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Nasonex may be prescribed for people who need treatment for seasonal allergic or perennial rhinitis.

What is Nasonex?

Nasonex can be used to treat symptoms of seasonal allergic rhinitis (hay fever) and perennial rhinitis, both of which are hypersensitivity reactions occurring when a ‘trigger’ is inhaled. Hay fever occurs seasonally, at the time of year when different pollens from trees and plants, and spores from fungi are present in the atmosphere. Perennial rhinitis, however, occurs all year round, triggered by other materials such as animal fur, house dust mite, feathers, and foods.

Nasonex is a nasal spray, containing an active ingredient called mometasone furoate. Mometasone furoate belongs to the corticosteroid class of medicines, which are anti-inflammatory agents. These agents act by reducing the swelling in your nose, and thus relieves itching, sneezing, and a runny or congested nose. Nasonex may also be used for nasal polyps, small growths that occur in the nostrils that can affect your breathing. By reducing inflammation in the nose, the polyps shrink, so alleviating the feeling that your nose is blocked.

How to get Nasonex

Please complete a quick online consultation. This consultation will be reviewed by a doctor and if he or she thinks it is appropriate, a prescription will be offered. The prescription is issued directly to our pharmacy and the medication is sent to you for next day delivery.

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How to use Nasonex

Nasonex is sprayed into both of your nostrils. The dose will depend on your age and what the medicine is intended to treat, and it may be increased or decreased depending on whether you respond to treatment. Symptoms of rhinitis generally improve within days, while nasal polyps may take longer to respond. In cases of rhinitis, you may be advised to start Nasonex just before the pollen season begins and you may have to continue taking Nasonex regularly. If you do not have any symptom relief (this may take up to six weeks for polyps), then return to your doctor for advice.

To use the spray, it must firstly be primed by pumping the spray ten times into the air until the solution appears as a fine mist. The spray is now ready to use. Blow your nose, then close one of your nostrils and place the bottle nozzle inside your other nostril. With your head tilted forward, gently breathe in and pump the spray once into your nose; then, breathe out via your mouth. Repeat for a second time if you have been told to use two sprays each time. Repeat this procedure for the other nostril. Wipe or clean the nozzle and replace the cap. Full instructions on how to use the nasal spray are provided in the medicine package. Inform your doctor if you spray too much into your nostrils, and if you forget to use Nasonex then take it when you remember but don’t use twice the amount.

Who can use Nasonex?

Nasonex can be used by adults and children aged 3 years and older for the relief of seasonal allergic and perennial rhinitis, and by adults for nasal polyps. Since little information exists on Nasonex use by pregnant or breastfeeding women, seek advice from your doctor. Nasonex should not be taken by those with an allergy to mometasone furoate or its other components. Use is also precluded by people with untreated nasal infection (can worsen), nose injury or recent nose surgery (wound healing may be delayed). Tell your doctor if you have another infection, cystic fibrosis, you have/have had tuberculosis, and if you are currently taking another corticosteroid. Additionally, while using the spray, inform the doctor if you have a nose/throat infection or persistent irritation, your immune system is weak and you are exposed to measles or chickenpox, or if you are still using the medicine after a few months.

Nasonex Side Effects

Use of Nasonex may cause immediate and severe allergic reactions, with symptoms including swollen face and throat, problems swallowing or breathing, or urticarial (hives); if any of these occur, then stop using it and get medical assistance immediately. The majority of people do not have side effects with this medicine; otherwise, common problems include nose bleeds (particularly during treatment of polyps), sore nose or throat, nose ulcers, headache, sneezing, and respiratory tract infections. Glaucoma and cataracts with visual disturbances, damage to the nasal septum (structure that divides the nostrils), altered smell/taste, and breathing problems have also been reported.

It should be noted that corticosteroid nasal sprays can cause other effects, such as adrenal suppression and impaired growth in children and adolescents, if used at high doses for extended time periods. Additionally, undesirable effects may occur when they are stopped, such as fatigue, joint/muscle pain, and depression. Most people will get absolutely no side effects whatsoever if they use the medication as directed.

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Reviewed by: Dr Loraine Haslam MBBS, DRCOG, DFSRH, LoC SDI, LoC IUT, MRCGP
GMC registration number: 4524038
Date: 27 October 2022
Next review: 26 October 2024
All UK registered doctors can have their registration checked on
The Medical Register at the GMC website.

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