Nasal inflammation, nasal polyps and rhinitis

Drug Safety Update

 May 2024: Topical steroids: introduction of new labelling and a reminder of the possibility of severe side effects, including Topical Steroid Withdrawal Reactions

  August 2017: Corticosteroids: rare risk of central serous chorioretinopathy with local as well as systemic administration.

 December 2014: Inhaled and intranasal corticosteroids.

December 2014: Corticosteroids: early psychiatric side-effects

Important safety information

The CSM recommends that when children are receiving prolonged treatment with nasal corticosteroids the height of the child should be monitored. If growth is slowed than paediatric referral should be considered. They are not licensed for use in young children.

For the general actions, warnings and prescribing notes for steroids, see Corticosteroid responsive conditions

Some brands are available over the counter eg Pirinase Hayfever

Pack
150 dose
Pack
120 dose
Pack
30 unit dose (6 x 5 unit doses)

Some brands are available over the counter

Pack
140 dose

Licensed in patients over 12 years of age for the treatment of moderate to severe seasonal and perennial allergic rhinitis, if monotherapy with antihistamine or corticosteroid is inadequate

Pack
120 dose
  • On Formulary Preferred
  • On Formulary Second Line
  • On Formulary Third Line
  • Specialist Initiation
  • Secondary Care Only
  • Not Approved for Formulary