Intranasal Budesonide

Aka: Intranasal Budesonide, Budesonide Nasal Inhaler, Rhinocort

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II. Indications

  1. High potency Intranasal Steroid for Allergic Rhinitis (age >=6 years)

III. Dosing

  1. As of 2016, over-ther-counter without a prescription
  2. Dose (age 6 to older): 1-2 sprays each nostril daily
  3. Adults may bolus start with 4 sprays/nostril daily for 1 week then use standard dose (1-2 sprays)

IV. Safety

  1. Pregnancy Category B
  2. Unknown safety in Lactation

V. Adverse Effects

  1. See Intranasal Corticosteroid

VI. Drug Interactions

  1. CYP3A4 Inhibitors (Ritonavir, Cobicistat, Ketoconazole, Erythromycin)
    1. Raise levels of CYP3A4 metabolized steroid Inhalers (risk of adrenal suppression)

VII. Resources

  1. Budesonide (DailyMed)
    1. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9d519bf3-8d9b-5208-13c5-308edc24aca7

VIII. References

  1. Wallace (2008) J Allergy Clin Immunol 122(2 suppl):S21 [PubMed]

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