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Active substance(s): BUDESONIDE

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5. How to store Rhinocort Aqua
• K
 eep this medicine out of the sight and reach of children.
• Do not use this medicine after the expiry date which is stated on the carton or label.
The expiry date refers to the last day of that month.
• Do not store above 30°C.
• Do not freeze or store in the fridge.
• Store the bottle in an upright position.
• Use within 2 months of opening the bottle. You may find it helpful to write on this
leaflet when you first opened the bottle:
Date bottle opened ………………………………………..
Do not throw away any medicines via wastewater or household waste. Ask your
pharmacist how to throw away medicines you no longer use. These measures will help
to protect the environment.
6. Contents of the pack and other information
What Rhinocort Aqua contains
• The active ingredient is budesonide. Rhinocort Aqua 64 micrograms contains
64 micrograms of budesonide in each spray.
• The other ingredients are disodium edetate, potassium sorbate (E202), glucose
(anhydrous), microcrystalline cellulose (E460), carboxymethylcellulose sodium (E466),
polysorbate 80 (E433), hydrochloric acid and purified water.
• Each bottle of Rhinocort Aqua contains 120 or 240 sprays.
What Rhinocort Aqua looks like and contents of the pack
Rhinocort Aqua is a metered pump nasal spray. Rhinocort Aqua is available in either
a 10ml or 20 ml amber/brown glass bottle. Each bottle is fitted with a spray pump and
contains either 120 or 240 sprays. Not all pack sizes are marketed
Marketing Authorisation Holder and Manufacturer
The Marketing Authorisation Holder for Rhinocort Aqua marketed in the UK and Malta is
AstraZeneca UK Limited, 600 Capability Green, Luton, LU1 3LU.
Rhinocort Aqua is manufactured by AstraZeneca UK Limited, Silk Road Business Park,
Macclesfield, Cheshire, SK10 2NA, UK.
This leaflet was last revised: September 2016.
©AstraZeneca 2016
Rhinocort is a trademark of the AstraZeneca group of companies.
RSP 16 0030b

To listen to or request a copy of this leaflet in Braille, large
print or audio please call, free of charge:
0800 198 5000 (UK only)
Please be ready to give the following information:
Product name Rhinocort Aqua, 64 micrograms,
nasal spray
Reference number
This is a service provided by the Royal National Institute of
Blind People.


07 September 2016 14:46

Package leaflet: Information for the user


Rhinocort Aqua, 64 micrograms, Nasal Spray
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 pharmacist.
• 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.
In this leaflet:
1. What Rhinocort Aqua is and what it is used for
2. What you need to know before you use Rhinocort Aqua
3. How to use Rhinocort Aqua
4. Possible side effects
5. How to store Rhinocort Aqua
6. Contents of the pack and other information
1. What Rhinocort Aqua is and what it is used for
Rhinocort Aqua contains a medicine called budesonide. This belongs to a group of
medicines called corticosteroids.
• Corticosteroids help to prevent inflammation.
• Rhinocort Aqua is used to treat the effects of allergies, such as hay fever, and
inflammation inside the nose (rhinitis).
• It can also stop these effects from coming on.
• It is also used to treat small growths inside the nose (nasal polyps).
You must talk to a doctor if you do not feel better or if you feel worse after 14 days.
2. What you need to know before you use Rhinocort Aqua
Do not use Rhinocort Aqua:
• If you are allergic to budesonide or any of the other ingredients of this medicine
(listed in section 6).
• If you are under 18 years of age.
If you are not sure if this applies to you, talk to your doctor or pharmacist before using
Rhinocort Aqua.
Warnings and Precautions
Talk to your doctor or pharmacist before using Rhinocort Aqua if:
• You have TB (tuberculosis).
• You have a chest infection.
• You have reduced liver function.
If you are not sure if either of the above apply to you, talk to your doctor or pharmacist
before using Rhinocort Aqua.
Other medicines and Rhinocort Aqua
Tell your doctor or pharmacist if you are taking, have recently taken or might take any
other medicines. This includes medicines that you buy without a prescription and herbal
In particular, talk to your doctor if:
• You are taking medicines to treat fungal infections (such as itraconazole or
• You have been taking steroid tablets. Your doctor may ask you to take fewer of them after
starting to use Rhinocort Aqua. If you notice any unusual effects as a result of this, tell
your doctor.
• You are taking oestrogens and contraceptive steroids.
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 using this medicine.
• If you get pregnant while using Rhinocort Aqua, talk to your doctor straight away.
Driving and using machines
Rhinocort Aqua is not likely to affect you being able to drive or use any tools or machines.

3. How to use Rhinocort Aqua

If you use more Rhinocort Aqua 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.
If you take too many doses of Rhinocort Aqua, talk to your doctor or pharmacist straight away.
If you forget to use Rhinocort Aqua
If you forget to take a dose, take it as soon as you remember. However, if it is almost
time to take the next dose, wait until then. Do not use a double dose to make up for a
forgotten dose.
If you stop using Rhinocort Aqua
You may not notice any effects of the medicine for the first few days. Do not stop using
this medicine. Keep taking the medicine as you have been told to. If you still feel no
different after a few more days, talk to your doctor or pharmacist.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your
doctor or pharmacist if you are not sure. Read the label to remind you of what they said.
How much Rhinocort Aqua to use
Allergies such as hay fever
• The recommended dose for adults and the elderly is two sprays of Rhinocort Aqua
into each nostril in the morning. Alternatively, your doctor may ask you to take one
spray of Rhinocort Aqua into each nostril every morning and evening.
• This may be reduced by your doctor once your symptoms have improved.
It is important to use Rhinocort Aqua regularly. Try to use it before you come into
contact with whatever causes the allergy. For example, pollen is what causes hay fever,
so you will be more at risk outdoors.
Nasal polyps
• The recommended dose is one spray of Rhinocort Aqua into each nostril every
morning and evening.
Treatment for allergies such as hay fever and for nasal polyps can continue for up to 3 months.
Use in children
Rhinocort Aqua is not recommended for use in children.
Instructions for use
1. Priming the nozzle
Before using Rhinocort Aqua for the first time, you must prime the
nozzle (that is, fill it with the medicine). To do this:
• Shake the bottle and remove the protective cap.
• Hold the bottle upright as shown in the picture.
• Pump the nozzle up and down several times
(5 to 10 times), spraying into the air until you see
an even mist.
The priming effect remains for about 24 hours. If you leave a gap
of more than a day before the next dose, you will need to prime
the nozzle again. This time spray it into the air just once.
2. Using Rhinocort Aqua
• Blow your nose. Shake the bottle. Remove the protective cap.
• Hold the bottle as shown in the picture.
• Put the tip of the nozzle into your nostril,
as shown. Spray once (or more if the doctor
has told you to). Use the spray in the other
nostril in the same way. Note, you do not need
to breathe in at the same time as you spray.
• Wipe the nozzle with a clean tissue and replace
the protective cap. Store the bottle in an upright position.
3. Cleaning the nozzle
It is best to clean the plastic nozzle of Rhinocort Aqua regularly. Also clean it if you
notice that the spray is not coming out as it should. If this happens, first check the
nozzle is primed with medicine (see “Priming the nozzle” above). If after priming the
nozzle again the pump is still not working, clean the nozzle as follows:
• Remove the plastic nozzle with a clean tissue and wash it in warm (not hot) water.
• Rinse the nozzle thoroughly, dry it and then replace it on the top of the bottle. Never
try to unblock the nozzle by using a pin or other sharp object.
• Prime the nozzle again (by filling it with medicine) before use.
Additional information about using Rhinocort Aqua
• If you are about to have an operation or during times of stress, please tell the doctor
that you use Rhinocort Aqua. The doctor may ask you to take steroid tablets as
well, particularly if you have been taking a high dose of Rhinocort Aqua, or a similar
medicine, for a long time.
• Eye problems: If you have an allergy which is also causing eye problems, you may
need to take another medicine as well.
• Long-term treatment: If you use Rhinocort Aqua every day for a long time, your
doctor will need to have a regular check of the inside of your nose (the nasal mucosa).
• Children and adolescents: If a child or adolescent is prescribed Rhinocort Aqua and
uses a high dose for a long time, the doctor will need to check how well they are growing.

Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of the following happen to you, stop using Rhinocort Aqua and talk to your
doctor straight away:
• Skin rash, itching, lumpy rash (hives), blistering of the skin. Swelling of your face, lips,
tongue or throat (this may make it difficult to swallow). These are uncommon, affecting
less than 1 in 100 people.
• Severe allergic reaction. This is rare, affecting less than 1 in 1000 people.
• In addition to the above, sudden wheezing and/or feeling faint may occur. It is not
known how often these occur; however they are very unlikely.
If any of the above occurs, you may be having an allergic reaction.
Other possible side effects:
Common (may affect up to 1 in 10 people)
• Occasional sneezing, dry nose, or stinging in your nose. These can happen straight
after using Rhinocort Aqua.
• Slight bleeding from the nose.
Uncommon (may affect up to 1 in 100 people)
• Muscle cramps.
Rare (may affect up to 1 in 1000 people)
• Slowing of the rate of growth of children and adolescents. Corticosteroids can affect
the normal production of steroid hormones in your body, particularly if you use high
doses for a long time. This is much less likely to happen with inhaled corticosteroids
than with corticosteroid tablets.
• Perforation of the membrane separating the nostrils (the nasal septum).
• Nasal ulcer.
• Loss of voice.
• Bruising of the skin.
Very rare (may affect up to 1 in 10,000 people)
• Sore patches on the inside of the nose.
Not known (frequency cannot be estimated from the available data)
• Glaucoma (increased pressure in the eye).
• Cataract.
If any of these side effects occur, they usually go away after a short time.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible
side effects not listed in this leaflet. You can also report side effects directly (see details
below). By reporting side effects you can help provide more information on the safety of
this medicine.
United Kingdom
Yellow Card Scheme
ADR Reporting



4. Possible side effects

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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.