What is Nasonex?
Nasonex, which contains the active ingredient mometasone furoate, is a corticosteroid nasal spray used to relieve symptoms associated with seasonal and perennial allergic rhinitis, such as nasal congestion, sneezing, and a runny or itchy nose. It is also used in adults to treat nasal polyps. The medication works by reducing inflammation in the nasal passages, addressing the root cause of these symptoms rather than just masking them. Because it works at the source of inflammation, it takes a little time to achieve its full effect, and consistent, daily use is essential for best results.
Step-by-Step Instructions on How to Use Nasonex Correctly
Following the correct procedure ensures you receive the full, accurate dose of medication. Failing to do so can result in the medication ending up in your throat or not being adequately absorbed into your nasal passages.
Preparing the Device
- Priming a new bottle: Before the very first use, or if the bottle has not been used for more than one week, you must prime the pump. Shake the bottle well for about 10 seconds, then press down on the spray pump until a fine mist appears. This ensures each subsequent spray delivers the correct amount of medication. If unused for more than a week, re-prime before use.
- Shaking the bottle: Always shake the bottle gently but thoroughly before each use to ensure the medication is properly mixed.
Administering the Spray
- Clear your nasal passages: Before use, gently blow your nose to clear any mucus.
- Position your head: Stand or sit upright, tilting your head slightly forward. Holding your head upright prevents the spray from running down your throat.
- Insert the nozzle: Place the tip of the bottle into one nostril. Use your finger to press against your other nostril to close it off.
- Aim correctly: Critically, do not point the nozzle directly at the center of your nose (the septum). Instead, aim it towards the outer wall of your nostril, directing it slightly toward the inner corner of your eye. This helps prevent nasal irritation and nosebleeds.
- Spray and inhale: While inhaling gently through your nose, press down on the spray pump firmly and quickly to release the spray.
- Exhale: Breathe out gently through your mouth after spraying. Avoid blowing your nose for at least several minutes to allow the medication to absorb.
- Repeat for the other nostril: Repeat the process for the other nostril, following the same steps.
After Use Care
- Wipe the nozzle: Wipe the tip of the bottle with a clean tissue after each use to prevent clogging and the spread of germs.
- Replace the cap: Put the cap back on the bottle to protect the nozzle from dust and damage.
Common Errors to Avoid
To maximize effectiveness and minimize side effects, be aware of these common mistakes:
- Skipping doses: Consistent, daily use is required for Nasonex to build up its anti-inflammatory effect. Skipping doses delays relief.
- Holding your head back: Tilting your head too far back causes the spray to drip into your throat, reducing its efficacy and potentially causing irritation.
- Sniffing too hard: Forceful sniffing after spraying will pull the medication down your throat instead of keeping it in your nasal passages.
- Improper aiming: Pointing the nozzle towards the septum can cause irritation or nosebleeds.
Nasonex vs. Other Nasal Sprays
Choosing the right nasal spray for your needs can depend on several factors, including active ingredient, speed of action, and usage frequency. Below is a comparison of Nasonex with a common alternative.
| Feature | Nasonex (Mometasone Furoate) | Flonase (Fluticasone Propionate) |
|---|---|---|
| Active Ingredient | Mometasone Furoate (Corticosteroid) | Fluticasone Propionate (Corticosteroid) |
| Onset of Action | May take several days for full effect, some relief in 12 hours | May provide quicker relief |
| Usage Frequency | Typically once daily | Can be once or twice a day |
| Primary Use | Allergic rhinitis and nasal polyps in adults | Allergic and non-allergic nasal symptoms |
| Age Restriction | OTC: 2 years and older | OTC: 4 years and older |
Important Safety Information
While Nasonex is safe for most users, it is important to be aware of potential side effects and precautions.
- Common side effects: These are typically mild and may include headache, nosebleeds (epistaxis), nasal irritation or dryness, sore throat, and sneezing.
- Serious side effects (rare): Report any serious side effects to your doctor immediately. These include severe or persistent nosebleeds, a constant whistling sound from your nose (which could indicate a nasal septum perforation), white patches in the nose or mouth, or vision changes.
- Corticosteroid precautions: In rare cases, nasal corticosteroids can lead to eye problems like glaucoma or cataracts with long-term use. Routine monitoring is recommended for those with a history of these conditions. Prolonged use at higher doses may also cause a temporary slowing of growth in some children.
- Contraindications: Do not use Nasonex if you have had a recent nasal surgery, injury, or sores in your nose that have not fully healed, as it can impair wound healing.
Conclusion
Mastering how to use Nasonex correctly is an investment in your health, ensuring you get the most effective and safest treatment for your nasal allergy or polyp symptoms. Consistency is paramount, as the medication builds up its anti-inflammatory effect over time, leading to lasting relief. By following the priming, shaking, and precise application steps outlined, and being mindful of proper technique, you can maximize the therapeutic benefits while minimizing potential side effects. Always read the patient information leaflet and consult your healthcare provider if you have any questions or concerns, especially regarding dosage, duration of use, or if symptoms persist. Further information on proper nasal spray technique can be found on sites like the National Asthma Council Australia.
