Drug Detail:Flunisolide nasal (Flunisolide nasal [ floo-nis-oh-lide ])
Drug Class: Nasal steroids
Usual Adult Dose for Allergic Rhinitis
Initial dose: 2 sprays in each nostril 2 times a day.
If needed, this dose may be increased to 2 sprays in each nostril 3 times a day.
Maximum total daily dose: 8 sprays in each nostril
Comments:
- Do not use if an untreated localized infection of the nasal mucosa is present.
Use: Treatment of nasal symptoms of seasonal or perennial rhinitis
Usual Pediatric Dose for Allergic Rhinitis
6 to 14 years:
Initial dose: 1 spray in each nostril 3 times a day or 2 sprays in each nostril 2 times a day.
Maximum total daily dose: 4 sprays in each nostril.
14 years or older:
Initial dose: 2 sprays in each nostril 2 times a day.
If needed, this dose may be increased to 2 sprays in each nostril 3 times a day.
Maximum total daily dose: 8 sprays in each nostril
Comments:
- Do not use if an untreated localized infection of the nasal mucosa is present.
Use: Treatment of nasal symptoms of seasonal or perennial rhinitis
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Dose Adjustments
In allergic rhinitis patients, after the desired clinical effect is obtained, the maintenance dose should be reduced to the smallest amount necessary to control the symptoms. Approximately 15% of patients with perennial rhinitis may be maintained on as little as 1 spray in each nostril/day.
Precautions
CONTRAINDICATIONS:
- Hypersensitivity to any of the ingredients
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
Patient advice:
- Advise patients that effectiveness depends on regular use.
- Improvement is usually seen with a few days of starting, but may take up to 2 weeks.