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Nasacort 1

OTC Nasacort is here! Over-the-counter nasal steroid spray for treating allergies now available.


Yes, it is true!  A nasal corticosteroid for treating allergies (hay fever) is now available without a prescription for the first time.   Nasacort (triamcinolone acetonide) became approved as a prescription nasal steroid in the U.S. back in 1957.  During my allergy training in the early 1990s, it was a very popular prescription nasal spray.  At that time, there was a “dry” aerosol called Nasacort spray and this was followed by Nasacort AQ for “aqueous” or wet spray.

 Nasacort Allergy 24 HR is approved for treatment of the nasal symptoms of seasonal and year around allergies in adults and children 2 years of age and older.  It is an aquaeous (watery) spray.

When Nasacort is sprayed in your nose, this medicine helps to lessen the symptoms of sneezing, runny nose, nasal itching and stuffy nose.  Nasal steroid sprays are more effective than antihistamines in the treatment of allergies.

  • Advantages: not habit forming, no drowsiness, and once a day.
  •  Potential risks:  In my experience nose bleeds (epistaxis) is the most common side effect with any nose spray.  This can be reduced by proper technique of administration.  There are other potential side effects because it is a cortisone-type medication.  Relative to prednisone tablets, prednisolone syrup or injections of steroids, the amount of steroid is very low (55 micrograms per spray rather than milligrams) and adverse effects are unusual.  The FDA has listed Nasacort as Category C for pregnancy as are the other nasal steroid sprays with the exception of Rhinocort which is Category B for pregnancy).

For more information about OTC Nasacort, go to:

At Family Allergy & Asthma Care of Montana, we will keep you up-to-date on all the various treatments available for treating your allergies; both prescription and OTC.  If you have questions about how or when to use Nasacort Allergy 24 HR, come on in and we will discuss Nasacort Allergy 24 HR and develop an individualized allergy treatment plan.

This information is solely for informational purposes and not intended as a substitute for consultation with a medical professional.  



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