The risk of systemic effects from steroids is greater with nasal drops, than with nasal sprays. Nasal drops should therefore only be used where polyps are known or suspected.
Children receiving prolonged treatment with nasal corticosteroids should have their height monitored. Refer to a specialist if growth is slowed.
For Brighton and Hove patients see allergic rhinitis pathway:
For Crawley, Horsham, Mid-Sussex patients see hay fever guidelines:
FINAL Hay fever guidelines - post PCN amendments v3.pdf (res-systems.net)
NICE TA1045 - For treating moderate to severe house dust mite allergic rhinitis in people 12 to 65 years that is:
diagnosed by clinical history and a positive test of house dust mite sensitisation (skin prick test or specific immunoglobulin E [IgE]) and
persistent despite use of symptom-relieving medicine.
Specialist initiation for a minimum of 3 months
| Pack |
|---|
| 30 tablet (3 x 10 tablets) |
Beclometasone 50micrograms/dose nasal spray available OTC for over 18 year olds
| Pack |
|---|
| 200 dose |
| 180 dose |
| 100 dose |
Budesonide 64micrograms/dose nasal spray available OTC for over 18 year olds
Budesonide 64micrograms/dose nasal spray available OTC for over 18 year olds
| Pack |
|---|
| 120 dose |
For polyps and off-licence for immunolgocial mediated diseases of the oropharynx following specialist recommendation (can use spray in water as a mouthwash or direct application or nasules in water as a mouthwash)
| Pack |
|---|
| 30 unit dose |
| Pack |
|---|
| 120 dose |
| Pack |
|---|
| 150 dose |
| 60 dose |
| 120 dose |
Mometasone 50micrograms/dose nasal spray available OTC for over 18 year olds
| Pack |
|---|
| 140 dose |
| 120 dose |