Drug Uses

Nasacort is FDA approved for the treatment of the nasal symptoms of seasonal and year round allergies such as nasal congestion, itchy runny nose, and sneezing. Nasacort Nasal Spray is an unscented, thixotropic, water-based metered-dose pump spray formulation unit containing a microcrystalline suspension of triamcinolone acetonide in an aqueous medium.

How Taken

Nasacort Nasal Spray comes as a solution to inhale through the nose. It usually is inhaled one to four times a day at evenly spaced intervals. Before using triamcinolone, gently blow your nose to clear your nasal passages. Avoid blowing your nose for 15 minutes after inhaling the prescribed dose.

Warnings/Precautions

Before using this medication, tell your doctor if you have a viral, bacterial, or fungal infection of any kind. The absorption of this drug into the system can inhibit the body's ability to fight off infections. You may not be able to use Nasacort Nasal Spray if you have an infection. Nasacort Nasal Spray is in the FDA pregnancy C. This means that it is not known whether Nasacort Nasal Spray will be harmful to an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether Nasacort Nasal Spray passes into breast milk. Do not use Nasacort Nasal Spray without first talking to your doctor if you are breast-feeding a baby. Nasacort Nasal Spray is not approved for children use younger than 12 years of age.

Missed Dose

If you miss a dose of Nasacort, use it as soon as remembered; do not use if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Possible Side Effects

Nasacort may cause irritation, stinging, burning, or dryness of the nasal passages. Sneezing, nosebleed, headache, lightheadedness, loss of taste, throat irritation or nausea may also occur. If these effects continue or become bothersome, inform your doctor. Unlikely but report promptly: persistent nose or throat irritation/soreness, white patchy areas. Very unlikely but report promptly: broken or damaged nasal membranes, unusual weakness, weight loss, nausea/vomiting, fainting, dizziness, vision changes. If you notice other effects not listed above, contact your doctor or pharmacist.

Storage

Store at Controlled Room Temperature, 20 to 25°C (68 to 77°F) away from sunlight and moisture. Avoid freezing. Keep out of reach of children.

Overdose

An overdose of this medication is not likely to occur. If you do think that an overdose has occurred, call an emergency room or poison control left for advice.

More Information

Avoid items or activities that are known allergens to you. Clean areas where dust or pet fur may aggravate your condition. Avoid exposing yourself to known sources of infection. Stay away from people with chicken pox, measles, or any other type of infection. Your immune system may not be strong enough to fight off an infection while using Nasacort.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Sinusitis refers to inflammation of the sinuses. This is generally caused by a viral, bacterial, or fungal infection.
The sinuses are air-filled spaces in the skull (behind the forehead, cheeks, and eyes) that are lined with mucous membranes. Healthy sinuses are sterile (meaning that they contain no bacteria or other organisms) and open, allowing mucus to drain and air to circulate.
When inflamed, the sinuses become blocked with mucus and can become infected. Each year, over 30 million adults and children get sinusitis.
Sinusitis can be acute (lasting anywhere from 2 - 8 weeks) or chronic, with symptoms lingering much longer.
See also chronic sinusitis.
Alternative Names
Acute sinusitis; Sinus infection; Sinusitis - acute
Causes, incidence, and risk factors
Sinusitis can occur from one of these conditions:
* The small openings (ostia) from the sinuses to the nose become blocked
* Small hairs (cilia) in the sinuses, which help move mucus out, are not working properly
* Too much mucus is produced
When the sinus openings become blocked and mucus accumulates, this becomes a great breeding ground for bacteria and other organisms.
Sinusitis usually follows respiratory infections, such as colds, or an allergic reaction. Some people never get sinusitis, and others develop sinusitis frequently.
People more likely to get frequent sinusitis include those with cystic fibrosis and those with immune systems weakened by HIV or chemotherapy.
Other risks for developing sinusitis include:
* Having asthma
* Overusing nasal decongestants (rather than continuing to relieve congestion, the problem gets worse when these are used too often or for too long)
* Having a deviated nasal septum, nasal bone spur, or polyp
* Having a foreign body in your nose
* Frequent swimming or diving
* Dental work
* Pregnancy
* Changes in altitude (flying or scuba diving)
* Air pollution and smoke
* Gastroesophageal reflux disease (GERD)
* Hospitalization, especially if you are in the hospital because of a head injury or have had a tube placed into your nose (nasogastric tube)
Cystic fibrosis is one of a number of diseases that prevent the cilia from working properly. Other such diseases that put you at increased risk for sinusitis include Kartagener's syndrome and immotile cilia syndrome.
Symptoms
The classic symptoms of acute sinusitis usually follow a cold that does not improve, or one that worsens after 5 - 7 days of symptoms. They include:
* Nasal congestion and discharge
* Sore throat and postnasal drip (fluid dripping down the back of your throat, especially at night or when you lie down)
* Headache -- pressure-like pain, pain behind the eyes, toothache, or facial tenderness
* Cough, often worse at night
* Fever (may be present)
* Bad breath or loss of smell
* Fatigue and generally not feeling well
Symptoms of chronic sinusitis are the same as acute sinusitis, but tend to be milder and last longer than 8 weeks.
Signs and tests
Your doctor will test for sinusitis by:
* Tapping over a sinus area. Tenderness may indicate infection.
* Shining a light against the sinus (called transillumination). If dark, this indicates possible inflammation.
Other tests that might be considered include:
* Viewing the sinuses through a fiberoptic scope
* X-ray of the sinuses
* Cultures of the material from the nose
However, these tests are relatively insensitive for detecting sinusitis, and are often considered unnecessary.
A CT scan of the sinuses is a much better test to help diagnose sinusitis. If sinusitis is thought to involve tumor or fungal infections, an MRI of the sinuses may be necessary.
If you have chronic or recurrent sinusitis, further laboratory evaluation may be necessary to look for an underlying disorder. This may involve sweat chloride tests for cystic fibrosis, ciliary function tests, blood tests for HIV or other tests for immunodeficiency, allergy testing, or nasal cytology (checking the cells in the nasal secretions).
Treatment
Try the following measures to help reduce congestion in your sinuses:
* Use a humidifier.
* Spray with nasal saline several times per day.
* Inhale steam 2 - 4 times per day (for example, sitting in the bathroom with the shower running).
* Drink plenty of fluids to thin the mucus.
* Apply a warm, moist wash cloth to your face several times a day.
Be careful with over-the-counter spray nasal decongestants. They may help initially, but using them beyond 3 - 5 days can actually worsen nasal congestion.
Also, for sinus pain or pressure:
* Avoid temperature extremes, sudden changes in temperature, and bending forward with your head down.
* Try acetaminophen or ibuprofen.
* Avoid flying when you are congested.
If self-care measures are not working, your doctor will consider prescription medications, antibiotics, further testing, or referral to an ear, nose, and throat (ENT) specialist.
Nasal corticosteroid sprays may be used to decrease swelling, especially if you have swollen structures (such as nasal polyps) or allergies. These include fluticasone (Flonase), mometasone (Nasonex), and triamcinolone (Nasacort AQ).
Antibiotics are used to cure the particular infection causing sinus inflammation. Common antibiotics include ampicillin, amoxicillin, trimethoprim with sulfamethoxazole (Bactrim), Augmentin, cefuroxime, and cefprozil.
Other antibiotics may be used depending on the type of organism present. Acute sinusitis should be treated for 10 - 14 days, while chronic sinusitis should be treated for 3 - 4 weeks.
Surgery to clean and drain the sinuses may also be necessary, especially in patients with recurrent episodes of inflammation despite medical treatment. An ENT specialist, also known as an otolaryngologist, can perform this surgery.
Most fungal sinus infections require surgery. Finally, surgical repair of a deviated septum or nasal polyps may prevent recurrence.

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