Indications

• Nasal Spray (Aqueous Suspension): Treatment of the symptoms of seasonal and perennial allergic rhinitis in patients aged 2 years and older.²

• Inhalation Powder (Capsule): Once-daily maintenance treatment of asthma as prophylactic therapy in patients aged 5 years and older. It is NOT for the relief of acute bronchospasm.

Dosage & Administration

Nasal Spray

• Note: Effectiveness depends on regular use.

• Administration: Shake gently, prime the pump before first use or after 1 week (or more) of non-use. Insert the applicator, tilt the head slightly forward, and press firmly while breathing in through the nose.

Inhalation Powder (Capsule)

• Administered as 1 inhalation once daily by the orally inhaled route, at the same time every day. Do not use more than 1 time every 24 hours.

• Note: The dosage should be titrated to the lowest effective dosage after asthma stability is achieved.³

Contraindications & Warnings

• Contraindication: Hypersensitivity to any of its ingredients.

• Inhibitors: Coadministration with potent ⁴ inhibitors (like ritonavir or ketoconazole) is not recommended or requires caution, as it may increase Rhinomist exposure.⁵

• Systemic Effects: Although minimal with recommended doses, the risk of systemic effects (like wheezing, nasal septum perforation, cataracts, glaucoma, and increased intraocular pressure) increases with larger doses. Avoid larger than recommended doses.

• Nasal Spray Side Effects: Drying of the nose and an increase in the incidence of nosebleeds may occur.

Special Populations

• Renal Impairment: No dosage adjustment is required.

• Hepatic Impairment: Use with caution in patients with severe hepatic impairment.

• Pregnancy Category C: Use during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is unknown if it is excreted in human breast milk.

Therapeutic Class: Nasal Steroid Preparations.