Oral decongestants, such as Sudafed pseudoephedrine , can be taken throughout the day. However, side effects include increased heart rate, nervousness, and insomnia, so they are best taken in the morning. These drugs should not be used if you have uncontrolled hypertension, heart disease, closed-angle glaucoma, or hyperthyroidism, or are on certain medications.
Clinical practice guideline: allergic rhinitis. Otolaryngol Head Neck Surg. Carr WW. Pediatric allergic rhinitis: current and future state of the art. Allergy Asthma Proc. Current and future directions in pediatric allergic rhinitis. J Allergy Clin Immunol Pract. Allergic rhinitis substantially impacts patient quality of life: findings from the Nasal Allergy Survey Assessing Limitations.
J Fam Pract. Bhattacharyya N. Incremental healthcare utilization and expenditures for allergic rhinitis in the United States. The economic impact of allergic rhinitis and current guidelines for treatment. Ann Allergy Asthma Immunol. Agency for Healthcare Research and Quality. Treatments for seasonal allergic rhinitis. March Accessed May 19, Skoner DP. Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis.
J Allergy Clin Immunol. The diagnosis and management of rhinitis: an updated practice parameter. Small P, Kim H. Allergic rhinitis. Allergy Asthma Clin Immunol. BSACI guidelines for the management of allergic and non-allergic rhinitis. Clin Exp Allergy. Nasacort Allergy 24HR. Drug facts label. Accessed June 17, Flonase Allergy Relief. Speak to a pharmacist or doctor if you're worried. Using a steroid nasal spray too much over a long period can increase your risk of getting side effects.
If you've bought a steroid nasal spray from a pharmacy or shop, stop using it when you think you no longer need it. Do not use it continuously for more than a month without speaking to a doctor.
If you're taking a prescription spray, do not stop using it unless the doctor advises you to do so. You may need to reduce your dose gradually. This can help avoid unpleasant side effects withdrawal symptoms , such as severe tiredness, joint pain , being sick and dizziness. Steroid nasal sprays do not usually cause any significant side effects if used correctly and at normal doses.
If you're taking a high dose for a long time, there's also a small chance you could get some of the side effects of steroid tablets , such as increased appetite, mood changes and difficulty sleeping. You can report any suspected side effect to the Yellow Card Scheme. Some medicines can interfere with the way steroid nasal sprays work, although this is uncommon.
Check the leaflet that comes with your spray to see if it could be affected by other medicines. Ask a pharmacist or doctor if you're unsure. You can usually drink alcohol while using a steroid nasal spray and you do not normally need to avoid any particular foods.
Steroid nasal sprays are normally safe to use while breastfeeding and during pregnancy, but it's a good idea to get medical advice first. Growth restriction is a well-known risk of using steroids, although topical steroids like nose sprays are less much risky than oral corticosteroids. Even so, every person is different and some are more sensitive than others. For that reason, height and weight should always be monitored.
Side effects involving the eyes, which include glaucoma and cataracts, are potential yet uncommon risk factors of topical steroids. Those at risk for these conditions should talk with their physician.
This could increase the amount of money you pay each year for health costs. Unlike taking a pill, the way you use the nasal spray is important.
As mentioned above, it is important to avoid spraying the medicine into the middle of the nose, the septum bone that separates the nostrils. Sometimes it helps to use a mirror, or have another person or doctor make sure this is being done correctly. If you do not use the medicine correctly, it may not work, or worse, could cause serious side effects.
As with all medications, the benefits and risks should be weighed before deciding on a treatment plan. When used properly, nasal steroid sprays can be very effective at treating allergies. It is just important to recognize that steroid nose sprays can create risks if not monitored or used correctly.
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