(triamcinolone acetonide) Nasal Spray
These instructions provide important information about
Nasacort AQ. Ask your healthcare provider or pharmacist if you have any
Important: For use as a nasal spray only.
What is Nasacort AQ?
Nasacort®AQ Nasal Spray is a prescription
medicine called a corticosteroid used to treat nasal symptoms of seasonal and
year around allergies in adults and children 2 years of age and older. When
Nasacort AQ is sprayed in your nose, this medicine helps to lessen the symptoms
of sneezing, runny nose, nasal itching and stuffy nose.
Nasacort AQ is not for children under the age of 2 years.
Who should use Nasacort AQ?
Do not use Nasacort AQ if you have had a reaction
to triamcinolone acetonide or to any of the other ingredients in Nasacort AQ.
See the end of this leaflet for a complete list of ingredients in Nasacort AQ.
What should I tell my healthcare provider before using
Tell your healthcare provider if you are:
- pregnant or planning to become pregnant
- exposed to chickenpox or measles
- feeling unwell or have any symptoms that you do not
Tell your healthcare provider about all of the medicines
you take, including prescription and non-prescription medicines, vitamins, and
How do I use Nasacort AQ?
- Use Nasacort AQ exactly as your healthcare provider tells
- You will get the best results if you use Nasacort AQ
regularly and without missing a dose. Do not take extra doses.
- Nasacort AQ should be used as a nasal spray only. Do not
spray it in your eyes or mouth.
- Your healthcare provider will tell you how and when to
use Nasacort AQ. Do not use more Nasacort AQ or take it more often than your
healthcare provider tells you.
- The prescription label will usually tell you how many
sprays to take and how often. If it does not or if you are unsure, ask your
healthcare provider or pharmacist.
- For people aged 12 years and older, the usual dose
is 2 sprays in each nostril, one time each day.
- For children aged 6 to 12 years, the usual dose is
1 spray in each nostril, one time each day. Your healthcare provider may
tell you to take 2 sprays in each nostril one time each day.
- For children aged 2 to 5 years, the usual dose is 1
spray in each nostril, one time each day.
- An adult should help a young child use this medicine.
Do not stop taking Nasacort AQ without telling your healthcare provider.
Before you throw away Nasacort AQ, talk to your healthcare provider to see if
you need another prescription. If your healthcare provider tells you to
continue using Nasacort AQ, throw away the empty or expired bottle and use a
new bottle of Nasacort AQ.
- For detailed instructions, see the “Instructions for Use”
at the end of this leaflet.
- Some symptoms may get better on the first day of
treatment. It generally takes one week of use to feel the most benefit.
- Protect your eyes from the spray. If you get the spray in
your eyes, rinse your eyes well with water.
- If your symptoms do not improve, or if they become worse,
contact your healthcare provider.
- Tell your healthcare provider if you have irritation,
burning or stinging inside your nose that does not go away when using Nasacort
What are the possible side effects of Nasacort AQ?
Common side effects of Nasacort AQ include:
Sore throat, headache, and nosebleeds. If you have
an increase in nosebleeds after using Nasacort AQ or the inside of your nose
hurts, contact your healthcare provider.
What are the other risks of using Nasacort AQ?
Hole in the cartilage inside the nose (nasal septal
perforation). Tell your healthcare provider if you have a whistling sound
from your nose when you breathe.
Fungal infection in your nose.
Slow wound healing. You should not use Nasacort AQ
until your nose has healed if you have a sore in your nose, if you have had
surgery on your nose, or if your nose has been injured.
Eye problems such as glaucoma and cataracts. Tell
your healthcare provider if you have a change in vision or have a history of
increased intraocular pressure, glaucoma, or cataracts.
Immune system problems that may increase your risk of
infections. You are more likely to get infections if you take medicines
that weaken your body's ability to fight infections. Avoid contact with people
who have contagious diseases such as chicken pox or measles while using
Nasacort AQ. Symptoms of infection may include fever, pain, aches, chills,
feeling tired, nausea and vomiting.
Effect on how fast children grow. Nasacort AQ may
cause your child's growth to slow down. If your child is taking Nasacort AQ,
your healthcare provider will need to regularly check the height of your child
and adjust the dose as appropriate.
These are not all the possible side effects of Nasacort AQ.
Tell your healthcare provider if you have any side effect that bothers you or
that does not go away. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088.
Instructions for Use
Read these instructions carefully before using your
Before using the spray pump bottle:
Pull the blue cover and remove the clip from the spray
pump unit. See figure A.
If the top part of the spray pump comes off of the bottle
when removing the cover, then re-insert the stem back into the pump.
2. Shake the spray pump bottle before each use.
Priming the Spray Pump Bottle
3. Before using the spray pump bottle for the first time,
it must be primed. To prime, put your thumb on the bottom of the bottle and
your index and middle fingers on the “shoulders” of the bottle, and hold it
upright. See figure B.
4. Point the bottle away from your eyes. Push the bottle
up with your thumb and against your two fingers firmly and quickly
until a fine spray appears. Do this pumping action 5 times. Now your spray pump
bottle is primed and ready for use. A fine mist can only be made by a rapid and
firm pumping action.
5. Repeat priming the pump, if it has not been used for
more than 2 weeks. To reprime, shake the spray pump bottle and pump it just one
time. Now the spray pump bottle is reprimed.
Using the spray:
6. Gently blow your nose to clear it, if needed. For
small children, be sure to help them gently blow their nose, as much as
7. Pull off the blue cover and clip as shown in figure C.
Shake the spray pump well.
8. Hold the spray pump firmly, with the index and middle
finger on either side of the spray tip. Place your thumb on the bottom of the
bottle. Be careful so that your fingers will not slip off the spray pump
as you spray inside your nose. See figure D.
9. Put the spray tip into one side of your nose. The tip
should not reach far into the nose. Rest the side of your index finger against
your upper lip. Tip your head back a little and aim the spray toward the back
of your nose.Â See figure E.
10. Press against the other side of your nose with your
finger so the nostril is closed.Â Pump the spray bottle by pushing on the
bottom of the bottle with your thumb firmly and quickly for the full dose of
medicine. Sniff gently at the same time to help the medicine get to the back of
your nose. See figure F. Repeat this step for the other side.
11. Repeat steps 8, 9 and 10 if your healthcare provider
tells you to use more than one spray in each nostril.
12. Do not blow your nose for 15 minutes after using the
13. After use, wipe the nozzle on the spray bottle with a
clean tissue, and replace the blue cover.
14. Keep the cover and the clip on the spray pump bottle
when not in use.
Cleaning the spray pump bottle:
15. To clean the spray pump bottle, remove the blue cover
and the spray nozzle only. Soak the cover and spray nozzle in warm water for a
few minutes, and then rinse under cold water. See figure G.
16. Shake or tap off the excess water and allow to air
dry. Once the cap and spray nozzle are dry, put the nozzle back onto the
bottle, and prime the bottle as necessary until a fine mist is made. Use the
spray as directed by your healthcare provider.
If the spray bottle does not work:
The hole in the tip of the nozzle may be blocked. Never
try to unblock the spray hole or enlarge it with a pin or other sharp object.
This will make the spray mechanism not work correctly. Changing the size of the
opening can change the amount of medicine you or your child will receive. This
could cause an overdose of the medicine. To clean nasal spray pump bottle,
refer to Step 15.
Repriming the spray pump is only necessary when it has
not been used for more than 2 weeks. To reprime, shake the bottle and only pump
the spray bottle one time. Do not reprime if you use the spray more often than
every two weeks.
Each Nasacort AQ bottle contains 120 doses of medicine
plus a little extra for priming the pump. A check-off chart is included with
your Nasacort AQ to help you keep track of the number of sprays. This will help
make sure that you receive 120 sprays of Nasacort AQ.
How should I store Nasacort AQ?
- Store Nasacort AQ between 68° to 77°F (20° to 25° C).
- After using 120 sprays, throw the medicine away, as
directed by your healthcare provider, even if the bottle is not empty. You may
not get enough medicine if you use the bottle after 120 sprays.
Keep Nasacort and all medicines out of the reach of
children. General information about the safe and effective use of Nasacort AQ.
Medicines are sometimes prescribed for conditions that
are not mentioned in patient information. Do not use Nasacort AQ for a
condition for which it was not prescribed. Do not give Nasacort AQ to other
people, even if they have the same symptoms that you have. It may harm them.
This leaflet summarizes the most important information
about Nasacort AQ. If you would like more information, talk with your
healthcare provider. You can ask your pharmacist or healthcare provider for
information about Nasacort AQ that is written for health professionals.
For more information call 1-800-633-1610.
What are the ingredients in Nasacort AQ?
Active ingredient: triamcinolone acetonide
Inactive ingredients: Microcrystalline cellulose,
carboxymethylcellulose sodium, polysorbate 80, dextrose, benzalkonium chloride,
and edetate disodium are contained in this aqueous medium; hydrochloric acid or
sodium hydroxide may be added to adjust the pH to a target of 5.0 within a
range of 4.5 and 6.0.