What is beclomethasone dipropionate nasal inhaler-spray, and how does it work (mechanism of action)?

Beclomethasone is a synthetic steroid of the glucocorticoid family. (The naturally-occurring glucocorticoid that is produced by the adrenal gland is cortisol or hydrocortisone.) Glucocorticoid steroids have potent anti-inflammatory actions. When used as a nasal inhaler or spray, the medication goes directly to the lining of the nose, and very little is absorbed into the body.

What brand names are available for beclomethasone dipropionate nasal inhaler-spray?

Vancenase, Beconase, Beconase AQ, Vancenase AQ

Is beclomethasone dipropionate nasal inhaler-spray available as a generic drug?


Do I need a prescription for beclomethasone dipropionate nasal inhaler-spray?


What are the side effects of beclomethasone dipropionate nasal inhaler-spray?

The most commonly noted side effects associated with nasal beclomethasone are nasal irritation (occurring in about 1 in 10 persons), sneezing (1 in 10), and, occasionally, a bloody discharge from the nose (about 1 in 50 persons).

What is the dosage for beclomethasone dipropionate nasal inhaler-spray?

The usual dose for the inhalers (Beconase, Vancenase) is one inhalation in each nostril two to four times each day. Some patients may do well with lower doses, and some require higher doses. The usual dose for the nasal sprays (Beconase AQ, Vancenase AQ, Vancenase AQ DS) is one or two sprays in each nostril two to four times each day.

Which drugs or supplements interact with beclomethasone dipropionate nasal inhaler-spray?

No drug interactions have been described with nasal beclomethasone.


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Is beclomethasone dipropionate nasal inhaler-spray safe to take if I'm pregnant or breastfeeding?

There does not appear to be any increased risk of malformations in children born to mothers exposed to beclomethasone during pregnancy. Additionally, no dependency on the drug develops, and there are no withdrawal symptoms when the medication is stopped.

It is not known if beclomethasone is secreted in breast milk. Other medications in this class are secreted into breast milk. It is not known whether the small amounts that may appear in the milk are of any consequence to the infant.

What else should I know about beclomethasone dipropionate nasal inhaler-spray?

What preparations of beclomethasone dipropionate nasal inhaler-spray are available?

Aerosol or spray units contain 42 mcg/inhalation or spray except for Vancenase AQ DS which contains 84 mcg/inhalation

How should I keep beclomethasone dipropionate nasal inhaler-spray stored?

Beclomethasone should be kept at room temperature, 15-30°C (59-86°F). It should be shaken well before each use.


Beclomethasone dipropionate nasal inhaler; Beconase AQ, QNASL, (Vancenase, Vancenase AQ, and Beconase are discontinued brands) is a prescription drug used to treat hay fever (allergic rhinitis). Side effects, drug interactions, dosage, storage, and pregnancy safety information should be reviewed prior to using this medication.

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Medically Reviewed by John Cunha, DO

Reference: FDA Prescribing Information