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Notes for: Drugs Used In Nasal Allergy
Last edited [13/07/2012 10:16:11]

Seasonal allergic rhinitis - short term treatment, start treatment 2 - 3 weeks before the season starts and continue for several months if necessary.

Perennial rhinitis - long term therapy required, possibly for years.

 

Last edited [13/07/2012 10:20:50]

Corticosteroids

1. Generic beclometasone nasal spray is considered as first line therapy. It is relatively cheap, effective and well tolerated, requiring twice daily administration.

2. Systemic absorption may follow on from any nasal steroid particularly if the doses are high and prolonged. The CSM recommends that when children are receiving prolonged treatment with nasal corticosteroids the height of the child should be monitored. If growth is slowed then paediatric referral should be considered.

3. MHRA Drug Safety Update (Sept 2010) Psychological and behavioural side effects may occur in association with use of inhaled and intranasal formulations of steroids.

4. Nose drops are most effective if applied with the head in a correct position, that is with the nostrils directed superiorly, as illustrated.

 

Last edited [13/07/2012 10:22:17]

Cromoglicate - Sodium cromoglicate may be used as an alternative to topical corticosteroids in children.

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 7 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available
Antibiotics Antibiotics

NameTariffBNF Sub Paragraph
Beclometasone Nasal Spray (Beclomethasone)
50 mcg / spray (200 dose Unit) Pack of 1
£3.05PCT FORMULARY STATUS: First Line Drugs Drugs Used In Nasal AllergyView BNF Article on 'Beclometasone Nasal Spray (Beclomethasone)'View SPC on 'Beclometasone Nasal Spray (Beclomethasone)'View PIL on 'Beclometasone Nasal Spray (Beclomethasone)'
Mometasone Nasal Spray
50 mcg/spray 140 dose Pack of 1
£3.87PCT FORMULARY STATUS: First Line Drugs Drugs Used In Nasal AllergyView BNF Article on 'Mometasone Nasal Spray'View SPC on 'Mometasone Nasal Spray'View PIL on 'Mometasone Nasal Spray'
Budesonide Aqueous Nasal Spray
100 mcg / spray 200 doses Pack of 1
£4.82PCT FORMULARY STATUS: First Line Drugs Drugs Used In Nasal AllergyView BNF Article on 'Budesonide Aqueous Nasal Spray'View SPC on 'Budesonide Aqueous Nasal Spray'View PIL on 'Budesonide Aqueous Nasal Spray'
Fluticasone Nasal Spray (Avamys)
27.5 mcg / dose (120 dose unit) Pack of 1
£6.44PCT FORMULARY STATUS: Second Line Drugs Drugs Used In Nasal AllergyView BNF Article on 'Fluticasone Nasal Spray'View SPC on 'Fluticasone Nasal Spray'View PIL on 'Fluticasone Nasal Spray'
Fluticasone Propionate / Azelastine (Dymista)
50 mg / 137mg nasal spray (120 doses) Pack of 1
£14.80PCT FORMULARY STATUS: Second Line Drugs [Notes:] Consider Dymista as a third line drug in seasonal allergy after patients have tried an oral antihistamine and a topical steroid for about a month Drugs Used In Nasal AllergyView BNF Article on 'Fluticasone Propionate / Azelastine'View SPC on 'Fluticasone Propionate / Azelastine'View PIL on 'Fluticasone Propionate / Azelastine'
Consider Dymista as a third line drug in seasonal allergy after patients have tried an oral antihistamine and a topical steroid for about a month
Sodium Cromoglycate Nasal Spray (Rynacrom)
4 % Spray (22ml Unit) Pack of 1
£17.07PCT FORMULARY STATUS: Second Line Drugs Drugs Used In Nasal AllergyView BNF Article on 'Sodium Cromoglycate Nasal Spray'View SPC on 'Sodium Cromoglycate Nasal Spray'View PIL on 'Sodium Cromoglycate Nasal Spray'
Betamethasone ear/eye/nose drops (Betnesol)
0.1 % drops (10 mil unit) Pack of 1
£2.32PCT FORMULARY STATUSSpecialist Initiated Drugs Drugs Used In Nasal AllergyView BNF Article on 'Betamethasone ear/eye/nose drops'View SPC on 'Betamethasone ear/eye/nose drops'View PIL on 'Betamethasone ear/eye/nose drops'

 
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