Steroid Nasal Sprays

Mometasone Nasal Spray

Mometasone fact card

Mometasone is a steroid nasal spray used in the treatment of certain nasal conditions.

Brand names
Nasonex
Used for
Used to treat allergic rhinitis, nasal polyps, and for the relief of large childhood adenoids.
Dosage
Allergic Rhinitis 6-11 years : 50 micrograms daily, dose to be sprayed into each nostril 12–17 years: 100 micrograms daily, increased if necessary up to 200 micrograms daily Adult: 100 micrograms daily, increased if necessary up to 200 micrograms daily Nasal Polyps Initially 100 micrograms daily for 5–6 weeks, then increased if necessary to 100 micrograms twice daily
Side effects
Some people may experience dryness and irritation of the nose and throat, mild nosebleeds, and unusual tastes and/or smells Systemic absorption may follow nasal administration particularly if high doses are used or if treatment is prolonged. Therefore also consider the side-effects of systemic corticosteroids.
Warnings
Avoid after nasal surgery (until healing has occurred) Avoid in pulmonary tuberculosis Avoid in the presence of untreated nasal infections
Pregnancy
Intranasal and inhaled steroids are not known to be harmful in pregnancy

Mometasone (Branded: 'Nasonex'), is a steroid nasal spray used in both children and adults in the treatment of allergies, rhinitis, asthma and for the symptomatic relief of childhood adenoids

What is Mometasone used to treat?

Used to treat allergies, rhinitis, asthma, nasal polyps and for the symptomatic relief of childhood adenoids

How does Mometasone work?

Mometasone is a steroid and therefore has anti-inflammatory, anti-pruritic (anti-itch) and vasoconstrictive effect's

How do I take Mometasone?

Allergic rhinitis:

Child, 6 - 11 years - 50mcg daily, dose to be sprayed into each nostril

Child, 12-17 years - 100mcg daily, increased to 200mcg daily if needed, sprayed into each nostril; reduced to 50mcg daily once relief obtained

Adult - 100mcg daily, increased to 200mcg daily if needed, sprayed into each nostril; reduced to 50mcg daily once relief obtained

Nasal Polyps:

Adult - Initially 100mcg daily for 5-6w, dose to be sprayed up each nostril; increase if needed to 100mcg twice daily in each nostril; consider alternative treatment if no improvement after a further 5-6w - reduce to the lowest effective dose when control achieved

Side effects of Mometasone

Glaucoma, nasal septal perforation (usually following nose surgery), aggression, hyperactivity, sleep disturbances, anxiety and bronchospasm (particularly in children), dryness, nosebleeds, hypersensitivity reactions, smell and taste disturbances and throat irritation

Things to avoid

Avoid after nasal surgery and lung TB or nasal infections.

Mometasone and alcohol

Not contraindicated

Can I take Mometasone when pregnant?

Can be used in pregnancy if the the benefit outweighs the risk

Mometasone and breastfeeding

No information available