Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
12.2. Drugs acting on the nose

12.2.1. Drugs used in nasal allergy

Preferred List
Preferred List First Line
BECLOMETASONE DIPROPRIONATE (Nasal spray)

Prescribing Notes:

Nasal spray, 50 micrograms/spray.

BNF Link

BUDESONIDE (Rhinocort Aqua) (64 microgram nasal spray)

Restrictions:

Not approved for nasal polyps.

BNF Link

Total Formulary
AZELASTINE
AZELASTINE, FLUTICASONE (nasal spray)

Restrictions:

For use in patients who require both a nasal steroid and nasal antihistamine and where compliance is considered to be an issue.

Prescribing Notes:

Patient should have tried monotherapy with a nasal steroid for 6-12 weeks first with no benefit.

BNF Link

BETAMETHASONE
Specialist and GP
FLUTICASONE FUROATE

Restrictions:

Restricted to specialist initiation. Restricted to allergic rhinitis patients in whom beclomethasone and budesonide have been ineffective or not tolerated.

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Specialist and GP
FLUTICASONE PROPIONATE

Restrictions:

Restricted to specialist initiation where fluticasone nasal sprays should be reserved for patients in whom beclometasone and budesonide have been ineffective or not tolerated. Flixotide Nasules® are not included in the GGC Formulary.

BNF Link

MOMETASONE FUROATE (Nasal spray)

Prescribing Notes:

Mometasone nasal sprays should be reserved for patients for whom preferred list options have been ineffective or not tolerated.

BNF Link

OLOPATADINE, MOMETASONE (Ryaltris) (nasal spray)

Restrictions:

For use where monotherapy with either intranasal antihistamine or glucocorticoid is not considered sufficient.

Prescribing Notes:

Patient should have tried monotherapy with a nasal steroid for 6-12 weeks first with no benefit.

BNF Link