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 (64 microgram nasal spray)

Restrictions:

Not approved for nasal polyps.

BNF Link

Total Formulary
AZELASTINE
AZELASTINE WITH FLUTICASONE PROPIONATE (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 SODIUM PHOSPHATE (drops)

Prescribing Notes:

0.1% drops that can be used in the ear, eye or nose

BNF Link

Specialist and GP
FLUTICASONE FUROATE (nasal spray)

Restrictions:

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

BNF Link

Specialist and GP
FLUTICASONE PROPIONATE (nasal spray)

Restrictions:

Restricted to specialist initiation for patients in whom beclometasone and budesonide have been ineffective or not tolerated. Fluticasone nasal drops 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

MOMETASONE WITH OLOPATADINE (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

Specialist and GP
TRIAMCINOLONE ACETONIDE (Nasacort) (nasal spray)

Restrictions:

Restricted to specialist initiation in patients for whom preferred list options have been ineffective or not tolerated.

BNF Link