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Rhinocort Side Effects

Generic Name: budesonide nasal

Note: This page contains side effects data for the generic drug budesonide nasal. It is possible that some of the dosage forms included below may not apply to the brand name Rhinocort.

For the Consumer

Applies to budesonide nasal: nasal aerosol powder, nasal spray

As well as its needed effects, budesonide nasal (the active ingredient contained in Rhinocort) may cause unwanted side effects that require medical attention.

Major Side Effects

If any of the following side effects occur while taking budesonide nasal, check with your doctor immediately:

More common:
  • Bloody nose
Less common:
  • Body aches or pain
  • congestion
  • cough
  • difficulty with breathing
  • dryness or soreness of the throat
  • fever
  • hoarseness
  • noisy breathing
  • runny nose
  • shortness of breath
  • tender, swollen glands in the neck
  • tightness in the chest
  • trouble with swallowing
  • voice changes
  • wheezing
Incidence not known:
  • Backache
  • blistering, crusting, irritation, itching, or reddening of the skin
  • bloody mucus
  • blurred vision
  • cracked, dry, or scaly skin
  • darkening of the skin
  • decreased vision
  • diarrhea
  • difficulty with swallowing
  • dizziness
  • eye pain
  • facial hair growth in females
  • fainting
  • fast, irregular, pounding, or racing heartbeat or pulse
  • full or round face, neck, or trunk
  • headache
  • hives or welts
  • increased thirst or urination
  • irritability
  • itching
  • lack or slowing of normal growth in children
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • loss of appetite
  • loss of sexual desire or ability
  • menstrual irregularities
  • mental depression
  • muscle wasting
  • nausea or vomiting
  • nosebleeds
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • skin rash
  • swelling
  • tearing
  • unusual tiredness or weakness

Minor Side Effects

Some budesonide nasal side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

Incidence not known:
  • Burning, itching, swollen, or sore throat
  • loss of sense of smell

For Healthcare Professionals

Applies to budesonide nasal: nasal aerosol with adapter, nasal spray


The most commonly reported side effects were epistaxis, pharyngitis, dyspnea, bronchospasm, cough, and nasal irritation.[Ref]


Common (1% to 10%): Epistaxis, pharyngitis, dyspnea, bronchospasm, cough, nasal irritation (sneezing, stinging, dryness), nasal crust
Very rare (less than 0.01%): Nasal septum perforation, ulceration of mucous membrane
Postmarketing reports: Anosmia, pharynx disorders (throat irritation, throat pain, swollen throat, burning throat, itchy throat), wheezing[Ref]


Uncommon (0.1% to 1%): Hypersensitivity reactions including urticaria, rash, dermatitis, angioedema, pruritus
Very rare (less than 0.01%): Anaphylactic reaction[Ref]


Uncommon (0.1% to 1%): Loss of appetite, stomach disorder, nausea[Ref]

Nervous system

Common (1% to 10%): Headache, dizziness
Uncommon (0.1% to 1%): Bad taste, tremor, sedation[Ref]


Rare (less than 0.1%): Signs and symptoms of systemic corticosteroid effects, including adrenal suppression and growth retardation[Ref]


Frequency not reported: Candida albicans infection, immunosuppression[Ref]


Uncommon (0.1% to 1%): Skin itching[Ref]


Frequency not reported: Raised intraocular pressure, glaucoma,


Postmarketing reports: Palpitations[Ref]


Rare (less than 0.1%): Sexual dysfunction[Ref]


Rare (less than 0.1%): Joint ache[Ref]


Common (1% to 10%): Tiredness
Uncommon (0.1% to 1%): Earache
Frequency not reported: Impaired wound healing[Ref]


1. Cerner Multum, Inc. "Australian Product Information." O 0

2. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

3. "Product Information. Rhinocort (budesonide)." Astra USA, Westborough, MA.

It is possible that some side effects of Rhinocort may not have been reported. These can be reported to the FDA here. Always consult a healthcare professional for medical advice.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.