Nasal sprays for allergies


Experts say that over-the-counter (OTC) anti-inflammatory nasal sprays—such as FLONASE nasal sprays or Nasacort® 24 Hour—are the most effective form of nasal allergy relief.1 But how do you know which OTC nasal spray is right for you? Here’s a look at how these nasal sprays work and what sets them apart.


For years, the go-to choice for allergy relief was an antihistamine, usually in the form of a pill. But antihistamines only block histamine, just 1 of the many allergic substances your immune system releases when you’re exposed to an allergen.*2

An OTC allergy spray that’s formulated with corticosteroids—a type of medicine approved by the FDA to treat nasal allergy symptoms—provides more complete relief† of total nasal symptoms than an antihistamine.3

Nasal sprays with corticosteroids block a variety of allergic substances. For example, FLONASE helps block 6 key allergic substances, including histamine, to treat your symptoms.*


Both FLONASE and Nasacort® 24 Hour nasal sprays are OTC corticosteroid nasal sprays that relieve nasal allergy symptoms, including nasal congestion. But unlike Nasacort® 24 Hour nasal sprays, FLONASE nasal sprays are also indicated to relieve itchy, watery eyes†† to provide you with the symptom relief that you need to be greater than your allergies.

The most effective single therapy for people with nasal congestion and runny nose from allergies is a steroid (glucocorticoid) nasal spray. There are many options out there, new and old, but here are 10 things that may surprise you:

1. Do they work? Intranasal glucocorticoids are currently the most effective single maintenance therapy for allergic rhinitis and cause few side effects at the recommended doses. They work better than oral antihistamines (Claritin, Zyrtec, Allegra) for nasal congestion, sneezing and post-nasal drip.

2. Does the steroid get absorbed into my system? There are first generation and second generation nasal sprays and this is important for you to know because first generation nasal steroids are absorbed into the bloodstream more than the newer agents. First generation intranasal steroids have a 10 – 50% systemic bioavailability, which means a higher chance of systemic side effects.

3. Fewer side effects. Second generation intranasal steroids have LESS systemic absorption of steroid. These are Flonase (fluticasone propionate), Veramyst (fluticasone furoate), Nasonex (mometasone furoate), Omnaris (ciclesonide) and Zetonna (ciclesonide).

4. First generation sprays, which offer MORE systemic absorption of steroid, include Rhinocort (budesonide), Nasacort AQ (triamcinolone), Beconase AQ (beclomethasone dipropionate) and Qnasl (beclomethasone dipropionate).

5. Are any of them over the counter? Yes, in the United States Nasacort became available without a prescription in 2014 (as Nasacort Allergy 24HR).

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6. Is one better than the others? Studies comparing different intranasal steroid preparations have not demonstrated significant differences in effectiveness. While they all work the same, side effect profile and taste are different.

7. How fast do they work? Intranasal steroids will start to work in a few hours but may take days to weeks for maximal effect.

8. How do they work? These nasal sprays work in a couple of ways: they tone down the inflammatory response by activating anti-inflammatory proteins, and they suppress many cytokines that promote inflammation.

9. Are there any scary side effects? Nosebleeds can be a problem with all the intranasal steroid sprays, often from the trauma of the spray. Talk to your doctor if your nasal steroid gives you nosebleeds.

10. I hate the spray, are there any other options? Yes, there are now dry powder formulation nasal sprays. Patients who don’t like the wet run-off or taste side effects of some of the nasal steroids may like these new dry powder formulations. Qnasl and Zetonna are the two nasal sprays available that use a “dry” aerosol delivery system.

What has your experience been?

Dr O.

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  • Allergy Nasal Spray

    There are a number of ways that you can choose to combat allergies. Allergy nasal spray is a popular option that may be effective for allergy suffers. CVS carries a wide variety of the best nasal spray for allergies for you to choose from. Your doctor or pharmacist can help you determine which option may be right for you. Keep in mind that it is important to not only select the right allergy nasal spray for your needs, but also to use your allergy spray correctly each time. Correct usage can help reduce any potential side effects of nasal spray and may help increase effectiveness. If you have questions or concerns about whether nasal spray is right for you, it is always best to contact your doctor for professional medical advice.

    Nasal spray for allergies can be a good choice for some people, and there are many over the counter options available to choose from. Some allergy nasal sprays are formulated for long term use, making them ideal for those who have chronic allergy symptoms. Some allergy sprays may need to be taken regularly, while others should be used as needed for symptoms. In most cases, nasal sprays are tolerated well, but some people, such as those with damaged nasal passages, should avoid them. If you are considering using a nasal spray for allergies but aren’t sure if it is the right choice for you, don’t hesitate to reach out to your doctor or pharmacist for guidance.

    What Is The Best Nasal Spray For Allergies?

    There is no single allergy spray that is the best. Instead, there are different types of over the counter allergy nasal spray, and each works differently. Depending on your needs, you may find that one type of allergy nasal spray works better than another for you. If you have questions or concerns about choosing the best nasal spray for your needs, do not hesitate to ask your doctor or pharmacist for advice. He or she can help you find an option that takes into account your allergy triggers, lifestyle needs, and any existing health issues that may limit your options.

    Decongestant Nasal Spray For Allergies

    Nasal decongestant spray for allergies contains ingredients that may help shrink swollen blood vessels and tissues in your nose that contribute to congestion. This can help you feel more comfortable. Over the counter options include Sinex and Afrin nasal spray, both of which contain the active ingredient oxymetazoline hydrochloride. While decongestant nasal spray for allergies can be effective, it is possible to build up a tolerance to the medicine. If this happens, you may have more severe symptoms after you stop using it. To avoid this, you should not take decongestant nasal spray for more than three days consecutively. Decongestant nasal sprays may be a good choice if you have intermittent allergy symptoms, but may not be right for you if you have chronic allergies. If you have questions or concerns about whether decongestant nasal spray for allergies is right for you, you should make an appointment to talk to your doctor.

    Steroid Nasal Spray For Allergies

    Nasal steroid spray for allergies is one of the most well-known and widely used options for controlling your allergy symptoms. Steroid nasal sprays, sometimes referred to as intranasal corticosteroids, work by decreasing swelling of the nasal tissues and decreasing mucus production to help relieve symptoms of congestion and runny nose caused by allergies. Nasal steroid spray can also help relieve symptoms of sneezing and itchy, watery eyes caused by allergies. Designed for long term use, intranasal corticosteroids are best suited for those with chronic allergies. However, a nasal steroid spray may not be right for everyone. If you experience side effects such as nosebleeds or headaches, you should stop use and consult your doctor. It is important to understand that steroid nasal spray reaches peak effectiveness over a period of several hours to several days, so you may not get immediate relief from your symptoms. Also, to get the most out of your steroid nasal spray, most brands recommend that you take it as directed every day during allergy season. Steroid nasal sprays that are available without a prescription include Flonase (fluticasone), Rhinocort (budesonide), and Nasacort (triamcinolone). If you are unsure whether a steroid nasal spray for allergies is the right option for you, you should talk to your doctor.

    Saline Nasal Spray For Allergies

    Saline nasal spray for allergies is a drug free option that is generally safe for most people to use. Saline nasal spray, sometimes referred to as sodium chloride nasal spray, contains salt, sterilized water, and in some cases, a small amount of preservatives. Saline nasal spray for allergies helps to loosen and thin mucus that builds up in your nasal passages, which can make breathing feel easier and help you feel more comfortable. Saline nasal spray is a good choice if you want to loosen built-up mucus in your nose and prefer a drug free option. Saline nasal spray has little to no side effects and can be taken on an as needed basis. If you are avoiding decongestants or corticosteroids, sodium chloride nasal spray may be a good choice to help temporarily reduce nasal congestion caused by allergies.

    Nasal Spray For Kids With Allergies

    In some cases, nasal spray for kids with allergies may be an appropriate option to help control children’s allergy symptoms. However, it is best to talk to your child’s doctor before administering any children’s nasal spray, especially if your child will need to use it long-term. There are some concerns that intranasal corticosteroids may have an effect on vertical growth in children. Your child’s allergist or pediatrician can help you weigh the risks and benefits of using a nasal allergy spray to help control your child’s allergies. If you and your child’s doctor agree that a nasal spray for kids is right for your child, most experts recommend that children using intranasal corticosteroids get monitored for growth regularly by a doctor. If you have concerns about nasal spray for kids, your child’s doctor may be able to recommend alternative options for controlling your child’s allergy symptoms.

    How To Use A Nasal Spray

    You should always refer to the directions on the packaging of your nasal spray, as there may be small variations between brands. However, in general, there are some basic steps that apply in most cases. First, you should always clear your nasal passages by gently blowing your nose. If indicated in the product directions, gently shake your nasal spray bottle before removing the cap. Holding the bottle in one hand, place the top of the nozzle just inside one nostril (be careful not to insert it too far). Angle the tip slightly toward the outer wall of your nose, not the center. Depress the mechanism that releases the spray and sniff gently to draw the medication into your nose. Repeat as needed according to the dosage directions on the product packaging. If you have any questions or concerns, or if you experience any side effects of nasal spray, such as nosebleeds or headaches, you should stop use and contact your doctor for advice.

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    Allergy Relief: A Guide to Nasal Sprays

    Saline nasal sprays are saltwater solutions that can help soften mucus, causing it to drain more easily. They’re a great first step for allergy sufferers, says Dr. Feldweg, because they have no side effects.

    Who Should (and Shouldn’t) Consider Nasal Sprays?

    While many allergy sufferers take oral medicine such as the antihistamine Claritin, they might benefit from nasal sprays alone. As Feldweg puts it, “Why treat the whole body when you’re after the nose?”

    Most patients easily tolerate prescription nasal sprays, which are formulated for long-term use. But people with any damage to their nasal passages should avoid nasal sprays altogether, Feldweg adds.

    Common side effects of both prescription and over-the-counter nasal sprays can include a bitter smell or taste, sneezing, nasal irritation or a runny nose, and nosebleeds — particularly when the weather is cold and dry. Consult a doctor if you experience persistent nosebleeds or crusty scabs in the nose, which may signal that you’re using your nasal spray incorrectly.

    How to Use Nasal Sprays

    Correctly using a nasal spray isn’t as easy as it might seem. Some tips may help:

    • Blow your nose to clear your nasal passages.
    • Always shake or prime the bottle if required.
    • Before spraying, press your finger against one nostril to block it.
    • Place the nozzle of the bottle beneath your other nostril, with your thumb at the bottom of the bottle.
    • Gently squeeze the pump and breathe in slowly.
    • Keep the medication where it belongs: Don’t blow your nose immediately after spraying, and don’t sneeze.

    Can I Become Addicted to Nasal Sprays?

    Prescription nasal sprays aren’t habit-forming or addictive, Feldweg says, although most allergy sufferers want to continue using them because they really work.

    Over-the-counter decongestant nasal sprays, while not addictive, can be difficult to stop because you build up a tolerance to them. This is known as the rebound effect. You might need to use more medicine to keep congestion under control, or your congestion might get worse if you stop using the spray. In the end, you may have to stop using the spray for several weeks to reverse this effect.

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    It’s been an uncommonly nasty winter, especially after the comparatively mild last couple of years, and at any given time it seems like every other person is trying to get over a cold.

    With spring still way too far away, sufferers of colds and other similar sicknesses are often turning to Afrin, Dristan and other over-the-counter nasal sprays in order to get some relief.

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    These sprays can provide an impressive amount of short-term relief. But they can also be habit-forming, and rapidly lose effectiveness after a couple of days, experts say.

    So is it wise to use Afrin and other nasal sprays? We asked several top ear-nose-and-throat doctors in the Philadelphia area what potential users should know about these products. Their consensus? If you’re going to use nasal spray, toss it after two days.

    “Traditional decongestant nasal sprays such as oxymetazoline (Afrin) can be habit-forming although not addictive in the same sense as opioids,” said Dr. Robert Sataloff, an ENT physician who is also professor and chairman, Department of Otolaryngology-Head and Neck Surgery and senior associate dean for Clinical Academic Specialties at the Drexel University College of Medicine.

    “When such nasal sprays are used chronically, they damaged the linings of the nose resulting in a condition called “rhinitis medicamentosa.” This damages nasal function and causes symptoms of chronic congestion that often lead to continued misuse of the nasal spray, and overdosing, such as using the sprays much more frequently than appropriate.”

    Sataloff added that steroid-based nasal sprays such as Flonase and Nasonex are “generally not habit-forming.”

    Dr. John Bosso, director of the Otorhinolaryngology Allergy Clinic at Penn Medicine, also drew a distinction between the two types of sprays.

    Decongestants like Afrin and Dristan, he said, should be used for short-term periods, such as during a cold.

    “They work very well and rapidly,” Bosso said, “but after 3 or 4 days of consecutive uses, people start getting a rebound effect.” That means that users often start getting more congestion once they stop using the spray – and the longer they use it, the more it causes the medicine to work for a shorter period of time. That, he said, is “where the addiction can come in.”

    Dr. Seth Zwillenberg, the chairman of Einstein’s Division of Otolaryngology and also an associate professor at Drexel, described Afrin and other sprays like it as “a very effective, very good, short-term solution to the problem. The big issue is, it becomes habitual. It’s very bad to use for more than 1 or 2 days.”


    So is it worth it? Zwillenberg says it almost always isn’t.

    “We discourage the use of Afrin because people get seduced,” he said. “We make sure that if we tell anyone to use it, we warn them, just like with narcotics. Two days, but throw the bottle out.”

    What happens when a patient says they’re stuck in the Afrin habit, as happens a few times a month? He usually puts them on a nasal steroid.

    What drives people to nasal spray dependency, beyond just colds?

    Allison Calcaterra fell into the habit after she moved away from California and it made her allergies considerably worse. She used Afrin and generic versions of it, and noticed that the label advised not to use it for more than two or three days.

    “Usually stuff like that you can kind of ignore,” she said. “This is true.”

    “Your nose does become addicted to it,” she said. She got off of it for a long time, she said, but fell back in when she got sick for several weeks during the holidays last year. She also remembered that her grandmother had heavily used the stuff as well.

    Actress Kaley Cuoco, from the CBS show “The Big Bang Theory,” admitted in 2015 that she was once addicted to Afrin and other nasal sprays “for years,” to the point that she required surgery on her sinuses – which led to false rumors that she’d undergone a nose job.

    So what should people do with their colds, in this coldest of cold winters?

    “Wait it out,” Zwillenberg said. “Do what your grandmother would have told you – bundle up and wait it out. Don’t take antibiotics and don’t start using Afrin.”

    Don’t become dependent on nasal sprays this allergy season

    When allergy suffers seek relief in the pharmacy aisles, there are two main types of nasal spray to consider, but one can cause a physical dependence on the medicine.

    Decongestants offer quick relief, but can only be used for a limited duration, while steroid nasal sprays offer a long term solution to allergy symptoms.

    “Quick relief nasal sprays are those that try to open up your airways in your sinuses and in your nasal passages,” Belew Drugs pharmacist Brandon Lock said. “What they do is a quick reduction of swelling, which works very quickly and helps a lot, but you can’t do it more than three days in a row.”

    The most popular decongestant spray is Afrin. When used for too long, it can cause a condition called rebound congestion.

    “Rebound congestion is when the membranes inside your nose just get lazy and get used to this medicine doing the constriction for your body, and your body loses its ability to do it for itself,” Lock said. “It’s not necessarily habit forming like a drug, but it’s habit forming in that you have to use it again to be able to breath properly.”

    However, not all nasal sprays have that downside.

    Often, doctors suggest a steroid nasal spray to manage seasonal allergies.

    “A topical nasal steroid spray such as Flonase or Nasacort that you can buy over-the-counter are typically used to calm down stuffiness and inflammation within the nose,” Allergy & Asthma Affiliates allergist Trent Ellenburg said.

    Steroid nasal sprays are designed to prevent allergy symptoms and are safe to be used regularly.

    If steroid nasal sprays don’t solve allergy problems, more robust treatments including allergy shots may improve allergies.

    Cold and Allergy Decongestant Nasal Spray

    How does this medication work? What will it do for me?

    Xylometazoline belongs to a group of medications called nasal decongestants. It is used in a nasal spray and drops for the relief of symptoms of nasal congestion caused by allergies, sinus inflammation (sinusitis), and colds. It is also used to make rhinoscopy (an examination of the inside of the nose) easier.

    Xylometazoline starts working in 5 to 10 minutes. It works by narrowing the blood vessels in the lining of the nose. This helps to clear the symptoms of congestion.

    This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

    Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

    Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

    What form(s) does this medication come in?

    This medication is available as a 0.1% nasal spray.

    How should I use this medication?

    Before using this medication, the nose should be blown gently. Do not use this medication for more than 3 to 5 days in a row.

    Nasal spray: The usual recommended dose for adults is one to three sprays in each nostril every 8 to 10 hours. The head should be tilted slightly forward while using the spray. Breathe deeply. Blow the nose after 3 to 5 minutes. Rinse the tip of the spray bottle with hot water before replacing the cap.

    Nasal drops: The usual recommended dose for adults is 1 to 3 drops in each nostril every 8 to 10 hours. The head should be tilted back while using the drops. Avoid touching the nostril with the dropper. Rinse the dropper with hot water before replacing it in the bottle.

    Many things can affect the dose of 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 important to use this medication exactly as prescribed by your doctor. 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 dosing 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.

    If symptoms continue for longer than 5 days, stop using this medication and contact your doctor. Excessive use may cause congestion to become worse.

    Store this medication at room temperature, protect it from moisture, and keep it out of the reach of children. Accidental ingestion of even small amounts of this medication by a child can cause serious harm.

    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.

    Who should NOT take this medication?

    Do not use this medication if you:

    • are allergic to xylometazoline or any ingredients of this medication
    • are currently taking monoamine oxidase (MAO) inhibitors (e.g., phenelzine, tranylcypromine)
    • are sensitive (i.e., experience trouble sleeping, dizziness, lightheadedness, weakness, tremor, or abnormal heart rhythms) to other related medications (e.g., epinephrine, phenylephrine, pseudoephedrine)
    • have narrow-angle glaucoma
    • have rhinitis sicca (a chronic type of rhinitis with very little or no nasal discharge)

    What side effects are possible with this medication?

    Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

    The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

    The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

    Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

    • burning and stinging of the nose
    • dryness of the nose
    • headache
    • rebound congestion (worsening congestion as a result of overusing the medication)
    • sneezing
    • trouble sleeping

    Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.

    Check with your doctor as soon as possible if any of the following side effects occur:

    • dizziness
    • high blood pressure
    • nausea
    • palpitations (heartbeat that is fast, irregular, or pounding)
    • restlessness

    Stop taking the medication and seek immediate medical attention if any of the following occur:

    • difficulty breathing
    • swelling of face or throat

    Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

    Are there any other precautions or warnings for this medication?

    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 this medication.

    Prolonged or excessive use: If symptoms continue for more than 3 to 5 days, stop using this medication and contact your doctor. Excessive or prolonged use of this medication may make congestion worse.

    Medical conditions: If you have difficulty urinating because of an enlarged prostate, heart disease, high blood pressure, glaucoma, overactive thyroid, advanced hardening of the arteries, or diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

    Multiple users: Use of this nasal spray by more than one person may cause spread of infection.

    Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

    Breast-feeding: It is not known if xylometazoline passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

    Children: The safety and effectiveness of using this medication have not been established for children less than 12 years of age.

    Seniors: Seniors should use this medication with caution, as you may be more likely to experience side effects.

    What other drugs could interact with this medication?

    There may be an interaction between xylometazoline and any of the following:

    If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

    • stop taking one of the medications,
    • change one of the medications to another,
    • change how you are taking one or both of the medications, or
    • leave everything as is.

    An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

    Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

    All material copyright MediResource Inc. 1996 – 2020. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source:


    Medication Uses | How To Use | Side Effects | Precautions | Drug Interactions | Overdose | Notes | Missed Dose | Storage

    USES: This medication is used for temporary relief of congestion in the nose caused by various conditions including the common cold, sinusitis, hay fever, and allergies. It works by narrowing the blood vessels in the nose area, reducing swelling and congestion.OTHER This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.This drug may also be used to relieve “plugged ears” and to reduce swelling in the nose before certain surgery or procedures.

    HOW TO USE: Use this medication in the nose as directed. Follow all directions on the product package, or use as directed by your doctor. If you are uncertain about any of the information, consult your doctor or pharmacist.Gently blow your nose before using this drug. Use your finger to close the nostril on the side not receiving the medication. While keeping your head upright, place the spray tip into the open nostril. Spray the medication into the open nostril as you breathe in through your nose. Sniff hard a few times to be sure the medication reaches deep into the nose. Repeat these steps for the other nostril if needed.Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum).Rinse the spray tip with hot water or wipe with a clean tissue after each use. Make sure that water does not get inside the container. Replace cap after each use.This medication provides only temporary relief. Do not use more often, use more sprays, or use longer than directed because doing so may increase the risk of side effects. Also, do not use this medication for more than 3 days or it may cause a condition called rebound congestion. Symptoms of rebound congestion include long-term redness and swelling inside the nose and increased runny nose. If this occurs, stop using this medication and consult your doctor or pharmacist.Inform your doctor if your condition worsens or persists after 3 days.

    SIDE EFFECTS: Temporary burning, stinging, dryness in the nose, runny nose, and sneezing may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.If your doctor has prescribed this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: slow/fast/pounding heartbeat, dizziness, nausea, headache, mental/mood changes, trouble sleeping, shaking (tremors), unusual sweating, unusual weakness.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

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