Types of topical nasal steroids

The main issues individuals have with using BEG nasal spray come from nasal irritation. Since the ingredients are killing bacteria in the nasal passages, there may be some irritation (burning or stinging), inflammation, and nasal discharge as the biofilm breaks down and the toxic bacteria are removed. Some patients may also experience headaches or congestion. In rare case patients may experience an allergic reaction to fungi as they are killed. Systemic absorption of topical sinus medications is minimal so the side effects should not be serious. Most individuals will find that these symptoms clear up soon after stopping treatment.

Nasal corticosteroids follow the same pathway of reducing inflammation as that of medications taken systemically, but their anti-inflammatory activity is localized to the upper airway. Nasal corticosteroids are believed to permit smooth-muscle relaxation, reduce airway hyperresponsiveness, and reduce the quantity and activity of inflammatory mediators. This class of medications is particularly useful for managing rhinorrhea, sneezing, pruritus, and congestion. Nasal corticosteroids are also useful in patients with NARES, as evidence suggests that they inhibit inactivation of eosinophils and the resultant cascade leading to inflammation.

Arlen D Meyers, MD, MBA  Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery , American Academy of Otolaryngology-Head and Neck Surgery , American Head and Neck Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Cerescan;RxRevu;Cliexa;Preacute Population Health Management;The Physicians Edge<br/>Received income in an amount equal to or greater than $250 from: The Physicians Edge, Cliexa<br/> Received stock from RxRevu; Received ownership interest from Cerescan for consulting; for: Rxblockchain;Bridge Health.

The outlook for rash depends on the underlying cause. The prognosis of clearing a superficial fungal infection is very good while a patient with psoriasis or eczema may not clear completely despite aggressive therapy. Most rashes are short-lived and easily resolve. There are some chronic rashes that are not curable, such as psoriasis. Medical monitoring is often necessary to watch the progression of more resistant or recurrent rashes. Any persistent rashes or rashes that are refractory to appropriate treatment may warrant a skin biopsy to rule out cancer .

Types of topical nasal steroids

types of topical nasal steroids

The outlook for rash depends on the underlying cause. The prognosis of clearing a superficial fungal infection is very good while a patient with psoriasis or eczema may not clear completely despite aggressive therapy. Most rashes are short-lived and easily resolve. There are some chronic rashes that are not curable, such as psoriasis. Medical monitoring is often necessary to watch the progression of more resistant or recurrent rashes. Any persistent rashes or rashes that are refractory to appropriate treatment may warrant a skin biopsy to rule out cancer .

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