Steroid Nasal Sprays
Summary
Types and differences
Conditions treated with steroid nasal sprays
Conditions of concern with steroid nasal sprays
Potential side effects of steroid nasal sprays
Drug or other interactions
Pregnancy use issues
Child use issues
Elderly use issues
Nasal corticosteroids are considered safer for pregnant women than
corticosteroids taken orally or through injection. The latter forms of the
medication may cause birth defects, slower growth or reduced adrenal gland
function in fetuses.
It is known that some steroids, such as dexamethasone, pass into the breast milk
of breastfeeding mothers. The effect of other steroids on breast milk is
unknown. For this reason, breastfeeding mothers should consult a physician
before taking steroid drugs.
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Steroids taken by mouth or injection have been shown to reduce adrenal gland
function in children, stopping or slowing growth rates in some cases. Generally,
nasal steroids contain lower doses of the drug targeted to a very specific area
of the body. As a result, they are not believed to contribute to significant
slowing of growth rates.
However, studies have shown that some nasal steroids may contribute to slight
slowing of growth rates. At this time, it is unknown whether or not children are
likely to make up for these slower growth rates later in life. Experts generally
believe the benefits of steroid nasal sprays outweigh the potential risks.
Parents should discuss the pros and cons of using steroid nasal sprays with
their child’s physician.
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There is little specific information about the effects of steroid nasal sprays
on older adults. Most healthcare professionals believe the effects of steroid
nasal sprays on adults are similar to those experienced by younger adults.
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