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Guidelines and Codes

Update to Section 12.10.6 Corticosteroids as aqueous solutions for nasal inhalation [NZRGM, Volume 1, 5th edition]

Added to web site: July 2006

Low dose beclomethasone, budesonide, fluticasone and mometasone aqueous nasal preparations may be sold as Pharmacy Medicines for use in the short-term prophylaxis and treatment of allergic rhinitis when the following conditions apply:

Type of preparation	Non CFC aqueous formulations
Strength	Beclomethasone NMT 50mcg/actuation Budesonide NMT 50 mcg/actuation Fluticasone NMT 50 mcg/actuation Mometasone NMT 50 mcg/actuation
Pack size	Not more than 200 doses
Indications	Short term (3-6 months) prophylaxis or treatment of allergic rhinitis (hay fever) in adults and children aged 12 years and over
Dosage	Beclomethasone & Budesonide Maximum of 400mcg (200mcg/nostril) per day in divided doses Fluticasone & Mometasone Maximum daily dose of 200 mcg as a single dose
Use1	Do not exceed maximum stated dose Dose should be reduced for maintenance treatment once full effect obtained Do not use for more than 6 months without the advice of your doctor or pharmacist.
Warning Statements1	See your doctor or pharmacist before using this product if: you are already taking another steroid product, e.g. tablets, asthma or nasal inhaler or eye/nose drops. See your doctor or pharmacist before using this product if: you have a nasal or sinus infection; you have recently had an injury or surgery to your nose; you have ulceration in your nose. See your doctor or pharmacist if: symptoms are not relieved within 7 days; your nose bleeds; you develop signs or symptoms of a nasal or sinus infection such as fever, pain or swelling, or discoloured nasal discharge; you have eye pain or visual disturbances
Contraindications	As per data sheet
Adverse Effects	As per data sheet
Additional Warnings and Precautions	As per data sheet

¹This information may be presented as words of similar meaning, and may be present on either the label or the package insert. Where the information is included in the package insert, the label should include a statement such as:
Read the enclosed package insert before starting to use this product