Rhinocort Aqua

Generic Name: Budesonide

  • What is Rhinocort Aqua?

    Rhinocort Aqua is an anti-inflammatory steroid nasal spray. It is used to relieve symptoms of seasonal allergies in adults and children >6 years of age.

  • What is the most important information I should know about Rhinocort Aqua?

    Because steroids can suppress the immune system, people taking Rhinocort Aqua may become more susceptible to infections, and their infections could be more severe. Anyone taking Rhinocort Aqua or other corticosteroids who has not had infections such as chickenpox and measles should avoid exposure to them. If you are taking Rhinocort Aqua and are exposed, tell your doctor immediately.

    If you develop an infection of your nose and throat, stop using Rhinocort Aqua and call your doctor.

    If you have been taking a steroid in tablet form, such as prednisone, and are switched to Rhinocort Aqua, you may have symptoms of withdrawal, such as joint or muscle pain, fatigue, and depression. If you have been taking another steroid for a long time for asthma, your asthma may get worse if your medication is cut back too quickly. Using Rhinocort Aqua with another steroid drug can decrease the body's normal ability to make its own steroid chemicals.

    This drug should be used with caution in children and teenagers. It can affect their rate of growth.

    Long-term use of inhaled steroids like Rhinocort Aqua may increase the risk of certain eye problems. Be sure to get regular eye examinations.

  • Who should not take Rhinocort Aqua?

    Do not use Rhinocort Aqua if you have recently had nasal ulcers, nasal surgery, or a nasal injury; this drug would slow the healing process. You will also need to avoid Rhinocort Aqua if it gives you an allergic reaction or you are allergic to any of its ingredients.

  • What should I tell my doctor before I take the first dose of Rhinocort Aqua?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Rhinocort Aqua. Also, talk to your doctor about your complete medical history, especially if you have liver problems or symptoms of an infection, tuberculosis, or if you already take prednisone or any other steroid medication.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults and children >12 years: The recommended starting dose is one spray in each nostril once a day. The maximum recommended dose is four sprays per nostril once a day.

    Children 6-12 years: The recommended starting dose is one spray in each nostril once a day. The maximum recommended dose is two sprays per nostril once a day.

  • How should I take Rhinocort Aqua?

    Before using Rhinocort Aqua, shake the container gently and prime the pump by spraying it eight times. If used daily, the pump does not need to be reprimed. If not used for two consecutive days, reprime with one spray or until a fine mist appears. If not used for >14 days, rinse the applicator and reprime with two sprays or until a fine mist appears. Discard the bottle after 120 sprays, since the amount of drug in each spray will decline substantially after that point.

    Relief may begin within 10 hours. Most improvement occurs during the first 1 or 2 days, but it may take as long as 2 weeks to achieve the maximum benefits. If symptoms do not improve after 2 weeks, or the condition grows worse, check with your doctor.

    To use Rhinocort Aqua, gently blow your nose to clear your nostrils. Shake the bottle for a few seconds. Hold the bottle firmly with your index and middle finger on either side of the spray tip, and your thumb underneath the bottle. Insert the spray tip into your nostril (the tip should not reach far into your nose). Close the other nostril with a finger and lean your head forward so the spray can aim toward the back of your nose. For each spray, press down on the pump quickly while breathing in through the nostril. Alternate nostrils and repeat the steps. Avoid blowing your nose for 15 minutes after you use Rhinocort Aqua.

  • What should I avoid while taking Rhinocort Aqua?

    Do not use more sprays than what is recommended. Avoid exposure to people who have infections such as chickenpox and measles.

  • What are possible food and drug interactions associated with Rhinocort Aqua?

    If Rhinocort Aqua is taken with certain other drugs, its effects could be increased. It is especially important to check with your doctor before combining Rhinocort Aqua with cimetidine, clarithromycin, erythromycin, itraconazole, or ketoconazole.

  • What are the possible side effects of Rhinocort Aqua?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: nosebleeds, sore throat, cough, nose irritation

  • Can I receive Rhinocort Aqua if I am pregnant or breastfeeding?

    The effects of Rhinocort Aqua during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Rhinocort Aqua?

    Take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take two doses at once.

  • How should I store Rhinocort Aqua?

    Store at room temperature in an upright position. Protect from light and do not freeze.

Meet the Pharmacists

I'm Shereen A. Gharbia, PharmD. Welcome to PDR Health!

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