recommended. ≥6yrs: 2 sprays in each nostril once daily (200mcg/day). Perennial Allergic Rhinitis: ≥12yrs: 2 sprays in each nostril once daily (200mcg/day). |
|
Zetonna |
Rx |
37mcg/spray |
Children: Not recommended.
Adults: One actuation in each nostril once daily (37mcg/actuation); max 74mcg/day. |
|
flunisolide |
— |
Rx |
25mcg/spray |
<6yrs: Not recommended. 6–14yrs: Initially 1 spray per nostril 3 times daily or 2 sprays twice daily; max 4 sprays/nostril daily. ≥15yrs: Initially 2 sprays per nostril twice daily; max 8 sprays/nostril daily. |
|
fluticasone furoate |
Veramyst2 |
Rx |
27.5mcg/spray |
<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. >12yrs: Initially 2 sprays in each nostril once daily. Maintenance: May reduce to 1 spray in each nostril daily. |
|
fluticasone propionate |
Flonase |
Rx |
50mcg/spray |
<4yrs: Not recommended. ≥4yrs: Initially 1 spray per nostril once daily; may increase to 2 sprays per nostril once daily. Maintenance: 1 spray per nostril once daily; max 2 sprays per nostril daily. ≥12yrs: Initially 2 sprays per nostril once daily or 1 spray per nostril twice daily. Maintenance: May reduce to 1 spray per nostril daily. Seasonal allergic rhinitis: ≥12yrs: 2 sprays per nostril once daily as needed. |
|
mometasone furoate (as furoate monohydrate) |
Nasonex |
Rx |
50mcg/spray |
Allergic rhinitis: <2yrs: Not recommended. 2–11yrs: 1 spray per nostril once daily. ≥12yrs: 2 sprays per nostril once daily; prophylaxis: begin 2–4wks prior to anticipated start of pollen season. Nasal polyps: <18yrs: Not recommended. ≥18yrs: 2 sprays per nostril 1–2 times daily. |
|
triamcinolone acetonide |
Nasacort AQ |
Rx |
55mcg/spray |
<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. ≥12yrs: 2 sprays in each nostril once daily. Reduce dose as condition improves. |
|
SYMPATHOMIMETIC |
|
oxymetazoline HCl |
Afrin All Night No Drip3 |
OTC |
0.05% |
<6yrs: Individualize. ≥6yrs: 2–3 sprays in each nostril not more than every 10–12hrs; max 2 doses/day. |
|
Afrin No Drip Extra Moisturizing |
OTC |
0.05% |
|
Afrin No Drip Original |
OTC |
0.05% |
|
Afrin No Drip Severe Congestion4 |
OTC |
0.05% |
|
Afrin No Drip Sinus |
OTC |
0.05% |
|
Afrin Original |
OTC |
0.05% |
|
Dristan 12-Hr Nasal Spray |
OTC |
0.05% |
Children: Individualize.
Adults: 2–3 sprays in each nostril not more than every 10–12hrs; max 2 doses/day. |
|
Mucinex Nasal Spray Full Force4 |
OTC |
0.05% |
<6yrs: Individualize. ≥6yrs: 2–3 sprays in each nostril not more than every 10–12hrs; max 2 doses/day. |
|
Mucinex Nasal Spray Moisture Smart5 |
OTC |
0.05% |
|
Neo-Synephrine 12 Hour |
OTC |
0.05% |
<6yrs: Not recommended. ≥6yrs: 2–3 sprays in each nostril up to every 10–12hrs; max 3 days. |
|
Vicks Sinex 12 Hour Nasal Spray1,4,6,7 |
OTC |
0.05% |
<6yrs: Not recommended. ≥6yrs: 2–3 sprays in each nostril not more than every 10–12hrs; max 2 doses/24hrs for 3 days. |
|
Vicks Sinex 12 Hour Ultrafine Mist1,4,6,7 |
OTC |
0.05% |
|
phenylephrine HCl |
Neo-Synephrine |
OTC |
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 4hrs as needed; max 3 days. |
|
Neo-Synephrine Spray |
OTC |
0.5%
1% |
|
Vicks Sinex Nasal Spray1,4,6,7 |
OTC |
0.5% |
Children: Not recommended.
Adults: 2–3 sprays in each nostril not more than every 4hrs; max 3 days. |
