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nasal agent

Adverse effects: - nasal steroids often associated with nosebleeds a) avoid spraying the nasal septum (site of most bleeds) b) spray right nostril with left hand spray left nostril with right hand Notes: - volume of intranasal medication administered by an atomizer is 14 times greater when used in the supine versus upright position [2] - to avoid accidental overdose when squeeze-bottle atomizers are used for delivery of intranasal medications, patient should be in upright or at an angle of >= 45 degrees & bottles should not be > 1/2 full [2]

Related

Ear nose throat combination

Specific

azelastine/fluticasone nasal (Dymista) esketamine (Spravato) Fluticasone Nasal; EDS-FLU (Xhance) intranasal zinc nasal glucocorticoid (nasal steroid) propylhexedrine nasal (Benzedrex) saline nasal spray (SeaMist, Pretz, Ocean) Triamcinolone Nasal (Nasocort)

General

agent classified by route

References

  1. Prescriber's Letter 11(1):2 2004 Detail-Document#: 200103 (subscription needed) http://www.prescribersletter.com
  2. Prescriber's Letter 15(6): 2008 Nasal Sprays for Allergic Rhinitis Detail-Document#: 240609 Nasal Sprays for Allergic Rhinitis (subscription needed) http://www.prescribersletter.com
  3. Goldhammer JE et al. Intranasal medication administration using a squeeze bottle atomizer results in overdosing if deployed in supine patients. Anesth Analg 2016 Nov 8 PMID: 27828797