12.2 DRUGS ACTING ON THE NOSE
12.2.1 Drugs used in nasal allergy
| Allergic rhinitis and nasal congestion can be relieved by topical corticosteroids. |
Topical antihistamines are probably less effective.
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Antihistamines
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GREEN Azelastine aqueous nasal spray 140 microgram/metered spray
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| Corticosteroids: |
Twice daily preparations
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GREEN Beclometasone nasal aerosol 50 micrograms/metered spray
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| Once daily preparations |
| First line (licensed for use in children 3 years and over) | | GREEN Mometasone furoate nasal spray 50 micrograms | |
| Preferred product for nasal polyps |
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| (licensed for use in adults and children ≥ 6 years) |
GREEN Triamcinolone aqueous nasal spray 55microgram/metered spray
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Alternative (additionally licensed for children ≥ 4 years)
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GREEN Fluticasone aqueous nasal spray 50 microgram/met spray
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Severe allergic rhinitis is paediatric patients who have had other failed treatment options. |
| Only on approval of paediatric asthma consultant following initiation in tertiary care. |
| RED Fluticasone with azelastine nasal spray (Dymista®) |
| |
12.2.2 Topical nasal decongestants |
For use only by anaesthetists for nasal intubation. Not recommended for general use.
| RED Xylometazoline nasal spray 0.1%
| | | For use only by ophthalmologists to treat peri-orbital cellulitis in children.
| RED Xylometazoline nasal drops 0.05%
| | | | For non-allergic watery rhinorrhoea | GREEN Ipratropium bromide nasal spray 0.03%
| | | 12.2.3 Nasal preparations for infection | Epistaxis
| | RED B.I.P.P. on gauze | | | Nasal staphylococci
Elimination of organisms from the nasal vestibule can be achieved but re-colonisation frequently occurs.
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GREEN Naseptin® cream (as part of MRSA eradication)
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| GREEN Naseptin® cream (as part of MRSA eradication) |
