Seasonal and perennial allergic rhinitis: The usual recommended dose for adults and children 12 years of age and older is 2 sprays into each nostril once daily at approximately the same time each day.
Once your symptoms are under control, your doctor may recommend that you reduce your dose to 1 spray into each nostril once a day to maintain your symptom control. If the usual recommended dose does not control allergy symptoms, your doctor may recommend a dose of 4 sprays into each nostril once daily.
The usual recommended dose for children 3 to 11 years to treat seasonal or perennial allergic rhinitis is 1 spray into each nostril once daily.
Acute sinusitis: The usual recommended dose for children 12 years of age and older and adults is 2 sprays into each nostril twice daily. If this does not control the symptoms, your doctor may recommend a dose of 4 sprays into each nostril twice daily. If your symptoms do not improve, contact your doctor.
Nasal polyps: The usual recommended dose for adults 18 years and older is 2 sprays into each nostril twice daily. Once your symptoms are under control, your doctor may recommend that you reduce your dose to 2 sprays into each nostril once daily for the rest of your treatment.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without talking to your doctor.
For this medication to be effective it is very important that you use it daily on a regular basis and exactly as prescribed by your doctor.
If you miss a dose of this medication within one hour or so, use it as soon as you remember. If you do not remember until later, skip the missed dose and continue with your regular dosing schedule. Do not administer a double dose to make up for a missed dose. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Shake the bottle well before each use and read the instructions carefully.
- Remove the plastic dust cap.
- The very first time you use the spray, prime the pump by pressing downward on the shoulders of the applicator, using your forefinger and middle finger while supporting the base of the bottle with your thumb. Press down and release the pump 10 times or until a fine spray appears. The pump is now ready to use. The pump may be stored unused for up to 2 weeks without repriming. If unused for more than 2 weeks, prime the pump again until a fine spray appears.
- Gently blow your nose to clear your nostrils.
- Close one nostril using your finger. Tilt your head forward slightly and, keeping the bottle upright, carefully insert the nasal applicator into the open nostril.
- For each spray, press firmly downward once on the shoulders of the applicator with your forefinger and middle finger while supporting the base of the bottle with your thumb. Spray while breathing gently inward through the nostril with your mouth closed.
- Breathe out through your mouth.
- Repeat in the other nostril.
- Replace the plastic dust cap after each use.
To clean, remove the plastic dust cap and pull gently up on the white applicator so it comes free. Wash the white applicator and dust cap in cold water, dry, and then replace the applicator and dust cap.
If you are not sure how to use the medication, talk to your doctor or pharmacist.
Store this medication at room temperature, protect it from light, and keep it out of the reach of children. Do not freeze it.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.