Rhinocort is a nasal spray steroidal substance used for the treatment of nasal conditions in children over the age of 6 and adults. This substance is currently available only in spray format and is intended to help treat various conditions caused by seasonal and all-year allergies, including itching, running nose, congestion, and sneezing. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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Rhinocort, otherwise known as Rhinocort Aqua or Budesonide nasal spray is a steroid-based spray intended for the treatment of symptoms such as runny nose, sneezing, nasal congestion and discomfort caused by allergies  all year-round. In some cases, this spray may be used to eliminate or reduce the risk of nasal polyps re-growing after surgery.  

What is Rhinocort? 

Rhinocort is a nasal spray steroidal substance used for the treatment of nasal conditions in children over the age of 6 and adults. This substance is currently available only in spray format and is intended to help treat various conditions caused by seasonal and all-year allergies, including itching, running nose, congestion, and sneezing. The Rhinocort medication includes an active ingredient called Budesonide, which falls into the group of glucocorticosteroids. The medicine is effective at dealing with a range of nasal conditions because it contains an anti-inflammatory substance that helps to reduce the sensitivity of the nasal mucosa within the nose. This will help to reduce any pain within your nose caused by inflammation, and may help to reduce symptoms like sneezing, itching, and runny or stuffy nose.

When is Rhinocort used? 

Rhinocort is designed to treat long-term and short-term nose complaints, including those caused by allergies and seasonal discomfort. Often, a doctor will be required to help diagnose the actual cause of your sneezing or nasal condition before it's safe to self-treat with this medication. If your doctor has prescribed this medication, it may be to eliminate symptoms like a stuffy or running nose, as well as itching and sneezing.  

In some cases, Rhinocort is prescribed for patients following a nasal surgery used to remove polyps. Polyps in the nose can usually cause issues with the inability to smell, stuffy nose, problems breathing, headaches, and even snoring. Using Rhinocort regularly will ensure that the swelling in the nasal mucosa that causes these polyps can decrease. When polyps are removed surgically, Rhinocort can also reduce the risk that the polyps will return. This can be crucial for people who do not want to repeat their surgery

How do you use Rhinocort? 

Rhinocort is intended for use in the nose only. It should not be taken orally. Usually, your doctor or pharmacist will recommend taking this medicine every day to get the best results. Before you begin using it, it's a good idea to blow your nose and clear the airways. Shake the container that has been given to you gently before every use, and follow the instructions provided on the medication leaflet. You will need to remove the plastic cap on top of the spray before using it. Remember to close one nostril before administering the medication by pressing it with your finger carefully. Tilt your head forwards slightly and insert the applicator in the other nostril. Press the pump firmly to deliver either one or two doses depending on the prescription given by your doctor. Make sure that you continue to breathe through your nose and keep your mouth closed. You may feel slightly uncomfortable when breathing in through your nose after the first application. Don't point the applicator towards the centre of your nose when spraying but angle it towards the outside of the nostril instead. This will help to avoid additional discomfort.  

After applying the spray, tilt your head back slightly for a few seconds, this will give the medication chance to spread across the airways in the back of your nose. Once you're ready, follow the same process with your other nostril, and clean the applicator before replacing the plastic cap. It's a good idea to avoid blowing your nose for at least fifteen minutes following the application of the medication. Remember that Rhinocort will not work instantly. You may begin to notice results within one or two days, but some patients will take up to 2 weeks to experience the full benefit of the active drug. If you are taking any other medications by nose at the same time as this drug, ask your doctor or pharmacist how long you should wait between using each. 

What dosages are available? 

A typical bottle of Rhinocort includes 64 micrograms of the active ingredient budesonide per spray. Your doctor will prescribe how often you should be using this substance for. Your dosage will be based on a number of things, including your age, your medical condition, and your response to treatment. Younger children are often given a smaller dose. To help you remember to take this substance regularly, it's best to use it at the same time each day. You should not increase your dose of this drug if you feel as though it isn't working fast enough.  

Usually, the dosage for long-term inflammation in the nasal passage, hay fever, or allergy is two sprays per day in each nostril for adults and children over the age of 6. For nasal polyps, it's recommended to use one spray in each nostril twice per day. If your condition doesn't improve after following the dosage instructions given by your doctor for 2 weeks, or the condition worsens, speak to your doctor about continuing to use the medication.  

What are the side effects of Rhinocort? 

Severe side effects with Rhinocort are very rare. However, like any medication, there is a possibility that you will experience some negative outcomes, including nosebleeds, increased sneezing, coughs, and general feelings of irritation. Some patients using Rhinocort say that they experience a strange or unpleasant taste or smell. If these issues worsen or persist, speak to your doctor. Speak to a doctor or medical expert immediately if you notice any serious side effects, including: 

  • Sores or pain in your nose 
  • Loss of smell or taste 
  • Symptoms of too much corticosteroid such as weight loss, headache, extreme tiredness, swelling in the feet or ankles, vision problems, increased thirst or increased urination.  

Over-exposure to corticosteroids can also make it harder for your body to fight off infection. This issue can also occur with substances like budesonide that are inhaled through the nose. Tell your doctor if you notice signs of an infection such as sore throat, fever, persistent ear pain, chills, or white patches inside of your nose or throat. Be vigilant when responding to potential allergic reactions when taking this drug. Signs of an allergic reaction include trouble breathing, dizziness, wheezing, swelling of the tongue, face or throat, itching, or rash.

When shouldn't you use Rhinocort? 

It is important not to take Rhinocort if you have any history of being allergic to budesonide. Make sure that you tell your doctor about any other allergies that you may have too. Tell your doctor if you have any history of eye problems, recent nose problems, or infections. Avoid contact with anyone who may have an infection when you are taking this drug, such as chickenpox, measles, or flu. Corticosteroids can make you more susceptible to infection. Additionally, make sure that you tell your doctor if you have any exposure to extra physical stress caused by an injury or serious illness.  

There is a slight risk that this medication may slow down the growth process of a child in some rare cases. This usually only happens when Rhinocort is used for a long period of time, and the effect on final height in an adult is unknown. You should talk to your doctor if you are using Rhinocort when you are pregnant. In some cases, infants born to mothers who have had long-term exposure to corticosteroids may have low levels of the corticosteroid hormone. Make sure that you speak to your doctor if you notice symptoms in your newborn like diarrhea, weakness, vomiting, persistent nausea, or discomfort. It is unknown at this time whether Rhinocort passes into breastmilk. However, many similar drugs do pass into breast milk, so it may be safer to avoid nursing your child when taking this medication.  

Does Rhinocort interact with any other medications? 

Importantly, you must always tell your doctor about any medications that you are already taking before you begin using Rhinocort. This includes medicines that you have purchased over the counter, and drugs that you have on a repeat prescription. Mention any herbal remedies or supplements that you are taking along with this drug too.  

Do not change the dosage of any medication including Rhinocort without the approval of your doctor. Usually, it is not a good idea to take Rhinocort with other medications that contain similar corticosteroids. Exposure to other steroids like prednisone could increase your risk of suffering from dangerous side effects. Information on the drugs that may interact with Rhinocort is currently limited. However, most doctors recommend that you should not take this drug with Desmopressin.  

Where can you buy Rhinocort? 

You can purchase Rhinocort at your own pharmacy or medical clinic. You can also instruct us to arrange this medication to be available for you to pick up at a registered pharmacy. We can also offer a consultation with a registered doctor to ensure that this substance is right for you. Remember that you should not use Rhinocort without seeking the advice of a medical professional first. It's important to read the patient leaflet before using Rhinocort.  

Can you get Rhinocort without a prescription?  

Rhinocort is available without a prescription. However, it's usually a good idea to get the approval of a doctor before you begin using this substance, as it will not interact well with all patients. Keep in mind that Rhinocort needs to be used regularly each day for you to get the full effects. Do not use Rhinocort for any nose problem without speaking to a doctor first.




Drugs.com, 2019, Online, Rhinocort Side Effects, [Accessed on 7th of August 2010] Available on: https://www.drugs.com/sfx/rhinocort-side-effects.html 

John P. Cunha, DO, FACOEP, Online, 2019, Rhinocort Aqua Side Effects Center, [Accessed on 7th of August 2010] Available on: https://www.rxlist.com/rhinocort-aqua-side-effects-drug-center.htm  

Mayo Clinic, 2019, Online, Budesonide-Nasal-Route, [Accessed on 7th of August 2010] Available on: https://www.mayoclinic.org/drugs-supplements/budesonide-nasal-route/side-effects/drg-20074729  

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.