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AAACSF Nasal Medications
AAACSF Nasal Medications
41
Pharmacology
Undergraduate 1
03/22/2012

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Cards

Term
Astelin

Category and Indication/Dx
Definition
Nasal Antihistamine
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Astelin 0.1%
Adult Dose
Definition
12 years or older: As adults; 1-2 sprays per nostril BID
Term
Astelin 0.1% (125mcg/spray)
Pediatric dose
Definition
<5 years: Safety and efficacy not established
5-11 years: 1 spray per nostril BID
Term
Astepro

Category and Indication/Dx
Definition
Nasal Antihistamine
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Astepro 0.15%
Adult Dose
Definition
12 years or older:
As adults; 0.1% or 0.15%: 1-2 sprays per nostril BID,
OR 0.15%: 2 sprays per nostril q Day
Term
Astepro 0.15% (187.6mcg/spray)
Pediatric dose
Definition
<12 years: Safety and efficacy not established
Term
Atrovent

Category and Indication/Dx
Definition
Anticholinergic drying agent
Dx: Vasomotor Rhinitis
Term
Atrovent Nasal Spray 0.03% and 0.06%
Adult Dose
Definition
Allergic/nonallergic rhinitis: 2 sprays (0.03%) per nostril BID/TID
Rhinitis due to common cold: 2 sprays (0.06%) per nostril TID/QID
Term
Atrovent Nasal Spray 0.03% and 0.06%
Pediatric Dose
Definition
<5 years: Safety & efficacy not established

5-12 years: 2 sprays (0.06%) in each nostril TID
>12 years: 2 sprays (0.06%) in each nostril TID/QID
Term
NasalCrom 5.2mg/spray
Definition
<2 years: Safety and efficacy not established

2 years or older: 1 spray each nostril TID-QID, may increase to 6 times/day; may take 2-4 weeks before symptomatic relief observed

For best results, initiate 1-2 weeks before contact with allergens
Term
Patanase

Category and Indication/Dx
Definition
Nasal Antihistamine
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Patanase 6%, 665mcg/spray
Adult dose
Definition
2 sprays per nostril BID
Term
Patanase 6%, 665mcg/spray
Pediatric dose
Definition
<6 years: Safety and efficacy not established

6-11 years: 1 spray per nostril BID
Term
Beconase AQ

Category and Indication/Dx
Definition
Nasal Steroid
Antiinflammatory
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Beconase AQ 42 mcg/spray
Adult dose
Definition
1-2 sprays/nostril BID (total dose: 168-336 mcg/day)
Term
Beconase AQ 42 mcg/spray
Pediatric dose
Definition
<6 years old: Safety and efficacy not established

6-11 years old: 1 spray/nostril BID (168 mcg/day); may increase to 2 sprays/nostril (336 mcg/day) in patients not adequately responding or those with more severe symptoms; decrease dose to 1 spray/nostril BID once adequate control achieved
Term
Omnaris

Category and Indication/Dx
Definition
Nasal Steroid
Antiinflammatory
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Omnaris 50mcg/actuation
Adult dose
Definition
2 sprays/nostril qDay
Term
Omnaris 50mcg/actuation
Pediatric dose
Definition
<6 years: Safety and efficacy not established
6 years or older: As adults; 2 sprays/nostril qDay (ie, 200 mcg/day)
Term
Flonase

Category and Indication/Dx
Definition
Nasal Steroid
Antiinflammatory
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Veramyst

Category and Indication/Dx
Definition
Nasal Steroid
Antiinflammatory
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Flonase, Veramyst (fluticasone)50mcg/spray
Adult dose
Definition
2 sprays in each nostril qDay (ie, 200 mcg/day)
After first few days, patient may reduce dosage to 1 spray in each nostril qDay (ie, 100 mcg/day)
Term
Flonase, Veramyst (fluticasone)50mcg/spray
Pediatric dose
Definition
>4 years: 1 spray (50 mcg) in each nostril qDay; may increase up to 2 sprays/nostril qDay
Term
Nasacort AQ

Category and Indication/Dx
Definition
Nasal Steroid
Antiinflammatory
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Nasacort AQ triamcinolone 55mcg/spray
Adult dosing
Definition
220 mcg qDay as 2 sprays/nostril qDay
Term
Nasonex

Category and Indication/Dx
Definition
Nasal Steroid
Antiinflammatory
DX: Allergic Rhinitis, Vasomotor Rhinitis
Term
Nasonex 50mcg/spray
Adult dosing
Definition
2 sprays (100 mcg) in each nostril qDay
Term
Nasonex 50mcg/spray
Pediatric dosing
Definition
<2 years: Safety and efficacy not established
2-11 years: 1 spray (50 mcg) in each nostril qDay
Term
Nasacort AQ triamcinolone 55mcg/spray
Pediatric dosing
Definition
<2 years: Safety and efficacy not established

2-5 years: 110 mcg/day as 1 spray/nostril qDay

6-11 years: 110 mcg/day as 1 spray/nostril qDay; may increase to 2 sprays/nostril qDay (ie, 220 mcg/day)
Term
Mucinex

Category and Indication/Dx
Definition
Expectorant/Mucous thinner
DX: Respiratory infections
Term
Mucinex
Adult dose
Definition
Extended Release: 1-2 tablets (600-1200 mg) PO q12hr; not to exceed 4 tablets/24 hr (2.4 g/day)
Term
Mucinex D
Regular Strength: 600mg + 60mg pseudoephedrine
Maximum Strength: 1200mg + 120mg pseud
Definition
Expectorant/Mucous thinner + decongestant
Term
Mucinex D
Adult dosing
Definition
1 maximum strength or 1-2 regular bid .
Do not take after 6 pm to avoid insomnia
Avoid with HTN, arrythmia, insomnia
Term
Mucinex DM
Regular Strength: 600mg + 30mg DM
Maximum Strength: 1200mg + 60mg DM
Definition
Expectorant/Mucous thinner + cough suppressant (DextroMethorphan...DM)
Term
Mucinex DM
Adult dosing
Definition
1 maximum strength or 1-2 regular bid
Term
Tessalon Perles

Category and Indication/Dx
Definition
Anti tussive (cough)
Term
Tessalon Perles 100 mg or 200 mg
Adult Dosing
Definition
100 mg PO TID; 600 mg/day maximum

Swallow whole; do not chew
Term
Tessalon Perles 100 mg or 200 mg
Pediatric Dosing
Definition
<10 years old: Safety & efficacy not established

>10 years old: As in adults

Swallow whole; do not chew
Term
Singulair (montelukast)

Category and Indication/Dx
Definition
Oral anti inflammatory (non steroid)
Asthma "Controller" medication
Nasal allergy relief
Term
Singulair (montelukast)

Adult dosing
Definition
10 mg PO q Evening (use 10 mg tablet)
Term
Singulair (montelukast) chewable 4mg,5mg
oral granules 4mg/packet
Pediatric dosing
Definition
<12 months: Safety and efficacy not established

12-24 months: 4 mg (granules) PO qEvening

2-5 years: 4 mg (chewable tablet or granules) PO qEvening

6-14 years: 5 mg (chewable tablet) PO qEvening

15 years or older: 10 mg (conventional tablet) PO qEvening
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