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Steroid Nasal Sprays

Also called: Flunisolide, Beclomethasone, Fluticasone, Mometasone, Triamcinolone

- Summary
- About steroid nasal sprays
- Types and differences
- Conditions treated
- Conditions of concern
- Potential side effects
- Drug or other interactions
- Pregnancy use issues
- Child use issues
- Elderly use issues
- Questions for your doctor

Reviewed By:
Marc J. Sicklick, M.D., FAAAAI, FACAAI

Pregnancy use issues with steroid nasal sprays

Nasal corticosteroids are considered safer for pregnant women than corticosteroids taken orally or through injection. The latter forms of the medication may cause birth defects, slower growth or reduced adrenal gland function in fetuses. However, pregnant women should always discuss the use of steroid nasal sprays with their physicians before using the medication.

It is known that some steroids, such as dexamethasone, pass into the breast milk of breastfeeding mothers. The effect of other steroids on breast milk is unknown. For this reason, breastfeeding mothers should consult a physician before taking steroid drugs.

Child use issues with steroid nasal sprays

Steroids taken by mouth or injection have been shown to reduce adrenal gland function in children, stopping or slowing growth rates in some cases. Generally, nasal steroids contain lower doses of the drug targeted to a very specific area of the body. As a result, they are not believed to contribute to significant slowing of growth rates.

However, studies have shown that some nasal steroids may contribute to slight slowing of growth rates. At this time, it is unknown whether or not children are likely to make up for these slower growth rates later in life. Experts generally believe the benefits of steroid nasal sprays outweigh the potential risks. Parents should discuss the pros and cons of using steroid nasal sprays with their child’s physician.

Elderly use issues with steroid nasal sprays

There is little specific information about the effects of steroid nasal sprays on older adults. Most healthcare professionals believe the effects of steroid nasal sprays on older adults are similar to those experienced by younger adults.

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Review Date: 12-10-2007
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