Agent |
Class |
Dosagea |
OTC/Rx |
Beclomethasone (Qnasl) |
Intranasal corticosteroid |
≥12 y: 2 sprays qday |
Rx |
Budesonide (Rhinocort Allergy Spray) |
Intranasal corticosteroid |
≥6 y: 2 sprays bid or 4 sprays qam |
OTC |
Ciclesonide (Omnaris) |
Intranasal corticosteroid |
≥6 y: 2 sprays qday |
Rx |
Ciclesonide (Zetonna) |
Intranasal corticosteroid |
≥12 y: 1 spray qday |
Rx |
Flunisolide (Nasalide, Nasarel) |
Intranasal corticosteroid |
6–14 y: 1 spray tid or 2 sprays bid. >14 y: 2 sprays bid or tid |
Rx |
Fluticasone furoate (Veramyst) |
Intranasal corticosteroid |
2–11 y: 1–2 sprays qday. >11 y: 2 sprays qday |
Rx |
Fluticasone propionate (Flonase) |
Intranasal corticosteroid |
≥4 y: 1 spray qday. Adult: 2 sprays qday |
OTC |
Mometasone furoate (Nasonex) |
Intranasal corticosteroid |
2–11 y: 1 spray qday. ≥12 y: 2 sprays qday. ≥18 y with polyps: 2 sprays bid |
Rx |
Triamcinolone acetonide (Nasacort Allergy 24HR) |
Intranasal corticosteroid |
2–5 y: 1 spray qday. 6–11 y: 2 sprays qday. ≥12 y: 2 sprays qday or bid |
OTC |
Azelastine (Astelin, Astepro) |
Intranasal antihistamine |
6–11 y: 1 spray bid. ≥12 y: 1–2 sprays bid |
Rx |
Azelastine and fluticasone (Dymista) |
Intranasal antihistamine and corticosteroid |
≥12 y: 1 spray bid |
Rx |
Olopatadine (Patanase) |
Intranasal antihistamine |
6–11 y: 1 spray bid. ≥12 y: 2 sprays bid |
Rx |
Oxymetazoline (Afrin, Neo-Synephrine 12-Hour, Vicks Sinex 12 Hour, etc.) |
Intranasal decongestant |
≥6 y: 2–3 drops bid |
OTC |
Phenylephrine (Neo-Synephrine, Vicks Sinex, etc.) |
Intranasal decongestant |
1–6 y: 2–3 drops/sprays of 0.125% nasal solution q4h. 6–12 y: 2–3 drops/sprays of 0.25% nasal solution q4h. ≥12 y: 2–3 drops/sprays of 0.25%-0.5% nasal solution q4h |
OTC |
Cromolyn sodium (Nasalcrom) |
Intranasal mast cell stabilizer |
≥2 y: 1 spray 4–6 times daily |
OTC |
Ipratropium (Atrovent Nasal Spray) |
Intranasal anticholinergic |
≥6 y: 2 sprays (0.03%) bid or tid. 5–11 y: 2 sprays (0.06%) tid. ≥12 y: 2 sprays (0.06%) tid or qid |
Rx |
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