Nasal Cromolyn

This agent is available as a nose spray over the counter. It interferes with the ability of the body to release chemicals that make an allergic reaction. The spray is generally used 3-4 times a day and it is best used prior to any known exposure of allergen.

Nasal Steroids

Nasal steroids (triamcinolone (Nasacort®), fluticasone (Flonase®), mometasone (Nasonex®), ciclesonide (Omnaris®, and flunisolide (Nasarel®) are available by prescription and recently one has been approved to go over the counter.

These agents reduce nasal inflammation are considered first line therapy for anyone who has symptoms more than 3x week either during an allergy season or on a consistent basis. These medications take anywhere from days to two weeks to work.

It is important to use these medications correctly. When using a nasal spray, the head should be bent slightly down and the nasal spray angled away for the nasal septum (dividing line separating the nostrils). After using the nasal spray, one should sniff in gently and dab away any excess spray. To maximize circulation to the upper nose, one should brush his/her teeth after use.

Nasal Antihistamines

There are nasal sprays containing antihistamines that are available by prescription. These include olpatadine (Patanase®) and azelastine (Astepro®) . Both of these agents help with nasal congestion, nasal itching, sneezing and runny nose. They can also help with eye symptoms. These tend to work promptly and can be used on an as needed basis. They do not provide the longer term anti-inflammatory effects of a nasal steroid but can help with symptoms and also to augment the effects of nasal steroids.