Beclomethasone Nasal Spray: Uses, Dosage, and Side Effects Explained

Summary of Key Points

Beclomethasone nasal spray is a corticosteroid commonly prescribed to treat various nasal conditions, such as allergies and nasal polyps. It works by reducing inflammation in the nasal passages, which helps alleviate symptoms like congestion, sneezing, and a runny nose. This medication is available by prescription and should be used exactly as directed by your healthcare provider. If you have any questions about dosage or potential side effects, feel free to consult one of our telemedicine providers for guidance.

Names of Medication

US Brand Name: Qnasl, Beconase AQ

Generic Name: Beclomethasone

The generic name refers to the active ingredient in the medication, which is listed in parentheses next to the brand name.

Pharmacologic Category

Corticosteroid, Nasal

Other medications in this category include fluticasone (Flonase), mometasone (Nasonex), and budesonide (Rhinocort).

Dosing Instructions for Beclomethasone Nasal Spray

Beclomethasone nasal spray is used to manage several conditions. Always follow the dosing instructions provided by your healthcare provider, and avoid changing your dose without consulting a doctor. If you need personalized advice, you can speak with one of our telemedicine providers.

Allergic Rhinitis (Seasonal or Perennial)

Adults: 1-2 sprays in each nostril twice daily. The duration of treatment may vary depending on the severity of your symptoms and how well you respond to the medication.

Non-Allergic Rhinitis

Adults: 1-2 sprays in each nostril twice daily. Continue treatment as long as symptoms persist, but consult your doctor if long-term use is required.

Nasal Polyps

Adults: 2 sprays in each nostril twice daily. Treatment may be ongoing, depending on the severity of the polyps and your response to therapy.

Sinusitis

Adults: 1-2 sprays in each nostril twice daily. Treatment typically lasts 2-4 weeks, but your doctor may adjust the duration based on your condition.

Asthma (Adjunctive Therapy)

Adults: 1-2 sprays in each nostril twice daily. This is used in addition to other asthma treatments and should be continued as directed by your healthcare provider.

Eustachian Tube Dysfunction

Adults: 1-2 sprays in each nostril twice daily. Treatment may last several weeks, depending on how your symptoms improve.

Chronic Rhinitis

Adults: 1-2 sprays in each nostril twice daily. Long-term use may be necessary, but consult your doctor for ongoing management.

Allergic Conjunctivitis (Adjunctive Therapy)

Adults: 1-2 sprays in each nostril twice daily. This is used alongside other treatments to help manage eye-related symptoms.

Dosage Forms and Strengths of Beclomethasone Nasal Spray

Beclomethasone nasal spray: 80 mcg per spray (Qnasl)

Beclomethasone nasal spray: 42 mcg per spray (Beconase AQ)

Administration Instructions for Beclomethasone Nasal Spray

Before each use, shake the bottle well. If you are using the spray for the first time or after a period of inactivity (typically a week or more), prime the spray by pumping it a few times until a fine mist appears. To administer, tilt your head slightly forward, insert the nozzle into one nostril, and spray while gently inhaling through your nose. Repeat the process for the other nostril. Avoid blowing your nose immediately after using the spray. Always follow your healthcare provider’s instructions for proper use.

Contraindications for Beclomethasone Nasal Spray

A contraindication is a specific condition where a treatment or medication should not be used because it may cause harm. If you have any of the conditions listed below, avoid using Beclomethasone nasal spray. Be sure to discuss your medical history with your healthcare provider before starting any new medication.

Allergy to Beclomethasone or other corticosteroids: If you have a known allergy to Beclomethasone or other corticosteroids, using this nasal spray could trigger an allergic reaction, which may include symptoms such as rash, itching, or difficulty breathing.

Untreated fungal, bacterial, or viral infections: Beclomethasone can suppress your immune system, potentially worsening existing infections or making it harder for your body to fight them off.

Recent nasal surgery or injury: If you’ve recently undergone nasal surgery or sustained an injury, using Beclomethasone nasal spray may slow the healing process due to its effects on tissue repair.

Active or latent tuberculosis: Since Beclomethasone can weaken your immune system, it may cause tuberculosis (TB) to become active if you have a history of TB or are currently infected.

Drug Interactions with Beclomethasone Nasal Spray

Beclomethasone nasal spray can interact with other medications, potentially increasing the risk of side effects or reducing the effectiveness of either medication. It’s important to inform your healthcare provider about all medications you are currently taking, including over-the-counter drugs and supplements. Below are some medications that may interact with Beclomethasone nasal spray:

Ritonavir (Norvir): This antiviral medication used to treat HIV can increase the levels of Beclomethasone in your body, raising the risk of side effects such as adrenal suppression.

Ketoconazole (Nizoral): This antifungal medication can also elevate Beclomethasone levels, leading to a higher risk of side effects.

Other corticosteroids: Taking additional corticosteroids (such as prednisone) alongside Beclomethasone nasal spray may increase the risk of systemic side effects, including weakened immune function and adrenal suppression.

Beclomethasone Nasal Spray in Pregnancy

Is it safe to take Beclomethasone nasal spray during pregnancy?

Beclomethasone nasal spray is classified as a Category C medication for pregnancy. This means that there is not enough well-controlled research in humans to definitively confirm its safety during pregnancy. While some animal studies have indicated potential risks to the fetus, the benefits of using Beclomethasone nasal spray may outweigh these risks in certain situations. If you are pregnant or planning to become pregnant, it is crucial to consult with your healthcare provider to determine whether the benefits of using Beclomethasone nasal spray outweigh any potential risks. Our telemedicine providers are available to help you make an informed decision.

Beclomethasone Nasal Spray While Breastfeeding

Is it safe to use Beclomethasone nasal spray while breastfeeding?

There is limited information on whether Beclomethasone nasal spray passes into breast milk. However, since corticosteroids can potentially affect a nursing infant, it is important to carefully weigh the benefits and risks. If you are breastfeeding, it is essential to consult your healthcare provider before using Beclomethasone nasal spray. Our telemedicine team is here to help you assess whether this medication is the right choice for you while breastfeeding.

Estimated Cost of Beclomethasone Nasal Spray

The estimated cost of a 30-day supply of Beclomethasone nasal spray without insurance, when using a GoodRx coupon, typically ranges from $30 to $50. Prices may vary depending on the pharmacy and your location. Be sure to check with your local pharmacy for the most accurate pricing information.

Possible Alternatives to Beclomethasone Nasal Spray

If you are considering alternatives to Beclomethasone nasal spray, there are other treatment options and lifestyle changes that may help manage your condition. Always consult your healthcare provider before making any changes to your treatment plan. Our telemedicine providers are available to discuss these alternatives with you.

Allergic Rhinitis

Alternatives include antihistamines (such as loratadine or cetirizine), decongestants, or other nasal sprays like fluticasone (Flonase). Lifestyle changes, such as avoiding allergens, using air purifiers, and keeping windows closed during high pollen seasons, can also be beneficial.

Non-Allergic Rhinitis

Saline nasal sprays, nasal irrigation, or other corticosteroid nasal sprays like mometasone (Nasonex) may be effective. Avoiding irritants such as smoke or strong odors can also help reduce symptoms.

Nasal Polyps

Other corticosteroid nasal sprays, such as fluticasone, or surgical removal of polyps may be considered. Discuss with your healthcare provider which option is best suited for your condition.

Sinusitis

If a bacterial infection is present, antibiotics may be necessary. Nasal irrigation and decongestants can also help alleviate symptoms.

Asthma

Inhaled corticosteroids like fluticasone (Flovent) or bronchodilators may be used to manage asthma symptoms. Avoiding triggers such as allergens or smoke is also important for symptom control.

Eustachian Tube Dysfunction

Decongestants, antihistamines, or nasal sprays like fluticasone may help relieve pressure and discomfort. In some cases, surgical intervention may be required.

Seasonal Allergies

Antihistamines, decongestants, or other nasal sprays like fluticasone can be effective. Limiting outdoor exposure during peak allergy seasons and using air filters can also help manage symptoms.

Perennial Allergic Rhinitis

Similar to seasonal allergies, antihistamines, decongestants, or corticosteroid nasal sprays can be used. Reducing exposure to indoor allergens like dust mites and pet dander is also beneficial.

Chronic Rhinitis

Treatment options include antihistamines, decongestants, or corticosteroid nasal sprays. Identifying and avoiding triggers is key to managing symptoms effectively.

Allergic Conjunctivitis

Antihistamine eye drops, artificial tears, or oral antihistamines can help relieve symptoms. Avoiding allergens and using cold compresses on the eyes may also provide relief.

Recent Updates on Beclomethasone Nasal Spray Research

Recent studies have focused on the long-term safety of Beclomethasone nasal spray, particularly in children and individuals with chronic conditions such as asthma and allergic rhinitis. Research indicates that Beclomethasone nasal spray is generally safe for long-term use when taken as directed. However, it is important to monitor for potential side effects, such as growth suppression in children or adrenal suppression in adults. Ongoing studies are also exploring the effectiveness of Beclomethasone nasal spray in combination with other treatments for conditions like nasal polyps and chronic sinusitis.

As always, it is important to discuss any concerns or questions with your healthcare provider. If you are considering Beclomethasone nasal spray or need more information, our telemedicine providers are available to assist you at any time.

James Kingsley

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