CombinationInternational presentation
Olopatadine HCl + mometasone furoate
665 / 25 mcg per spray
2 sprays in each nostril twice dailyAge 12+ dose
6+ years
Nasal sprays.
CorticosteroidRepresentative international pack
Fluticasone furoate
27.5 mcg per spray
2 sprays in each nostril once dailyAge 12+ dose
2+ years
CorticosteroidEarlier Canadian packaging
Mometasone furoate
50 mcg per spray
2 sprays in each nostril once dailyRhinitis age 12+ · off label
3+ years
AnticholinergicUS reference
Ipratropium bromide (PMS)
0.03% · 21 mcg per spray
2 sprays in each nostril, 2–3 times daily
12+ years
CorticosteroidRepresentative pack
Budesonide
64 mcg per spray
Initially 2 sprays in each nostril dailyAge 12+ dose
6+ years
Corticosteroid
Fluticasone propionate
50 mcg per spray
2 sprays per nostril daily for week 1; then 1–2 daily
18+ years
CorticosteroidUS reference
Ciclesonide
50 mcg per spray
2 sprays in each nostril once daily
12+ years
CorticosteroidRepresentative Canadian packaging
Mometasone furoate
50 mcg per spray
2 sprays in each nostril once dailyRhinitis age 12+ · off label
3+ years
CombinationRepresentative international pack
Azelastine HCl + fluticasone propionate
137 / 50 mcg per spray
1 spray in each nostril twice daily
6+ years
Corticosteroid60-spray pack shown
Triamcinolone acetonide
55 mcg per spray
2 sprays per nostril daily; reduce to 1 once controlled
12+ · geriatric review
CombinationRepresentative · US Apotex
Azelastine HCl + fluticasone propionate
137 / 50 mcg per spray
1 spray in each nostril twice daily
6+ years
CombinationReference brand · Dymista
Azelastine HCl + fluticasone propionate
137 / 50 mcg per spray
1 spray in each nostril twice daily
6+ years
CorticosteroidEarlier Canadian packaging
Beclomethasone dipropionate
50 mcg per spray
2 sprays in each nostril twice daily
6+ years
Saline
Sterile isotonic seawater
0.9% sodium chloride · medium stream
Twice daily routinely; 4–6 times daily with symptoms
Over 2 yearsAdjunct nasal care
CorticosteroidRepresentative · US Apotex
Fluticasone propionate
50 mcg per spray
Age 12–17: 2 sprays per nostril once daily
4–17 years · Rx
CorticosteroidRepresentative · international AQ
Triamcinolone acetonide
55 mcg per spray
Start with 1 spray per nostril once daily; increase to 2 if needed
4–12 years · Rx
CorticosteroidReference brand · Rhinocort 64
Budesonide
64 mcg per spray
2 sprays per nostril each morning; reduce to 1 when controlledDose shown: age 12+
6+ years · rhinitis
CorticosteroidReference brand · 64 mcg shown
Budesonide
100 mcg per spray
2 sprays per nostril each morning; reduce to 1 when controlledDose shown: age 12+
6+ years · rhinitis
Nasal technique
Aim away from the septum. Ipratropium targets watery rhinorrhea; saline is an adjunct. Clinical reference ↗