flunisolide nasal spray, Nasalide (Discontinued), Aerobid, Aerobid HFA (cont.)

Pharmacy Author:
Medical and Pharmacy Editor:

PREPARATIONS: Nasal spray: 0.025 mg or 0.029 mg/spray. Oral Inhaler: 0.25 mg or 0.078 mg/puff.

STORAGE: Flnisolide should be stored at room temperature between 15-30 C (59-86 F) and should be protected from heat, and direct light.

PRESCRIBED FOR: Flunisolide nasal spray is used for relieving symptoms associated with seasonal or perennial rhinitis due to allergies. Rhinitis is an inflammation of the soft, wet tissue lining the inside of the nose. The oral inhaler is used for treating asthma.

DOSING: The canister should be shaken before each use.

  • For adults, the usual starting dose is two sprays in each nostril twice daily. The dose may be increased to 3 or 4 times per day.
  • In children ages 6-14 years, the usual starting dose is one spray in each nostril three times per day or two sprays in each nostril twice daily.
  • The adult dose for treating asthma is 2 inhalations twice daily not to exceed 8 inhalations per day.
  • The children's dose for treating asthma is 2 inhalations twice daily.

DRUG INTERACTIONS: No drug interactions have been described with nasal flunisolide

PREGNANCY: Well-controlled studies on the use of flunisolide during pregnancy have not been done. Studies in animals have shown flunisolide to have damaging effects on the fetus. During pregnancy flunisolide should be avoided unless the physician feels that the potential therapeutic benefit justifies the added risk to the fetus.

NURSING MOTHERS: It is unknown whether flunisolide accumulates in breast milk; however, it is known that other corticosteroids are excreted in breast milk. The effects on the child, if any, are unknown.

SIDE EFFECTS: The most common side effects of flunisolide are nasal irritation and itching, cough, nausea or vomiting, sore throat, nasal congestion, sneezing, flu like symptoms, nasal burning, diarrhea, unpleasant taste, bloody nasal discharge, and nasal dryness. Other adverse effects include headache, dizziness, watery eyes, and upset stomach. Heart palpitations, fungal infections, and growth suppression may also occur.

Reference: FDA Prescribing Information

Last Editorial Review: 3/12/2012

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