Intranasal Corticosteroids: These drugs are administered directly into the nose by spray and work to reduce inflammation and discomfort. They are now available OTC as Nasacort Allergy 24HR (triamcinolone) and Flonase Allergy Relief (fluticasone). Symptom improvement can be seen almost immediately, though maximal efficacy can take a few days. Discontinue use and call your doctor if symptoms do not improve within 7 days, or if new symptoms occur. Side effects are minimal and include dry nose and unpleasant smell or taste. Ask your pharmacist about the proper technique to administer intranasal medications.
The majority of side effects from topical steroids occur within the nose at the site of local application. These side effects commonly include nasal irritation and nose bleeds . Should these symptoms occur, a person should stop using the nasal steroid for a few days, and then re-start the medication using the appropriate technique . If bleeding and irritation continue to occur, the nasal steroid should not be used any longer. A person who continues to use a nasal steroid despite these local side effects is at risk for septal perforation .