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Rhinalar

Rhinalar

(flunisolide-nasal)

Flunisolide nasal spray is used to treat seasonal or perennial (year-round) Allergic Rhinitis when other therapies are ineffective or are not tolerated. It belongs to a family of medications called corticosteroids, which work by reducing swelling and inflammation.

Available form

Dosage

Nasal Spray

0.025%

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Rhinalar information

Dosage

Side Effects

Available Form

Contraindications

Precautions

Warnings

Adults: The usual recommended starting dose for adults is 2 sprays into each nostril twice daily, morning and evening. This may be increased to 2 sprays into each nostril 3 times daily. The maximum daily dose should not exceed 6 sprays into each nostril. When using more than one spray in each nostril, ensure that each spray is aimed in a different direction within the nostril so the mist covers more area in the nasal passages.

Children: For children aged 6 to 14 years, the usual recommended starting dose is one spray into each nostril 3 times daily. The maximum daily dose should not exceed 3 sprays into each nostril.

If possible, start Rhinalar (Flunisolide-nasal) before allergic rhinitis symptoms appear. As soon as the symptoms of Allergies are brought under control, the lowest possible dose should be used to prevent symptoms from coming back. Some people may need as little as one spray in each nostril daily to keep symptoms under control.

Before using Rhinalar (Flunisolide-nasal), gently blow your nose to clear your nostrils. Then:

Tilt your head forward slightly, close one nostril with a finger, and gently insert the tip of the bottle into the other nostril.
Point the atomizer toward back of nostril and pump firmly and sharply to produce a fine mist.
Remove the atomizer and tilt your head backwards, allowing the medication to spread over the back of your nose.
Repeat in the other nostril.
Replace the protective cap when you are finished.

If you are using more than one spray in each nostril, for subsequent sprays the atomizer should be pointed in different directions in order for the mist to cover a wider area of the nasal passages.

To ensure you are using Rhinalar (Flunisolide-nasal) properly, follow the administration instructions provided by your doctor, pharmacist, or other health professional.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is very important to use Rhinalar (Flunisolide-nasal) exactly as prescribed by your doctor. For maximum effectiveness, Rhinalar (Flunisolide-nasal) should be used on a regular basis. If you miss a dose, use it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not use a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Rhinalar (Flunisolide-nasal) at room temperature and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Rhinalar (Flunisolide-nasal).

Infection: Corticosteroids such as flunisolide can mask the signs of infection. You can also develop other infections such as a fungal throat infection. Talk to your doctor as soon as possible if you develop any new symptoms.

Long-term treatment: If you have been using Rhinalar (Flunisolide-nasal) for long periods of time, your doctor should reassess your condition periodically to determine if continued treatment is necessary.

Medical conditions: If you have Asthma, Thyroid problems, liver disease, or a history of frequent nosebleeds, discuss with your doctor how Rhinalar (Flunisolide-nasal) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Rhinalar (Flunisolide-nasal), and whether any special monitoring is needed.

Other corticosteroid medications: If you have been taking oral corticosteroids and are starting flunisolide, your doctor should carefully monitor your condition. Changing from the oral form to the nasal spray can cause symptoms such as tiredness, aches, pains, and Depression. Tell your doctor if you have used or are using other corticosteroids. Your doctor will monitor you while you are taking Rhinalar (Flunisolide-nasal).

Stopping treatment: Treatment with flunisolide should be tapered off gradually as directed by your doctor, not stopped abruptly. Talk with your doctor before stopping Rhinalar (Flunisolide-nasal).

Wound healing: Flunisolide may increase the time it takes for wounds to heal. If you have recently had nasal surgery or trauma, discuss with your doctor how Rhinalar (Flunisolide-nasal) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Rhinalar (Flunisolide-nasal), and whether any special monitoring is needed.

Pregnancy: Rhinalar (Flunisolide-nasal) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using Rhinalar (Flunisolide-nasal), contact your doctor immediately.

Breast-feeding: It is not known if flunisolide nasal spray passes into breast milk. If you are a breast-feeding mother and are using Rhinalar (Flunisolide-nasal), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Rhinalar (Flunisolide-nasal) have not been established for children under 6 years of age.

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