Health Tips

The purpose of this information is to give you a little insight into the topics most frequently asked by our parents. This information is designed to be used as a guideline. We encourage you to call our office, (617) 735-8585, when you have concerns regarding the care and well being of your child.

ASAL SPRAY

Intranasal corticosteroids (nasal sprays) have been shown to be effective in the treatment of allergic rhinitis (hayfever). Allergic rhinitis usually occurs in children over the age of two. Younger children usually have not had sufficient exposure to certain allergens (i.e., pollen, dust mite, mold, etc...) to develop allergic rhinitis. Symptoms may include nasal congestion, runny nose, swelling of intranasal structures as well as itchy, watery eyes. Nasal sprays can reduce the amount of inflammation that occurs when a patient is experiencing these symptoms. Several intranasal steroid medications are available.

Mometasone furoate (NASONEX)- Recommended for children as young as two years.

Fluticasone proprionate (FLONASE)- Recommended for children for children as young as four years old.

Budesonides (RHINOCOURT AQUA)- Recommended for children as young as six years old.

These nasal sprays are prescribed medications and patients are instructed to use one or two sprays to each nostril daily. Since these medications do not help the relief of watery, itchy eyes, we may recommend that patients be treated with antihistamines in addition to nasal sprays. Such treatment is especially important if the patient has a significant runny nose (rhinorrhea), since nasal sprays cannot be used optimally if nasal secretions are washing out the effects of the nasal spray.

While it is true that these medications are steroids, studies to date (May, 2004) have shown that there are almost no systemic side effects to these drugs (especially Nasonex). There have not been to date (again, as of May, 2004) any studies demonstrating significant growth delays from the use of the afore-mentioned medications.