How to use Nasonex for adenoids in children?

Author of the article

Volyk Larisa Vladimirovna

Reading time: 6 minutes


Nasonex belongs to the category of hormonal drugs that are most often used to treat allergic rhinitis. In addition, it is often prescribed for the development of sinusitis or complications of a runny nose. This drug is highly effective and well tolerated by patients. However, sometimes you need to find a cheaper analog than Nasonex. This is due to the fairly high price of the medicine.

Characteristics of the drug

Each dose contains 50 mcg of the hormonal substance mometasone furoate. The preparation also contains auxiliary elements. Thanks to its unique composition, the product has pronounced anti-inflammatory properties and has an antiallergic effect.

Indications for use of the substance include the following:

  • allergic rhinitis of a seasonal or year-round nature;
  • acute sinusitis;
  • relapses of chronic sinusitis;
  • prevention of allergic rhinitis;
  • acute form of rhinosinusitis, which is accompanied by mild or moderate symptoms;
  • nasal polyposis, which is accompanied by impaired breathing and sense of smell.

To cope with the problem, you need to strictly follow the instructions. For the allergic form of the disease, adults and children over 12 years of age are prescribed 2 injections once a day. In difficult situations, the dosage is increased to 4 injections. As the manifestations of the disease decrease, the volume of the drug can be reduced to 1 injection. Children 2-11 years old are usually prescribed 1 dose once a day. Improvement can be achieved during the first day of using the product.

For relapses of chronic sinusitis, Nasonex should be combined with antibacterial drugs. In this case, a single dose for adult patients is 2-4 administrations 2 times a day. The specific amount is selected by the doctor - it all depends on the characteristics of the disease. After reducing the manifestations of the pathology, the daily dosage of the medication can be reduced.

Before using the spray, the container with the drug should be shaken well. After which it is recommended to make 5-7 calibration clicks, which help to dose the product correctly. If the spray has not been used for more than 2 weeks, these manipulations are repeated.

Nasonex for children

Recently, a drug such as Nasonex has become very popular among parents. Its area of ​​application is diseases of the nasal cavity. The main active ingredient is mometasone, which belongs to the group of synthetic glucocorticosteroids, which means that the drug is hormonal. The drug has an anti-inflammatory and anti-allergic effect, which manifests itself in reducing swelling of the nasal mucosa. Nasonex is used topically; it is not absorbed into the blood. Thanks to this, there is no systemic effect, which allows it to be prescribed to children, albeit over the age of 2 years.

Nasonex's main indications for use are:

  • acute sinusitis or aggravated chronic sinusitis;
  • seasonal allergic rhinitis;
  • nasal polyposis;
  • acute rhinosinusitis of non-bacterial nature.

Thus, this remedy is effective in the treatment of non-infectious diseases of the nasopharynx. Prescribing Nasonex to children with adenoids and sinusitis is ineffective, since most often the cause of inflammation of the nasopharyngeal tonsils is viruses and bacteria.

How to use Nasonex

The drug is available in a plastic bottle in the form of a nasal spray for injection. The kit includes a sprayer and a protective cap. Before each direct injection, shake the bottle and then make 6-7 test presses on the spray button.

When using Nasonex, it is necessary to observe a dosage that exactly corresponds to the patient’s age, which will avoid undesirable consequences. For example, for allergic rhinitis, a child from 2 to 11 years old is prescribed one injection into each nasal passage. For children over 12 years of age, 2 injections into each nostril are recommended.

Pay attention to the fact that when treating with Nasonex, how often this drug can be used. For the youngest patients, the daily dose should not exceed 1 inhalation per day. From the age of 12, 2-4 injections can be made into each nasal passage. Keep in mind if you are using Nasonex: the duration of use of the drug should not exceed two months.

Nasonex: side effects and contraindications

The spray is not prescribed for:

  • infectious diseases of the nasal mucosa;
  • injuries and operations on the nose;
  • sensitivity to the drug;
  • under 2 years of age.

Side effects of Nasonex include itching and burning in the nasal cavity, nosebleeds, candidiasis, pharyngitis, and bronchospasm.

Review of effective and cheap analogues

Since the medicine is quite expensive, there is often a need to find analogs and replacements that are cheaper than Nasonex. In this case, the effect of the medicine should be the same as that of expensive hormonal drugs.

To choose an adequate replacement product, you need to know the cost of Nasonex. So, 60 doses of the medicine will cost about 500 rubles, 120 doses will cost about 850 rubles.

There are analogues and replacements for Nasonex, which cost a little less. They have a similar effect, but differ in active components. Thanks to the use of such drugs, it is possible to obtain a complex effect, cope with allergic reactions, inflammatory processes, suffocation and swelling.

So, analogues of Nazonex spray include the following:

  1. Rinoclenil - its active component is beclamethasone. 200 doses of the drug will cost approximately 350 rubles.
  2. Flixonase – the active ingredient of this drug is fluticasone propionate. A bottle containing 120 doses of the substance costs about 750 rubles.
  3. Nazarel - its active component is fluticasone propionate. At the same time, 120 doses of the medicine cost only 320 rubles.
  4. Avamis - the active ingredient of the drug is fluticasone furoate. Moreover, 120 doses of the substance cost 650 rubles.
  5. Nasobek – the active ingredient is beclamethasone. Moreover, 200 doses of the substance cost only 170 rubles.
  6. Sinoflurin – the active ingredient of the drug is fluticasone propionate. 120 doses of the substance cost 430 rubles.

It is strictly forbidden to choose the cheapest product from the list of analogues. Before starting therapy, you should definitely consult your doctor . The specialist must select an effective medicine based on the history of the disease and its severity. Self-medication can cause dangerous side effects and seriously worsen a person’s condition.

Detailed review of the use of Nasonex

A tour of pharmacy shelves: Nasonex analogues - from quality to price

The range of hormonal inhalers that have the same indications as the drug in question is quite wide. They may have different active substances, but have a similar (complex) effect: eliminate inflammation, relieve swelling, relieve suffocation and signs of allergies. The price of some of them is comparable to the cost of Nasonex, others are cheaper.

  • Flixonase (England) or Nasonex – what to choose? The first one costs 760-815 rubles, so there will be no savings from the purchase. As a rule, they buy it if there is no second option and the price is not an issue. The main component in its composition is fluticasone propinate (120 doses). There are no significant differences between the medications in terms of prescriptions, contraindications and side effects. The advantage of Flixonase is that it copes not only with allergic rhinitis, but also eliminates the secondary manifestations of this pathology: redness, swelling, itching of the eyelids and lacrimation. But its use in pediatrics is allowed only from 4 years of age.
  • Nasonex or Avamis (UK) - which is better for treating a runny nose of an allergic nature? The second drug is developed on the basis of fluticasone furoate; one can contains 120 doses. You can buy it for 650 rubles. The composition is no different, other parameters are also identical. It is shown from 2 years old. According to pediatric otolaryngologists, Avamis is more suitable for the treatment of adenoid growths. It restores nasal breathing well, removes swelling, and stops the growth of adenoids. At the same time, it is better tolerated and does not provoke dryness and nosebleeds. But Avamys is not used for prevention.
  • What is better – Dezrinit (Israel) or Nasonex? The price of Israeli medicine is from 390 to 430 rubles. Its spectrum of action is somewhat wider: it eliminates not only allergic manifestations, but also the inflammatory process in the nasopharynx. It can also be used to treat asthma and COPD. Otherwise there is no difference.
  • Fluticasone. How is it different from Nasonex? This is a spray that contains fluticasone propionate and non-alkonium chloride. The cost of the medicine is from 350 rubles. It does not give dangerous side effects, but it actively fights chronic and acute nasal congestion. For children it can be used from 4 years of age.
  • Nasonex or Nazarel (Czech Republic) - which is better in terms of effectiveness, side effects and price? Nazarel contains fluticasone propinate in the amount of 120 doses. Sold for 320 rubles. The effect of these medications is completely identical: they very successfully treat acute and allergic rhinitis and quickly relieve congestion. Neither of them is inferior to the other in efficiency and speed. The disadvantage of Nazarel is that it is produced in only one dosage - 50 mcg per dose. And, unlike Nasonex, it is allowed to be used only from 4 years of age, while its “competitor” can be prescribed from 2 years of age. In addition, the list of its “side effects” includes growth retardation in children.
  • Sinoflurin. Can this domestic product compete with Nasonex? If we talk about the price, then yes, because it is 320 rubles, that is, almost 3 times lower. The drug belongs to the same group of glucocorticosteroids, but has a different composition - it contains fluticasone propionate. Very effectively relieves inflammation. Allowed from 4 years.
  • Nasobek. This is the most inexpensive “rival” of Nazonex: you can buy it for 170 rubles. Previously, it was produced by two enterprises - Teva (Israel) and Ivex Pharmaceuticals (Czech Republic). But in 2011, the Czech company’s registration permit expired, so Teva is the only supplier of this medicine to the Russian market. The drug contains beclamethasone in the amount of 200 doses. This spray not only fights rhinitis, but also produces an immunosuppressive effect (increases cellular immunity) and reduces the amount of mucus in the nose. It is also advisable to use it for vasomotor rhinitis. It rarely causes unwanted reactions, but its use is only permissible from 6 years of age, and it cannot be used for prophylactic purposes. The medicine is strictly prohibited in the 1st trimester of pregnancy.


The cost of Nasonex depends on the number of doses in the bottle. So, for a bottle of 50 mcg/dose of 120 doses you will have to pay approximately 755 rubles. A bottle for 60 doses costs approximately 415 rubles.

Prices for generic versions of this drug vary. There are analogues to replace Nasonex, which are much cheaper. As a rule, they are produced in Russia, so their price is much lower.

Important! Some of the drugs described below are extremely difficult to find in Russian pharmacies, including virtual ones. In view of this, the prices in the table below for Nasonex analogues may not be indicated for all drugs.

No.Analogue nameRelease formAK dosage, drug volumeApproximate price (r/r)
1.DesrinitisNasal spray140 doses371
2.MometasoneNasal spray60 dosesEtc. 390
3.ReasonelSpray suspension0.05% for 18 g300
4.AvamisNasal spray120 doses670
5.AldecinAerosol200 doses
6.Beclonazal AquaSpray200 doses
7.BeclomethasoneAerosol nasal200 doses366
8.NazarelSpray120 doses340
9.NasobekAerosol nasal200 doses177
10.PolydexaSpray15 ml343
11.RinoclenilSpray120 or 200 doses390
12.Tafen NazalSpray200 doses373
13.FlixonaseAerosol120 doses
60 doses
14.FlutinexAerosol120 dosesEtc. 450

Below is an overview of the above-mentioned sprays used instead of Nasonex for the treatment of allergic rhinitis.

Nasonex or flixonase - which is better?

When choosing flixonase or nasonex, it is worth considering that the first remedy is not much cheaper. Therefore, it can hardly be called an inexpensive analogue. Flixonase is usually used if for some reason it is not possible to buy Nasonex. These sprays have similar active ingredients. They also have the same list of indications and contraindications. These medications also have the same side effects.

The only drawback is the age restrictions. Thus, Flixonase can only be used from 4 years of age, while Nasonex can be used from 2 years of age.

The advantage of this remedy is the ability to eliminate unpleasant eye manifestations that often accompany allergic reactions. These include lacrimation, swelling, redness, and itching of the eyelids. In general, these substances can be called interchangeable.

Flixonase or Nasonex

The drug is based on fluticasone, which also belongs to the group of synthetic glucocorticoids. Flixonase or Nasonex – which is better? If we compare the cost, Flixonase can hardly be called a cheap substitute for Nasonex; it is slightly inferior in cost, it is 760 rubles. Patients usually buy it if the pharmacy does not have the required aerosol.

Flixonase is also effective in the treatment of allergic and vasomotor rhinitis, is used to eliminate dependence on drops, and is involved in the treatment of adenoids and sinusitis. Flixonase aerosol is not used in children under 4 years of age, but a significant advantage is the rapid action of the drug against itching and burning in the nose, photophobia, eye hyperemia, sneezing and other signs of allergies. Therefore, if a patient is looking for analogues to the drug Nasonex, Flixonase may well be able to replace it. Read more about Flixonase →

If your doctor has prescribed Nasonex nasal spray for treatment, you can select analogues, but first discuss this with your doctor. It is unlikely that the doctor specifically chose an expensive drug when there are several replacement options, because the main guideline in treatment is always the severity of clinical symptoms, the patient’s age and medical history, as well as the results of a preliminary examination.

Author: Marina Ermakova, doctor, especially for

Nasonex or Avamis - what to choose

Avamis or Nazonex – which is better? This question is relevant for many people. Avamis has a similar composition and can be used from 2 years of age. When choosing Nasonex or Avamis, it is worth considering that all the indications, side effects and contraindications of these drugs are completely the same.

At the same time, Avamis is somewhat cheaper. Therefore, when prescribing Avamis or Nasonex for adenoids, pediatricians most often choose an inexpensive analogue. Clinical studies of adenoiditis confirm the correctness of this prescription.

Thanks to the use of Avamis, it is possible to stabilize breathing in children and cope with swelling. At the same time, the size of the adenoids does not increase. Many patients note a milder effect of the substance. At the same time, Nasonex can provoke increased dryness of the mucous membranes and even cause bleeding.

The difference between the sprays is also the packaging. Nasonex is placed in a plastic bottle, while Avamis is released in a special plastic glass. The only drawback of Avamis is that it cannot be used for prophylactic purposes, unlike Nasonex.

We recommend reading - cheap analogues and instructions for using Avamis.

Avamis or Nasonex

Consumer debate about which is better, Nasonex or Avamis, does not subside, because these drugs are similar in pharmacological action. Indications for use:

  • allergic rhinitis (year-round and seasonal);
  • adenoids;
  • inflammation of the paranasal sinuses - sinusitis;
  • sinusitis.

In terms of contraindications for the Nasonex aerosol, the Avamis analogue is much more loyal - it can be used to treat children under 2 years of age and pregnant women, which cannot be said about its expensive prototype. A significant disadvantage of the product is the inability to use it to prevent allergies and acute respiratory infections.

You can compare and decide on the drug in accordance with the diagnosis given to the patient. So many patients ask doctors and pharmacists at the pharmacy, Nasonex or Avamis - which is better for adenoids? Doctors say that each case is individual, and the selection and possible replacement of medication depend on the severity of the pathology.

At the initial stage of adenoids, it is better for the patient to use Nasonex - pharmacologists invented it as a lighter version of the synthetic steroid. Using an aerosol, you can consolidate the positive results achieved with conservative treatment of adenoids.

In the initial stages of the pathology, children are prescribed 1 injection for 1–2 days; the product provides free breathing through the nose, restful sleep without signs of apnea, and the absence of dizziness and pain.

What is best to use for grade 2–3 adenoids, when the lumen of the nasal passages is almost completely closed by enlarged tonsils? Here the answer is clear - Avamis.

The drug is prescribed to patients with the following symptoms:

  • chronic enlargement of the adenoids, accompanied by constant inflammatory processes in the nasopharynx;
  • continued proliferation of epithelial tissue of the adenoids, despite the treatment received;
  • changes in blood counts for the worse against the background of prolonged intoxication of the body due to adenoiditis.

If ultrasound and MRI show that there is a chance to preserve adenoid tissue, and the nasal parenchyma has not been completely destroyed by pathogenic bacteria, Avamis spray will help cope with the advanced stage of the disease.

Avamis or Nasonex, which is better for allergies? Of course, both drugs will effectively relieve tissue swelling, combat sneezing, itching and burning in the nose, however, Nasonex is prescribed more often to patients who have signs of allergies due to bacterial inflammation of the paranasal sinuses. With a combination of allergic and infectious factors, this aerosol is much more effective than Avamis. The cost of Avamis is 650 rubles. More about Avamis →

Nasonex or Nazarel - which is better?

Nazarel has a lower cost compared to Nasonex. It is often used to treat children. Moreover, the principle of action of these drugs is the same. Many patients note that Nazarel is no less effective than Nasonex. Moreover, it allows you to get the same therapeutic effect.

The only drawback of Nazarel is the age limit. The product can only be used from 4 years of age , while Nasonex is also prescribed for 2-year-old children. In addition, Nazarel is produced in only one dosage, namely 50 mcg in each dose.

Nazarel or Nasonex

To answer the question - which is better to use - Nasonex or Nazarel, it is worth talking in more detail about the second drug. Nazarel contains the active substance fluticasone, which effectively helps cope with the following signs of seasonal and year-round allergies:

  • runny nose;
  • lacrimation;
  • a feeling of tightness in the nose and eye sockets;
  • stuffiness and sneezing;
  • itching, burning in the nasal passages.

In addition to providing an antiallergic effect, Nazarel is effective in the treatment of adenoids, sinusitis and all its forms (sinusitis, frontal sinusitis, ethmoiditis). When asked about choosing between two drugs, doctors answer: 50% of patients are helped by one aerosol, the remaining 50% by another.

Perhaps the effect depends on the individual characteristics of the body and the clinical severity of the disease. The disadvantage of Nazarel is that it is not prescribed for treatment of children under 4 years of age, unlike Nasonex. It is also contraindicated for expectant and nursing mothers. The cost of Nazarel is 320 rubles. Read more about Nazarele →

Nasonex or Nasobek

When choosing Nasonex or Nasobek, it is worth analyzing the composition of these medications. Nasobek has another active component - beclomethasone. In addition, this drug also has an immunosuppressive effect, which ensures the restoration of local immunity. This substance also helps reduce mucus production in the nasal passages.

The undoubted advantage of the drug nasobek is its low cost. It is excellently tolerated by patients even with long-term therapy. It can be used to treat vasomotor rhinitis.

At the same time, the spray also has certain disadvantages, one of which is the age limit. This substance can only be used from 6 years of age. It is also prohibited to use nasobek to prevent any form of allergic rhinitis.

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Nasobek or Nasonex

Nasobek - analogue of Nazonex

Looking for cheaper analogues in pharmacies, people often ask pharmacists, Nasobek or Nasonex - which is better? Both aerosols belong to the group of glucocorticoids, but the active substance of Nasobek is beclomethasone dipropionate, which is slightly inferior in effectiveness to mometasone, the basis of Nasonex.

Beclomethasone is prescribed for the treatment of runny nose of allergic and vasomotor etiology, and doctors also prescribe it for the treatment of adenoid growths in children.

Nasobek has a good anti-edematous effect, but its bioavailability is higher than that of Nasonex, so the risk of side effects also increases. Nasobek is not used in children under 6 years of age or in pregnant and lactating women, which is considered a disadvantage of the drug.

There are also differences between the drugs in the onset of the first effect, so Nasobek begins to act 5-7 days after use, while the result from the drug Nasonex becomes noticeable after 3 days. Nasobek is contraindicated for people with professions that require increased concentration and attention, but the instructions for the second aerosol do not contain such information.

In general, if a patient is looking for analogues to replace Nasonex, this can be prescribed on the recommendation of a doctor, taking into account the severity of the disease, sensitivity to the active component and medications taken orally. The cost of the drug Nasobek is 170 rubles. Read more about the drug Nasobek →

Nasonex or desrinitis

Desrinit or Nasonex – which is better? These substances have certain differences. Thus, the Israeli medicine desrinit is a spray that is intended for intranasal and inhalation use. This remedy is used for symptoms of allergic rhinitis. It also successfully copes with inflammatory lesions of the nasopharynx.

When choosing Nasonex or Desrinit, it is worth considering that they have similar indications. In addition, desrinit can be used for inhalation, which is used to treat bronchial asthma and chronic pulmonary obstruction. The cost of this product is generally comparable to the price of Nasonex.

Nasonex or Tafen nasal

When choosing tafen or nasonex, it is worth considering that both drugs belong to the category of glucocorticosteroid hormones. Tafen contains another active component - budesonide. With its help, it is possible to cope with inflammatory processes, eliminate allergies, cleanse the body of harmful elements and prevent the production of histamine.

Tafen begins to act literally within 2-3 days of use. It can be used for prophylactic purposes for a long time. The only downside is the age limit. This medicine can only be used from 6 years of age.

When used correctly, the threat of undesirable health effects is minimal. However, during pregnancy the medicine can be prescribed only in exceptional cases.

Nasonex or Derinat - what to choose

To choose an effective remedy, you need to evaluate the effect of these drugs on the body. Thus, derinat is an immunomodulator, which contains water. Thanks to this, the drug quickly penetrates the blood and spreads throughout the body. This medicine is used for inflammation that has been present for a long time. Its action begins after a few days.

There are practically no contraindications to the use of the product. The only limitation is considered intolerance to the ingredients of the substance.

Most often, Nasonex and Derinat are prescribed simultaneously. The first remedy begins to act on the first day of use. At the same time, derinat helps strengthen the body, increase its resistance to infections and stimulates the recovery process.

Nasonex or Polydex - which is better?

Sometimes patients are faced with the question of choosing – Polydex or Nasonex. It must be taken into account that these substances have different effects on the body. This is due to differences in the composition of the drugs.

Polydexa is a combination drug. It includes dexamethasone, which reduces allergy symptoms. It also contains phenylephrine, which has a vasoconstrictor effect, which makes breathing easier for the patient. In addition, the drug includes antibacterial components - polymyxan and neomycin. Due to this, the drug allows you to cope with bacterial microorganisms.

The instructions for nasonex analogues indicate that all of these drugs have an excellent effect and help cope with the symptoms of various pathologies. It is very important to use these substances under the supervision of a doctor . The specialist will be able to select the optimal remedy depending on the clinical picture and severity of the disease.


Composition and indications for use of the drugs Desrinit and Nasonex

Both drugs are available in the form of a spray with a convenient nozzle that allows you to distribute the medicine well in the inner cavity of the nose. The main component of the drug is mometasone.

Additional components of the drugs vary. Desrinit also contains glycerol, benzalkonium chloride, citric acid monohydrate, Avicel, sodium citrate dihydrate, water.

Additional components of Nasonex are dispersed cellulose, benzalkonium chloride solution, citric acid, polysorbate-80, sodium citrate dihydrate, glycerin, purified water.

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