Nasal steroids reduce multiple aspects of the inflammatory response and are the preferred treatment for mild allergic rhinitis. They have also been shown to decrease the response to allergens if used before an allergenic exposure. Clinically, it has been shown that nasal corticosteroids are more effective than antihistamines for nasal congestion
and sneezing. Yet there is no significant difference between nasal corticosteroids and antihistamines in relieving eye itching and tearing symptoms.
The sprays take effect in about 1 week and reach maximum effectiveness in about 1 month.
The most common side effect of the sprays is nasal bleeding. Septal crusting and perforation (a small hole in the septum) can occur, although this is rare. I find that if you aim the spray away from the septum, this crusting is less likely to occur.
Nasai Corticosteroid Sprays
Beclomethasone (Beconase AQ) Flunisolide (Nasarel, Nasalide) Budesonide (Rhinocort Aqua) Fluticasone (Flonase) Dexamethasone (Decadron Mometasone (Nasonex)
Turbinaire) Triamcinolone (NasacortAQ)
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Systemic steroids are usually reserved for severe symptoms that do not | respond to other medications or for patients who cannot tolerate other ' drugs. In these cases, your physic