Monday, April 22, 2013

Confused about safe age for using nasal steroid sprays in children for allergies?

I am invariably confused about the safe age of various steroid formulations for use in the present allergy season given that many different medications are available, and most Medical reps marketing them are either confused themselves OR try to confuse us :)
It does not help that the age groups for inhaled steroids for Asthma are different than the intranasal steroids for Allergic rhinitis
Here is an easy to remember image (from the US) that can help


Since we do have all the second generation products in India, I believe using Nasonex (Mometasone) would be the easiest choice since it has very low bio-availability (a good thing), and is safe for children above 2 years.
Update: Fluticasone Furoate (Veramyst in US, Fluticone - FT - German Remedies in India, and other brands) is now FDA approved for kids above 2 years age 

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