Medication	Indications	Notes
Steroid Rhinalar (flunisolide) Rhinocort (budesonide) Nasacort (triamcinolone) Beconase (beclomethasone) Flonase (fluticasone) Nasonex (mometasone furoate monohydrate)	Allergic Rhinitis Chronic Sinusitis	General: - Require few days-2 wks for effect - Long tern use - Dries nasal mucosa; get minor bleeding - Patient should stop if epistaxis - May sting   Flonase and Nasonex: not absorbed systemically
Antihistamine Livostin (levocarbastine)	Allergic Rhinitis	Immediate effect If no effect by 3 days then discontinue Use during allergy season
Decongestant Otrivin (xylometazoline) Dristan (oxymetazoline) Neosynephrine (phenylephrine)	Acute Sinusitis Rhinitis	Careful if patient has hypertension Short term use (<5 days) If long term use: Rhinitis medicamentosa
Antibiotic/Decongestant Soframycin (framycetin, gramicidin, phenylephrine)	Acute Sinusitis
Anticholinergic Atrovent (ipratropium bromide)	Vasomotor Rhinitis	Careful not to spray into eyes Increased rate of epistaxis when combined with topical nasal steroids
Lubricants Saline Rhinaris Secaris Polysporin Vaseline	Dry nasal mucosa	Use prn   Rhinaris & Secaris may cause stinging

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Page last updated 16 August 2000