NASACORT NASAL SPRAY
Active substance(s): TRIAMCINOLONE ACETONIDE
Nasacort Nasal Spray
This medicine is known by the above name but will be referred to as
Nasacort throughout this leaflet.
Read all of this leaflet carefully before you start using this
medicine because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or
• This medicine has been prescribed for you only. Do not pass it
on to others. It may harm them, even if their signs of illness are
the same as yours.
• If you get any side effects, talk to your doctor or pharmacist.
This includes any possible side effects not listed in this leaflet.
See Section 4.
What is in this leaflet
1. What Nasacort is and what it is used for
2. What you need to know before you use Nasacort
3. How to use Nasacort
4. Possible side effects
5. How to store Nasacort
6. Contents of the pack and other information
1. WHAT NASACORT IS AND WHAT IT IS USED FOR
Nasacort contains a medicine called triamcinolone acetonide.
This belongs to a group of medicines called corticosteroids which means
it is a type of steroid. It is given as a spray in the nose to treat the nasal
symptoms of allergic rhinitis.
Nasal symptoms of allergy include sneezing, itching, and having a
blocked, stuffy or runny nose. These can be caused by things such as:
• Animal fur or house dust mites. This type of allergy can happen at any
time of the year and is called ‘perennial allergic rhinitis’.
• Pollen. This type of allergy, such as hay fever, can be caused by
different pollens in different seasons of the year. This is called
‘seasonal allergic rhinitis’.
This medicine only works if used on a regular basis and may not help your
symptoms straight away. It helps some people within the first day of
treatment, however, for other people it may take 3 to 4 days to feel a relief.
2. WHAT YOU NEED TO KNOW BEFORE YOU USE NASACORT
Do not use Nasacort:
• If you are allergic to triamcinolone acetonide or any of the other
ingredients of this medicine (listed in section 6).
Signs of an allergic reaction to Nasacort include: a rash (hives), itching,
swallowing or breathing problems, swelling of your lips, face, throat or
Warning and precautions
Talk to your doctor or pharmacist before using Nasacort:
• If you have any infection of the nose or throat that is not treated. If you
get a fungal infection while using Nasacort, stop using the spray until
the infection has been treated.
• If you have recently had a nose operation, or had an injury or ulcer in the
• If you are being transferred from steroid injections or tablets to
• If you have had glaucoma or cataracts.
If you are not sure if any of the above apply to you, talk to your doctor or
pharmacist before using this medicine.
Children (under 6 years)
This medicine is not recommended for use in children under 6 years of age.
Operations or times of stress
Your doctor may advise you to take a higher than normal dose of this
medicine for medical reasons. If your dose is increased, tell your doctor if
you are going to have an operation or are feeling unwell. This is because
higher than normal doses of this medicine can lower your body’s ability to
heal or cope with stress. If this happens, your doctor may decide you
need further treatment with another medicine to help.
Other medicines and Nasacort
Tell your doctor or pharmacist if you are taking, have recently taken or
might take any other medicines. This is because Nasacort can affect the
way some other medicines work. Also some medicines can affect the way
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice before
taking this medicine.
Driving and using machines
Nasacort has no or negligible influence on the ability to drive or use
Nasacort contains benzalkonium chloride which can be an irritant and
may cause skin reactions.
3. HOW TO USE NASACORT
Nasacort is for nasal use only.
Always use this medicine exactly as your doctor has told you. Check with
your doctor or pharmacist if you are not sure. The medicine only works if it
is used regularly. It can take 3 to 4 days before you notice your symptoms
How much Nasacort to use
Adults and children (over 12 years)
• The usual starting dose is 2 sprays in each nostril each day
• Once the symptoms of allergy are under control, the dose may be
lowered to 1 spray in each nostril each day
Children (6 to 12 years)
• The usual dose is 1 spray in each nostril each day
• If the symptoms do not go away, then the dose may be increased to 2
sprays in each nostril each day
• The dose can then be lowered again to 1 spray in each nostril each
• Do not use Nasacort for more than 3 months in children under 12 years
How to use the spray
Before using your nasal spray, blow your nose gently to clear your
1. Preparing the bottle
• Remove the blue cover by pulling upwards
• Pull off the blue plastic clip
• Shake the bottle gently before use
2. If you are using the spray for the first time
• Hold the bottle upright
• Point the spray away from you while doing this
• Fill the pump with spray by pressing the nozzle
downwards. This is called priming
• Press and release it 5 times
• Do this until a fine spray is produced
• The spray is now ready to use
3. Using the spray
• Close one nostril with your finger
• Hold the bottle upright and put the nozzle into
the other nostril as far as is comfortable
• Breathe in gently through your nose with your
• While you are doing this, press the nozzle to
deliver one spray
4. Then breathe out through your mouth
5. Repeat steps 3 and 4 if you have to spray again
in the same nostril and for the other nostril
6. After using the spray
• To keep the spray nozzle clean, wipe it carefully with a clean tissue or
handkerchief after each use
• Press the blue plastic clip back into place to stop accidental release of
• Replace the blue cover over the nozzle
If the nasal spray has not been used for more than 2 weeks:
• It needs to be primed again, to fill the nozzle with the spray
• The nozzle should be pointed away from you while you are doing this
• To prime, spray into the air once before use
• Always shake the bottle gently before use
Cleaning the spray
If the spray does not work, the nozzle may be blocked. Never try to
unblock it or enlarge the tiny spray hole with a pin or other sharp objects.
This is because it can stop the spray from working.
The nasal spray should be cleaned at least once a week. It can be
cleaned more often if it gets blocked.
Instructions for cleaning the spray:
1. Remove the blue cover
2. Gently pull off the spray nozzle only
3. Soak the blue cover and spray nozzle in warm
water for a few minutes
4. Rinse under the cold running tap water
5. Shake or tap to remove any water that is left
6. Allow to dry in the air
7. Re-fit the spray nozzle
8. Prime the nasal spray until a fine mist is formed
9. Use as normal
If you use more Nasacort than you should
It is important that you take your dose as stated on the pharmacist’s label
or as advised by your doctor. You should use only as much as your
doctor recommends; using more or less may make your symptoms worse.
An overdose is unlikely to cause problems, however, if you have taken
the entire contents of the bottle by mouth you may have stomach or gut
discomfort. Talk to a doctor if you use more Nasacort than you should.
If you forget to use Nasacort
If you have forgotten to use Nasacort, use it as soon as you remember.
Do not use a double dose to make up for a forgotten dose.
If you stop using Nasacort
If you stop using this medicine, your symptoms may return within a few days.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at:
By reporting side effects you can help provide more information on the
safety of this medicine.
5. HOW TO STORE NASACORT
Keep your medicine out of the sight and reach of children.
Do not use after the expiry date. This is marked on the bottle and carton
after the letters ‘EXP’.
Store below 25°C.
Discard within 2 months after first opening the nasal spray.
If your doctor tells you to stop using the spray please take it back to the
pharmacist for safe disposal. Only keep the spray if your doctor tells you
If the spray fails to work properly or you notice any signs of deterioration
in your nasal spray, ask the advice of your pharmacist who will tell you
what to do.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines that are no longer
required. These measures will help to protect the environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION
Nasacort is a nasal spray containing the active ingredient triamcinolone
acetonide. Each spray delivers 55 micrograms triamcinolone acetonide.
The inactive ingredients are: microcrystalline
cellulose, carmellose sodium, polysorbate 80,
benzalkonium chloride, disodium edetate and
hydrochloric acid or sodium hydroxide (for
adjustment of pH).
Nasacort is available in a plastic bottle
containing 120 sprays.
Like all medicines, this medicine can cause side effects, although not
everybody gets them.
The active ingredient
Stop using Nasacort and see a doctor or go to a hospital straight
• you have an allergic reaction to Nasacort. The signs (frequency not
known) may include: a rash (hives), itching, swallowing or breathing
problems, swelling of your lips, face, throat or tongue.
Manufactured by Aventis Pharma, Holmes Chapel, Cheshire CW4 8BE.
Procured from within the EU by Product Licence holder: Caseview (PL)
Ltd., 20 Alliance Court, Alliance Road, London W3 0RB. Repackaged by
OPD Laboratories Ltd., Unit 6 Colonial Way, Watford, Herts WD24 4PR.
Common side effects (may affect up to 1 in 10 people)
• Runny nose, headache, sore throat and/or cough
• Inflammation/irritation of the airways (bronchitis)
• Heartburn or indigestion
• Flu-like symptoms (fever, muscle pain, weakness and/or fatigue)
• Problems with teeth
Other side effects (Not known: frequency cannot be estimated from the
• Irritation and dryness on the inside of your nose
• Sinuses become congested or blocked
• Changes in the way things taste or smell
• Feeling sick (nausea)
• Sleeping problems, feeling dizzy or tired
• Shortness of breath (dyspnoea)
• A decrease in the levels of cortisol in the blood (lab value)
• Cloudiness of the lens in the eye (cataract), elevated pressure inside
the eyeball (glaucoma)
In some people, Nasacort can cause damage to the middle part of the
inside of the nose (called ‘nasal septum’). Discuss any worries you may
have about this with your doctor or pharmacist.
Additional side effects in Children
If your child has been using this medicine, it can affect how fast your child
grows. This means that your doctor will need to regularly check your
child’s height and therefore your doctor may lower the dose. In addition,
your doctor may consider referring your child to a paediatric specialist.
Nasacort® Nasal Spray
Leaflet revision date (ref): 11/03/2014
Nasacort is a registered Trade Mark of Aventis Pharma S.A., France.
To request a copy of this leaflet in Braille, large print or audio please call
01923 332 796.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.