Nasacort Nasal Spray
Nasacort (triamcinolone acetonide) is a prescription nasal spray for treating the nasal symptoms of allergic rhinitis including hay fever. This corticosteroid spray works by reducing inflammation in nasal passages to relieve sneezing, itching, blocked nose, and runny nose. Available through Chemist Doctor's regulated online service following a consultation with UK-licensed clinicians. According to official prescribing information, Nasacort contains 55 micrograms of triamcinolone acetonide per spray.
You must complete a short online consultation so that our prescriber can ensure that the treatment is suitable for you.
| Product Name: | Nasacort Nasal Spray |
|---|---|
| Manufacturer: | Sanofi |
| Active Ingredient: | Triamcinolone Acetonide |
| Administration: | Nasal spray |
| Presentation: | Nasal spray suspension |
| Available Strengths: | 55 micrograms per spray |
| Prescription Required: | Yes (POM) |
| Dosage Frequency: | Once or twice daily |
| Suitable for pregnancy? | Consult doctor |
| Use with alcohol: | No known interactions |
| Suitable for children: | 6 years and older |
| Package | Dosage | Current Price | |
|---|---|---|---|
| 1 Spray Bottle | 55mcg | £18.99 | |
| Nasacort is a prescription corticosteroid nasal spray for allergic rhinitis. According to the NHS Drug Tariff, it contains 55 micrograms of triamcinolone acetonide per spray. | |||
| This treatment requires an online consultation for review by our medical team. The decision to supply the specific treatment and quantity requested will be based on whether our medical team are satisfied that it will be safe, appropriate, and effective. | |||
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Table of Contents
- What is Nasacort?
- What is Nasacort Used For?
- Before Using Nasacort
- Nasacort Contraindications
- Special Population Considerations
- Nasacort and Other Medicines
- Pregnancy & Breastfeeding
- Driving & Machine Operation
- Nasacort Ingredients
- How to Use Nasacort Nasal Spray
- Nasacort Dosage Guidelines
- Administration Instructions
- Missed Dose Management
- Overdose Information
- Nasacort Side Effects
- How to Store Nasacort
- Nasacort Pack Information
- Nasacort FAQs
What is Nasacort?
Nasacort is a prescription nasal spray containing the active substance triamcinolone acetonide, presented as a 55 micrograms/dose nasal spray suspension. It belongs to a class of medicines called corticosteroids, which are anti-inflammatory medications designed for direct nasal application.
Mechanism of Action
Nasacort works through a targeted anti-inflammatory mechanism:
- Inflammation reduction: Triamcinolone acetonide binds to glucocorticoid receptors in nasal tissues, inhibiting the release of inflammatory mediators
- Immune response modulation: Reduces the activity of inflammatory cells (mast cells, eosinophils, T-lymphocytes) that cause allergy symptoms
- Vascular permeability reduction: Decreases fluid leakage from blood vessels that causes nasal congestion and runny nose
Imagine your nasal passages during an allergic reaction as an overactive security system - Nasacort acts like a calming agent that reduces the system's sensitivity to harmless triggers like pollen, while maintaining protection against real threats.
Onset of Action
According to the official prescribing information, Nasacort may help some people within the first day of treatment, but for others it may take 3 to 4 days to feel relief. The medication only works if used on a regular daily basis.
What is Nasacort Used For?
Nasacort is indicated for the treatment of nasal symptoms of allergic rhinitis, which include:
- Sneezing
- Nasal itching
- Blocked, stuffy, or congested nose
- Runny nose (rhinorrhoea)
Approved Indications
| Allergy Type | Common Triggers | Timing |
|---|---|---|
| Seasonal Allergic Rhinitis (Hay Fever) | Pollen from trees, grasses, weeds | Spring through autumn (seasonal) |
| Perennial Allergic Rhinitis | Animal fur, house dust mites, mould spores | Year-round (perennial) |
Important Safety Notice:
Discontinue immediately and seek medical help if you experience:
- Signs of severe allergic reaction: rash, itching, swallowing/breathing problems, swelling of lips, face, throat or tongue
- Severe or persistent nosebleeds
- Signs of nasal infection (increased pain, discharge, fever)
- Visual disturbances or blurred vision
Before Using Nasacort
Essential considerations before initiating treatment:
Medical History Assessment
- Current or recent nasal/throat infections (especially fungal)
- Recent nasal surgery, injury, or ulcers
- History of glaucoma or cataracts
- Previous corticosteroid treatment (especially systemic)
- Nasal septum problems or damage
Required Precautions
- Consult your doctor if transferring from steroid injections or tablets to Nasacort spray
- Inform healthcare providers if you have untreated nasal infections
- Monitor for signs of nasal irritation or septum problems
- Regular eye examinations if you have history of glaucoma or cataracts
Nasacort Contraindications
Conditions where Nasacort must not be used:
Absolute Contraindications
- Hypersensitivity to triamcinolone acetonide or any excipients
- Active untreated nasal infections
- Recent nasal surgery or nasal injury with open wounds
Special Warnings
| Condition | Precaution |
|---|---|
| Fungal infections | Stop using spray until infection treated |
| Glaucoma/cataracts | Regular eye monitoring required |
| HIV medication use | Avoid concurrent use with ritonavir/cobicistat |
Special Population Considerations
Children (6-12 years)
- Limited to 1 spray per nostril daily initially
- Maximum duration: 3 months continuous use
- Growth monitoring required (height checks)
- Referral to paediatric specialist may be needed
Children Under 6 Years
- Not recommended - safety and efficacy not established
- Consult paediatrician for alternative treatments
Elderly Patients (≥65 years)
- No specific dose adjustment needed
- Increased monitoring for local side effects
- Caution with concurrent medications
Nasacort and Other Medicines
Significant interactions requiring monitoring:
High-Risk Combinations
- HIV protease inhibitors: Ritonavir and cobicistat may increase systemic absorption of corticosteroids
- Other corticosteroids: Increased risk of systemic corticosteroid effects
- Immunosuppressants: Enhanced immunosuppressive effects
Precautions
Inform your doctor about all medications including:
- Prescription medicines
- Over-the-counter products
- Herbal supplements
- Other nasal sprays or inhalers
Pregnancy & Breastfeeding
Pregnancy
- Limited data available on use during pregnancy
- Use only if clearly needed and benefits outweigh risks
- Consult doctor before use if pregnant or planning pregnancy
- Low systemic absorption reduces fetal exposure risk
Breastfeeding
- Unknown if triamcinolone acetonide passes into breast milk
- Consult doctor before use while breastfeeding
- Consider timing sprays after breastfeeding
- Monitor infant for potential effects
Driving & Machine Operation
- Nasacort has no or negligible influence on ability to drive or use machines
- No sedative effects reported
- Caution advised if experiencing:
- Dizziness (rare side effect)
- Visual disturbances (uncommon)
- Fatigue (reported in some patients)
- Do not drive if experiencing significant side effects affecting alertness
Nasacort Ingredients
Active Substance
- Triamcinolone acetonide (55 micrograms per spray)
Excipients (Other Ingredients)
| Ingredient | Function | Important Notes |
|---|---|---|
| Benzalkonium chloride | Preservative | May cause nasal irritation with long-term use |
| Microcrystalline cellulose and carmellose sodium | Suspension agents | Help maintain even distribution of active ingredient |
| Polysorbate 80 | Emulsifier | Improves spray characteristics |
| Disodium edetate | Stabilizer | Prevents degradation |
| Anhydrous glucose | Tonicity agent | Matches nasal fluid concentration |
Allergen Information
Contains benzalkonium chloride (15 micrograms per spray) which may cause allergic reactions in sensitive individuals.
How to Use Nasacort Nasal Spray
Preparation Steps
- Blow nose gently to clear nostrils before use
- Remove protective cap by pulling upward
- Shake bottle gently before each use
- Prime the pump if first use or not used for >2 weeks
Priming Instructions (First Use or After 2+ Weeks)
- Hold bottle upright, pointing away from you
- Press and release nozzle 5 times until fine spray produced
- Spray once into air before use if not used for >2 weeks
Cleaning Protocol (Weekly)
- Remove cap and gently pull off spray nozzle
- Soak cap and nozzle in warm water for few minutes
- Rinse under cold running tap water
- Shake to remove excess water and air dry
- Re-fit nozzle and prime until fine mist forms
Nasacort Dosage Guidelines
Standard Dosing Schedule
| Age Group | Starting Dose | Maintenance Dose | Maximum Duration |
|---|---|---|---|
| Adults & Children >12 years | 2 sprays per nostril daily | 1 spray per nostril daily (when controlled) | As prescribed by doctor |
| Children 6-12 years | 1 spray per nostril daily | May increase to 2 sprays if needed Reduce to 1 spray when controlled |
3 months maximum |
Important Timing Considerations
- Use at same time each day for consistent effect
- May take 3-4 days for full therapeutic effect
- Continue regular use even when symptoms improve
- Do not exceed recommended doses
Administration Instructions
Step-by-Step Technique
- Close one nostril with finger
- Hold bottle upright, insert nozzle into other nostril as far as comfortable
- Breathe in gently through nose with mouth closed
- While inhaling, press nozzle firmly once to deliver spray
- Breathe out through mouth
- Repeat for second nostril if required
Post-Administration Care
- Wipe nozzle with clean tissue after each use
- Replace protective cap to prevent contamination
- Do not blow nose immediately after spraying
- Avoid sneezing immediately after administration
Troubleshooting
If nozzle becomes blocked: Clean as per weekly protocol. Never use pins or sharp objects to unblock spray hole as this can damage the mechanism.
Missed Dose Management
General Principles
- Do NOT double doses to make up for missed dose
- Use as soon as remembered if close to scheduled time
- If almost time for next dose, skip missed dose
- Resume regular schedule
Example Scenarios
| Situation | Action |
|---|---|
| Remember within 12 hours of scheduled time | Use immediately, then resume normal schedule |
| Remember >12 hours late | Skip missed dose, use next dose at regular time |
| Uncertain about timing | Use when remembered, then adjust schedule |
Overdose Information
Accidental Ingestion
- Unlikely to cause serious problems with nasal spray
- If entire bottle ingested, may cause stomach discomfort
- Contact doctor or poison control centre if concerned
- Bring medication packaging for identification
Excessive Nasal Use
- Increased risk of local side effects
- Possible systemic corticosteroid effects with extreme overuse
- No specific antidote - supportive treatment only
- Medical supervision if significant overuse suspected
Nasacort Side Effects
Stop Using Immediately (Seek Medical Help)
- Severe allergic reactions: rash, itching, swelling, breathing difficulties
- Severe or persistent nosebleeds
- Signs of nasal infection
- Visual disturbances or blurred vision
Common Side Effects (up to 1 in 10 people)
- Runny nose, headache, sore throat, cough
- Nosebleeds (epistaxis)
- Bronchitis (airway inflammation)
- Heartburn or indigestion
- Flu-like symptoms (fever, muscle pain, fatigue)
- Dental problems
Other Side Effects (frequency not known)
| System | Side Effects |
|---|---|
| Nasal | Irritation, dryness, congestion, sneezing |
| Sensory | Taste/smell changes, blurred vision |
| General | Nausea, sleep problems, dizziness, shortness of breath |
| Metabolic | Decreased blood cortisol levels |
| Ocular | Cataracts, glaucoma, increased intraocular pressure |
Nasal Septum Damage
With long-term use, Nasacort can potentially cause damage to the nasal septum (middle part inside nose). Discuss any nasal pain, bleeding, or crusting with your doctor.
Children-Specific Effects
May affect growth rate in children. Regular height monitoring required, with possible referral to paediatric specialist.
How to Store Nasacort
Storage Conditions
- Store below 25°C
- Keep in original packaging
- Protect from direct sunlight
- Do not freeze
Shelf Life
- Check expiry date on carton and bottle
- Do not use after expiry date
- After first opening:
- 30 spray pack: Use within 1 month
- 120 spray pack: Use within 2 months
Disposal
- Do not dispose via wastewater or household waste
- Return unused medicine to pharmacy
- Follow local regulations for medication disposal
Nasacort Pack Information
Available Pack Sizes
- 30 spray bottle (6.5g suspension containing 3.575mg triamcinolone acetonide)
- 120 spray bottle (16.5g suspension containing 9.075mg triamcinolone acetonide)
Pack Components
- White plastic bottle with spray pump mechanism
- Protective cap
- Spray nozzle
- Patient information leaflet
Appearance
- Suspension may settle - shake gently before use
- Clear to slightly opaque white suspension
- Plastic bottle with dose counter (where applicable)
Where Can I Buy Nasacort Online in the UK
Secure Nasacort Prescription & Next-Day Delivery Service
Order Nasacort with confidence through our UK-registered medical prescribers, who review all requests within 4 working hours. We guarantee same-day prescription approval for eligible patients and dispatch orders placed before 3pm for next-day tracked delivery. Our service complies with NHS prescribing guidelines for allergic rhinitis treatments.
Our Nasacort service combines competitive pricing with strict adherence to MHRA safety standards, ensuring your medication is dispensed through GPhC-registered pharmacies. Every purchase includes discreet packaging and a GDPR-compliant consultation process.
Our clinical team ensures:
- Comprehensive allergy history assessment
- Appropriate indication review for seasonal/perennial rhinitis
- Drug interaction checks with current medications
- Personalised dosing guidance based on age and symptoms
- Safety review for nasal conditions and contraindications
Always consult your GP before starting allergy treatment. Not recommended for children under 6 years or those with active nasal infections. Refer to the official prescribing information for complete safety details.
Nasacort (Triamcinolone Acetonide) FAQs
How long does Nasacort take to start working?
Nasacort may help some people within the first day of treatment, but for others it may take 3 to 4 days to feel relief. Maximum benefit is usually achieved with regular daily use over 1-2 weeks. Unlike antihistamines that work quickly, corticosteroid sprays like Nasacort need consistent use to build up their anti-inflammatory effect in nasal tissues.
What is the best time of day to use Nasacort?
Use Nasacort at the same time each day for consistent effect. Morning administration is often preferred as it can provide all-day protection. However, you can use it at any convenient time that fits your schedule. Consistency is more important than specific timing for this medication's effectiveness.
Is Nasacort safe during pregnancy?
Limited data is available. Use only if clearly needed and benefits outweigh risks. Consult your doctor before use if pregnant or planning pregnancy. Nasacort has low systemic absorption which reduces fetal exposure risk compared to oral corticosteroids, but medical supervision is essential.
Can children use Nasacort?
Nasacort is approved for children aged 6 years and older. Dosage: 1 spray per nostril daily, may increase to 2 sprays if needed. Maximum duration is 3 months continuous use in children under 12. Regular height monitoring is required as corticosteroids can affect growth in children.
What should I do if I get nosebleeds from Nasacort?
Mild, occasional nosebleeds are common (affects up to 1 in 10 users). To minimise risk:
- Direct spray away from nasal septum (middle part)
- Aim nozzle slightly outward toward ear
- Use saline nasal spray to moisturise nostrils
- Apply petroleum jelly to nostrils if dry
What if I miss a dose of Nasacort?
Use as soon as remembered if close to scheduled time. If almost time for next dose, skip missed dose. Do NOT double dose. Resume regular schedule. Consistency is important for optimal effect, but single missed doses won't significantly affect long-term control.
Can I travel with Nasacort?
Yes, Nasacort is travel-friendly:
- Keep in original packaging with prescription label
- Store below 25°C during travel
- Carry in hand luggage for air travel
- Prime spray if unused for >2 weeks during travel
How long can I use Nasacort continuously?
Adults can use Nasacort long-term under medical supervision. Children 6-12 years: maximum 3 months continuous use. Regular review with your doctor is recommended to assess ongoing need and monitor for side effects, particularly nasal irritation or septum changes.
Can I use Nasacort with allergy tablets?
Yes, Nasacort can be combined with oral antihistamines for enhanced symptom control. This combination is often recommended in NHS allergy guidelines for moderate-severe allergic rhinitis. Nasacort controls nasal inflammation while antihistamines address systemic symptoms like itching and sneezing.
What happens if I stop using Nasacort suddenly?
Symptoms may return within a few days as the anti-inflammatory effect wears off. Unlike systemic corticosteroids, Nasacort doesn't cause adrenal suppression, so no tapering is needed. However, for seasonal allergies, continue until pollen season ends, then stop until next season.
How often should I clean the Nasacort spray nozzle?
Clean at least once weekly. Clean more often if spray becomes blocked or after respiratory infections. Proper cleaning prevents bacterial growth and ensures consistent spray delivery. Follow the 8-step cleaning protocol in the instructions.
How long does Nasacort last after opening?
After first opening:
- 30 spray pack: Use within 1 month
- 120 spray pack: Use within 2 months
Is Nasacort more effective than over-the-counter nasal sprays?
Nasacort (prescription corticosteroid) is more effective for moderate-severe allergic rhinitis than OTC options like nasal decongestants or saline sprays. According to the official prescribing information, corticosteroid sprays are first-line treatment for persistent nasal allergy symptoms as they address the underlying inflammation.
Does Nasacort get absorbed into the bloodstream?
Minimal systemic absorption occurs with proper nasal use. Blood levels are typically undetectable, reducing risk of systemic side effects compared to oral corticosteroids. However, excessive use or incorrect technique may increase absorption.
Should I use Nasacort in the morning or evening?
Morning use is generally recommended to align with natural cortisol rhythm and provide all-day protection during peak allergy hours. However, evening use may be preferred if morning congestion is severe or if you experience nasal irritation. Consistency matters more than specific timing.
Related Guides
Getting your Nasacort prescription is quick and easy with our simple 4-step process:
Start Consultation
Complete our brief health questionnaire about your allergy symptoms and medical history.
Medical Review
UK-registered clinicians review your consultation for safe prescribing of Nasacort.
Pharmacy Processing
If approved, our partner pharmacy prepares your Nasacort nasal spray.
Fast Dispatch
Your order is dispatched via your chosen delivery method with tracking.
What does the online consultation involve?
You'll answer questions about your allergy symptoms, triggers, medical history, and current medications to ensure Nasacort is safe and appropriate for you. Honest responses are vital for your safety.
How do I reorder Nasacort?
Use the login details emailed after your first order to access your account and reorder. For seasonal allergies, you can set up automatic reminders before pollen season.
How long does approval take?
Most consultations are reviewed within 4 working hours. Orders approved before 3pm on weekdays are dispatched same day for next-day delivery.
At Chemist Doctor, we respect your privacy and ensure complete discretion at every step.
Discreet Packaging
All orders are sent in tamper-evident, plain white boxes sealed within anonymous grey mailing bags with no external medication labels.
Secure Data
Your personal and medical information is kept strictly confidential with SSL encryption and GDPR-compliant storage.
Private Consultations
All consultations are conducted privately by UK-registered clinicians in secure online environments.
Anonymous Billing
Credit card statements show a neutral descriptor with no reference to medications or health conditions.
Will my GP be informed about my Nasacort order?
Only with your consent. We recommend updating your GP about new medications for comprehensive care, but this is optional.
Is my medical information shared with third parties?
No. Your information is only shared with our medical team and dispensing pharmacy as required for safe prescribing. We never sell or share data for marketing.
We offer reliable delivery options to ensure you receive your Nasacort promptly:
| Service Type | Delivery Speed | Order Cut-off | Cost | Carrier |
|---|---|---|---|---|
| Standard Delivery | 2-3 business days | No cut-off | Free | Royal Mail |
| Premium Next-Day Delivery | Next business day | 3 PM weekdays | Free over £40 | Royal Mail 24 |
Next-day delivery applies to orders approved before 3 PM to these regions:
- England
- Scotland
- Wales
- Northern Ireland
Service Restrictions: We currently cannot deliver to: Republic of Ireland, Continental Europe, USA, or Canada
Is packaging discreet?
Yes. All Nasacort orders are shipped in plain, unmarked packaging via tracked courier services with no external indication of contents.
Do I need to be home for delivery?
No signature is required for most deliveries. You'll receive a tracking number to monitor your parcel's progress and delivery updates.
Do you deliver on weekends or bank holidays?
Deliveries occur Monday–Friday only. We do not ship on weekends or UK bank holidays. Orders placed Friday after 3pm dispatch Monday.
What should I do if my order hasn't arrived?
Use your tracking number to locate the parcel or contact our support team for assistance. We guarantee replacement if lost in transit.
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Card payments: Refunds appear in 3–5 days.
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Declined orders are not charged. Card authorisations release funds within 3–5 days (contact your bank for details).
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"Nasacort has transformed my hay fever seasons. After years of suffering with antihistamines that made me drowsy, this spray works without side effects. Delivery was discreet and next-day."
"Effective for seasonal allergies. Took about 4 days to notice full effect. Minor nosebleeds initially but improved with proper technique. Consultation was straightforward."
"Perfect for my dust mite allergy. Use it year-round with doctor's supervision. The service is reliable and prescriptions are reviewed quickly. Much cheaper than my local pharmacy."
Have you used our Nasacort service? Share your experience
Medical Content Manager
Nabeel is a co-founder, and medical content manager of Chemist Doctor. He works closely with our medical team to ensure the information is accurate and up-to-date.
Medical Doctor
Dr. Talal is a GMC registered doctor and medical reviewer at Chemist Doctor. He ensures clinical accuracy and reliability across health content.
Medical Director
Usman is a co-founder, and medical director of Chemist Doctor. He leads the organisation's strategic vision, bridging clinical and operational priorities.
Review Date: 09 December 2024
Next Review: 09 June 2025
Published on: 09 December 2024
Last Updated: 09 December 2024
