Usual Adult Dose for Allergic Rhinitis

64 mcg (32 mcg spray per nostril) once a day
Maximum dose: 256 mcg per day administered as 4 sprays per nostril once a day

Comments:

• Titrating an individual patient to the minimum effective dosage is recommended to reduce the possibility of side effects.
• When the maximum benefit has been reached and symptoms have been controlled, reducing the dosage may be effective in maintaining control of the allergic rhinitis symptoms in patients who were controlled on higher dosages.

Usual Pediatric Dose for Allergic Rhinitis

6 years or older:
64 mcg (32 mcg spray per nostril) once a day
Maximum dose: 6 to less than 12 years is 128 mcg per day administered as 2 sprays per nostril once a day; 12 years and older is 256 mcg per day administered as 4 sprays per nostril once a day

Comments:

• Titrating an individual patient to the minimum effective dosage is recommended to reduce the possibility of side effects.
• When the maximum benefit has been reached and symptoms have been controlled, reducing the dosage may be effective in maintaining control of the allergic rhinitis symptoms in patients who were controlled on higher dosages.

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Hepatic impairment: Use with caution

Precautions

Safety and efficacy have not been established in patients younger than 6 years.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:

• For intranasal use only
• Prior to initial use, the container should be shaken gently and the pump should be primed by actuating 8 times.
• If used daily, the pump does not need to be reprimed. If not used for 2 consecutive days, reprime with 1 spray or until a fine spray appears. If not used for more than 14 days, rinse the applicator and reprime with 2 sprays or until a fine spray appears.
• Shake the container gently before each use.

• Do not freeze.
• Protect from light