2023-09-23 23:02:51
The Food and Drug Administration (FDA) provides information that Using the wrong type of nasal spray and using the wrong method It is another factor that causes the treatment of the disease to not be as effective as it should be. Therefore, you should be familiar with nasal sprays and the steps for using them correctly. To increase efficiency and safety from self-medication
Nasal sprays can be divided into 2 groups according to treatment:
1. Steroid nasal spray It is a medicine used to treat certain diseases, including sinusitis (both with and without rhinitis) and nasal allergies. Effective in reducing nasal congestion, runny nose, itching, and sneezing because it acts only on the nasal mucosa. Important drugs such as Budesonide, Fluticasone, Mometasone, etc.
Steroid nasal sprays have a low effect on the body. But local side effects may occur such as sneezing, burning, scabs in the nasal cavity, dry nose, and irritation of the nasal mucosa after spraying the medicine.
Caution should be exercised when using this medicine in people with high blood pressure. High intraocular pressure, closed-angle glaucoma, heart disease, psychosis, enlarged prostate. hyperthyroidism or sinusitis And among young patients, this type of spray should not be used for more than 7 days in a row because it may cause nasal mucosa from the drug and more swelling. But this depends on the severity and the doctor’s prescription.
2.Nasal spray that works by constricting the blood vessels of the nasal mucosa. Helps the blood vessels in the nasal mucosa shrink. Reduces swelling of the nasal mucosa. As a result, the patient’s nasal congestion symptoms improved. It acts faster than the oral type. It works within 5-10 minutes after spraying important drugs such as ephedrine and oxymetazoline. (Oxymetazoline) xylometazoline (Xylometazoline), etc. However, this group of drugs works only temporarily. When the effect of constricting blood vessels is gone The lining of the nose may become swollen again.
Nasal sprays that constrict blood vessels should not be used for longer than 2 weeks and should not be used in patients with chronic nasal congestion. This is because it may cause rhinitis from the drug. Unless there are complications. And it is necessary to reduce the swelling of the nasal mucosa quickly. Your doctor will reduce the dose and frequency of use of this medication to the minimum necessary to control symptoms.
How to spray your nose correctly?
(You should wash your nose or blow your nose out before spraying the medicine. so that the medicine can touch the nasal membranes and work well)
Open the bottle cap and shake the bottle every time before spraying. (In case of opening for the first time Try pressing the inhaler into mist 2-3 times) Use your thumb to hold the bottom of the bottle. The index and middle fingers hold the neck of the bottle. (Some nasal sprays may have a medicine button on the side of the bottle.) Insert the tip of the spray head into one nostril. Let the spray tip point towards the corner of the eye on the same side as the nose. And use the fingers of the other hand to close the remaining nostrils. Inhale slowly while pressing the inhaler once. Hold your breath for 2-3 seconds, then spray the medicine in the other nostril in the same way. (Number of times to spray medicine per day Depending on the doctor’s advice) Clean the tip of the spray bottle with a cloth or paper towel moistened with clean water, then wipe dry and cover the cap. Store the medicine at a temperature less than or equal to 25 degrees Celsius (if you have a burning sensation in your nose after Spray medicine You should consult a doctor. and the wrong way to spray medicine, such as spraying medicine into the middle wall of the nose. May cause nosebleeds. The nasal septum can be penetrated.) You should gargle or gargle immediately after spraying your nose every time. To prevent medicine from remaining in the throat area. This may result in hoarseness, throat irritation, dry mouth, dry throat, and oral thrush.
Use of nasal spray must be under the supervision of a doctor or pharmacist only. Do not buy medicine for your own use as it may be dangerous.
Reference information
https://www.rama.mahidol.ac.th/th/knowledge_awareness_health/29jan2020-1610
https://www.si.mahidol.ac.th/siriraj_online/thai_version/Health_detail.asp?id=1219
https://www.rcot.org/pdf/379%20_7GRAGT_RRC3steroids_mac27-06-59.pdf
https://www.rcot.org/2021/ForPeople/Knowledge/8887b472d6b02ad422384d34e136094444da700d
How to use nasal spray | Nonthaburi Medical Service Center Hospital (nmc.go.th)
https://sriphat.med.cmu.ac.th/th/knowledge-323
Nasal steroid spray for treating sinus disease and allergies – Chulalongkorn Hospital, Thai Red Cross Society (chulalongkornhospital.go.th)
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