|Allergy and Asthma
Southwestern United States
||Information for patients with allergy and related
in the Southwest
Seasonal Advice, Treatment and Prevention
Nasal Inhalers for Rhinitis
Mild symptoms of allergic rhinitis respond well to oral medications including antihistamines and decongestants. When these medications do not give adequate relief, nasal inhalers may be used. Two types are available: aqueous sprays that spray a liquid from a bottle through a nozzle fixed to the top of the unit, and metered dose nasal inhalers that deliver the drug from a pressurized canister through a nozzle on the side near the bottom of the unit.
Before using a nasal inhaler, it is important to blow the nose, block one nasal passage with a finger on the side of the nostril, insert the nozzle of the inhaler into the other nostril and aim the inhaler so that the spray is directed 45 degrees upward and slightly outwards and away from the mid line. This is best done by holding the spray bottle with your left hand to spray the right side of the nose, while blocking your left nostril with your right index finger. Switch hands to spray the other side of the nose. Your doctor will tell you to use a different method if your nasal septum is deviated to one side.
For aqueous nasal inhalers, insert the nozzle as far as possible into the nose before spraying. Wait 30 seconds, then lean forward with your head between your knees for one minute, while pinching your nose. If nose bleeding starts to occur after starting nasal spray treatment, clean the inside of the nostrils with a cotton swab to remove excess drug after each use of the spray, and then apply a small amount of Vaseline to the inside of the nostrils with a clean swab.
Over-the-Counter, Non-Prescription Inhaled Medications for Rhinitis
Azelastine (Astelin, Astepro) and olopatadine (Patanase)
are antihistamines, not steroids.
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