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

VI. Drug Interactions

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

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