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. |
Antihistamines |
GREEN Azelastine aqueous nasal spray 140 microgram/metered spray |
|
Corticosteroids: |
Twice daily preparations |
GREEN Beclometasone nasal aerosol 50 micrograms/metered spray |
|
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 |
|
(licensed for use in adults and children ≥ 6 years) |
GREEN Triamcinolone aqueous nasal spray 55microgram/metered spray |
|
Alternative (additionally licensed for children ≥ 4 years) |
GREEN Fluticasone aqueous nasal spray 50 microgram/met spray |
|
|
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. |
GREEN Naseptin® cream (as part of MRSA eradication) |
GREEN Naseptin® cream (as part of MRSA eradication) |