Nasonex or Avamis which is better for allergies

Nasonex or Avamis: which is better for adenoids

Prescribing hormonal medications for women who are expecting a child is necessary in cases where the harm to the fetus from the manifestation of symptoms is greater than from taking the medication.
In such cases, Avamis is often prescribed. Both drugs are effective in relieving the symptoms of adenoiditis. But both of them do not effectively eliminate its cause and are prescribed in combination with antihistamines.

For sinusitis, it is better to use Nasonex. It does not dry out mucous membranes and gently relieves inflammation.

Children are more often prescribed Nasonex; its effect is milder and more gentle.

Let's take a closer look at the drugs Nasonex and Avamis. The composition of Nasonex is mometasonafuroate, and Avamys contains fluticasone furoate. It should be noted that both of these substances are strong corticosteroids. But the potency of fluticasone is superior to mometasone. To achieve a therapeutic effect, a smaller dosage is required.

A few words about the safety of this class of hormones. The drugs act only on the nasal mucosa. Microdoses of the substance with mucus and saliva enter the stomach, where they are absorbed. But even after this, significant concentrations of glucocorticoids cannot be detected in the blood. This is typical for both Nasonex and Avamis. When administered through the nose, the systemic bioavailability of Nasonex is less than 0.5%, for Avamis - less than 1%.

Is hormonal spray safe for people with chronic liver and kidney disease? Steroid hormones are excreted from the body in feces and urine. In this case, the substances undergo preliminary transformation in the liver. Considering the fact that very low doses of hormones enter the stomach after nasal irrigation, dose adjustment for persons with chronic diseases of internal organs is not required. Regular doses of the solution are quite safe for them.

Many people who are encountering this disease for the first time are looking for the answer to this question. After all, you want to buy not just a cheap, but an effective drug.

The choice in favor of Nasonex or Avamis can only be made after knowing the specifics of the action and use of these drugs in the treatment of adenoids and other diseases.

Both drugs are produced abroad. Avamys is a drug manufactured in the UK, and Nasonex is produced in Belgium. If we evaluate these drugs by cost, then Avamis wins. It can be purchased at a price 2 times lower than the cost of Nasonex.

Another difference between these hormonal drugs is the concentration of the active substance. In Nasonex it is lower, so it can be used for preventive purposes. Avamis is stronger, so it can only be used for therapeutic purposes. However, Nasonex is more effective in treating adenoids.

But in terms of contraindications, Avamis seems more preferable. He has significantly fewer of them. It should not be used only by pregnant women and people with kidney disease.

For adenoids not complicated by rhinitis, doctors recommend using Nasonex. It better copes with swelling of the mucous membranes caused by inflammation and ensures the normal functioning of the eardrums. At the same time, it does not dry out the mucous membrane. Avamys is most effective for allergic rhinitis and sinusitis.

Release forms

Both drugs are available in spray form. This is the most convenient form of drug release for the treatment of adenoids. Detailed instructions are included with the drug package. It describes the basic rules for using the spray, the necessary dosages for the treatment of adenoids, allergic rhinitis and sinusitis.

Before use, the drug must be shaken thoroughly, since inside the bottle the spray is in the form of a thick suspension.

Avamis and Nasonex do not require storage at low temperatures. But it should be remembered that the active substances in these drugs begin to degrade when heated above 25 degrees Celsius, and become ineffective for the treatment of adenoids and other pathologies.

How to choose a drug for a child?

Of course, only a doctor can suggest which medicine will be best for treating a baby. No parent without specialized medical education can soberly and adequately assess the current picture, all the pros and cons of medications, as well as the characteristics of a particular child. Nevertheless, whenever possible, it is worth giving preference to safer medications, in particular those that do not penetrate into the blood or enter the body in minimal quantities.

If it is necessary to treat children with nasal hormones, doctors usually give preference to Nasonex. Avamis is second on the list of drugs of choice.

For allergies

Hormonal medications can be simply irreplaceable for allergies. After all, they effectively remove swelling, rhinorrhea and inflammation, and also reduce the severity of eye symptoms (itching and lacrimation). But you need to remember:

• A couple of weeks before the onset of seasonal allergies, you need to start using Nasonex in accordance with the instructions for preventive purposes. This treatment will help avoid severe symptoms of allergies and provide relief for the entire season.
• If you need to quickly and effectively stop an allergy attack, it is better to give preference to Avamis. Thanks to the newest design of the bottle, this medicine can act faster.

Sometimes patients with allergies have to spend a lot of time and effort to find the medications that will be truly effective in their case. The difficulty of choosing also lies in the fact that all hormonal drugs have accumulative qualities, and fully manifest their properties only after some time.

With adenoids?

Almost all ENT specialists actively prescribe hormonal medications to their young patients with hypertrophy of the nasopharyngeal tonsils (adenoids), although this condition is not included in the list of indications for the use of these medications. Hormonal nasal sprays help:

• Suppress the sluggish inflammatory process in the adenoids and nasopharynx themselves.
• Treat allergies if they are the cause of adenoid growth.
• Improve nasal breathing.
• Stimulate the reduction of adenoids by eliminating the inflammatory process.
• Avoid surgery.

When treating adenoids in children, preference is given to Nasonex. If the medicine does not help or cannot be used for some other reason, Avamis is used.

You should not use hormonal sprays for self-medication of adenoids in children. Unjustified use of such drugs is fraught with the development of complications.

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Advantages and disadvantages of the drug Nasonex

Nasonex is often prescribed for adenoids. This drug relieves swelling of the nasal mucosa. Unlike the drug Avamis, it can be used to prevent nasal diseases, including adenoiditis.

Nasonex is more often used for young patients with adenoids. This remedy helps reduce swelling, which prevents the child from hearing and sleeping peacefully, as it affects the eardrum. The medicine also slightly shrinks the hypertrophied adenoids, which significantly improves the child’s functioning.

If adenoids are accompanied by allergic rhinitis, along with the use of Nasonex, the use of oral allergy medications is required to prevent the drops from combining in the nasal cavity.

Like other hormonal medications, Nasonex has some negative aspects when used. If you neglect the rules of use indicated in the instructions, the drug can cause an imbalance of metabolism in the body of a small patient. In this case, the initial effect of its use will be lost.

Nosebleeds may occur, and dizziness is rare. If you follow all medical instructions, there will be few side effects.

https://www.youtube.com/watch?v=G9LC3m5LRv4

Do not forget that enlarged adenoids are dangerous for children. They can lead to chronic diseases of the nasal cavity, hearing loss, and breathing problems. For this reason, it is important to start treatment with medications such as Nasonex or Avamys on time. The latter remedy is in demand among many parents, because, as noted in their reviews, it helps to quickly remove nasal congestion in the child. This is especially true before bedtime, since children cannot fall asleep for a long time due to swelling in the nasal cavity.

The advantages of Avamis include:

• quick effect;
• cheaper than Nasonex, which is important for many parents, since for adenoids there is a likelihood of additional treatment being prescribed, which is expensive;
• It is better for a child to use it, since there is no burning sensation after using it;
• has a long-lasting effect, swelling goes away for a long time (up to a day).

With all the benefits, it is important to know your doctor’s opinion regarding the use of this medication. Depending on the course of the disease and its manifestations, the specialist may prescribe other medications. Avamis is valid temporarily. After completing its use, swelling of the mucous membrane may return again.

Nasonex acts almost the same as Avamis; it has its disadvantages and advantages, which are important when choosing treatment for adenoids in children. The advantages of the spray include:

• 
  a convenient dispenser that allows you to use the drug economically;

• quick effect without drying out the mucous membrane or irritating it;
• does not cause addiction, like some nasal vasoconstrictor drops;
• relieves allergic rhinitis, helps cope with rhinitis that occurs due to a deviated nasal septum.

If you are faced with the choice of which is better than Avamis or Nasonex for prolonged rhinitis and adenoids, carefully study the instructions and reviews of those people who have already used these drugs. Your doctor will also help you choose individual treatment. He will be able to advise how to use the drug for the child, and will also tell you what to do if side effects occur.

Are there any analogues?

You can find many antihistamines in pharmacies. But few directly affect the nasal mucosa. The drug “Nasonex” is popular today. This is also a spray whose main active ingredient is mometasone furoate. Additionally, components such as dispersed cellulose, glycerol, citric acid monohydrate, sodium citrate dihydrate, and purified water are used. "Avamys" or "Nasonex" - which is better? It is quite difficult to answer the question. Both of these remedies can be used for allergic rhinitis. The drug "Avamys" has a narrower specialization. But the second spray can also be prescribed for colds.

Today everyone can freely purchase Avamis or Nasonex spray at the pharmacy. Only a doctor can tell you what is best in a particular case. Initially, it is necessary to determine what type of rhinitis is. Only after a series of tests can you decide on treatment.

When are hormones contraindicated?

Koroleva S.E., 38 years old, allergist, Petrozavodsk: “Avamys and Nazonex are 2 effective medicines. It is important under what circumstances they are prescribed. If you need to quickly get rid of nasal congestion, then Avamis will help, it copes with it in 1 minute. And Nasonex is less fast, it is more often prescribed for the prevention of rhinitis caused by allergies. The second drug can also be prescribed in the complex therapy of sinusitis.”

Shershen L.S., 45 years old, pediatrician, Vladivostok: “Most parents are afraid to use Avamis and Nazonex, because they are hormonal medications. The active substances that make up the drugs when used intranasally are almost not detected in the blood, but their effect is excellent.

Yulia, 32 years old, Perm: “Avamis spray helped us. We treated our son's adenoids in a complex. They were already planning to carry out the operation. They often became inflamed, which made them sick, because the infection went down through the respiratory organs. The doctor prescribed taking it 2 times a day for a month. We completed the course and everything worked out fine. Forgot about adenoiditis. My daughter has allergies, and the drug also works well for her: it relieves itching, sneezing, and burning.”

Galina, 40 years old, Omsk: “I used Nazonex for a long time, because... I suffer from seasonal allergies. My doctor went on vacation, so I had to go to another one. He prescribed a new drug - Avamis, and said that it had the same effect. I tried. The effect only lasts for a day, then symptoms immediately appear. It may have helped others, but I went back to my Nasonex. I’ll use it as long as it helps.”

Semyon, 25 years old, Moscow: “I have been suffering from allergies for 10 years, I find salvation only in Nasonex. Thanks to him, I forget what itching, burning in the nose, and tearing due to allergies are like. The main thing is to start using it on time. I’ve heard about a drug called Avamys, my friends use it, but I don’t want to change anything in my treatment yet. I’m glad that such medicines exist.”

Distinguishes between medications and their costs. Intranasal spray Avamis (120 doses) in a pharmacy costs from 650 to 750 rubles. A package of Nasonex with the same number of doses is on average 15% more expensive.

The main indication for the use of hormones is allergic rhinitis. This disease of a civilized society becomes a constant companion of a sick person. During an exacerbation of a runny nose, your health worsens and your quality of life decreases. Before the advent of local hormonal treatment, such patients had to experience severe discomfort.

Local hormones are used in complex therapy of sinusitis. True, only in the absence of severe bacterial complications. Steroids relieve inflammation in the sinuses, alleviate the course of the disease, and quickly relieve swelling and pain. However, the use of hormones is possible only in combination with antibiotics. Otherwise, there is a high risk of secondary bacterial infection due to a decrease in the local immune response.

In young children, Nasonex or Avamis spray is prescribed for the development of adenoiditis. Chronic rhinitis in children leads to the proliferation of lymphatic tissue of the adenoids. Inflammation and increase in the volume of the gland of the pharyngeal and palatine tonsils leads to the development of permanent otitis media and hearing loss. As a result, young patients require surgery. The use of drugs such as Nasonex and Avamis allows you to relieve the inflammatory syndrome and reduce the volume of the tonsil without surgical treatment.

And another reason for using hormones is polyposis rhinitis and sinusitis. As a result of this disease, the nasal mucosa grows. Polyps form, which worsen nasal breathing and the patient’s quality of life.

Do not use hormonal spray for open injuries of the mucous membrane in the early postoperative period. Corticosteroids negatively affect the ability of tissue to regenerate. This means that the wound will heal very slowly.

The instructions for use prohibit the use of this type of drug in children under 2 years of age. There have been no studies to prove its safety at this age.

Local hormonal drugs cannot be used for infection. The course of a virus, fungal or bacterial (including tuberculosis) disease will worsen. After all, during such therapy local immunity is suppressed. Remember, chronic rhinitis is a companion to otitis media, hearing loss and bronchial asthma. Modern medications will help get rid of inflammation without causing severe harm to the body.

When are hormonal drugs prescribed?

Medical science does not stand still and is constantly evolving. Thanks to progress, a large number of hormonal medications have recently appeared on the market, which, when used, have a local effect on the body. When taken, the concentration of the active substance is insignificant, so the patient does not experience serious side effects.

The safe use of such drugs over a long period of time is of great importance for allergy sufferers. Naturally, modern hormonal drugs are actively used in ENT practice.

When a patient with allergic rhinitis consults a doctor, the otolaryngologist usually prescribes hormonal medications. Modern life in large cities is accompanied by frequent runny noses for many people. Therefore, those suffering from it have to constantly use effective medications.

With frequent occurrence of allergies, a person’s well-being worsens and he experiences serious discomfort. Until the advent of effective medications against allergic rhinitis, people who constantly had a runny nose in their lives had to put up with the unpleasant condition that arose.

Local medications that are effective against allergic manifestations can be used in the presence of the following diseases:

• sinusitis, which is complicated by a bacterial infection;
• adenoids in children;
• polypous rhinitis and sinusitis.

Dosage form

Spray is the most convenient form for nasal medications. The instructions for use describe in detail how to dose the substance and how to handle the bottle. You should familiarize yourself with the basic rules before you plan to use the spray. After all, the dosage of the drug directly depends on the quality of the manipulation performed.

The spray is a thick suspension. To spray the solution, you need to shake it well. It is recommended to do this for at least 10 seconds before each use. After shaking, remove the protective cap from the bottle.

Before inhalation, press the bottle several times until a stream of the drug appears. Only in this case is everything ready for use and the procedure can be carried out. The bottle is always positioned vertically.

The applicator is inserted into the nose, the patient should tilt his head slightly forward. The tip faces the outer wall, turned away from the nasal septum. Only in this case will the spraying be correct. It is better to inject the solution while inhaling through the nose, after which the instructions for use recommend exhaling through the mouth so as not to blow microparticles of the medicinal substance out of the nasal cavity.

Particular care must be taken when using the tip. Its purity and integrity ensures that you receive the correct dose of the drug. Therefore, the instructions for use advise rinsing the tip after each use, not cleaning it with sharp objects, and drying it in a place protected from dust.

Can I take it at the same time?

Despite numerous similarities, the drugs cannot be called interchangeable; Nasonex and Avamis are not the same thing.

Therefore, these drugs are prescribed strictly by a doctor and are not recommended for simultaneous use.

The instructions indicate the same modes of use of the drugs:

• for acute rhinitis - 2 injections into each nostril once a day for adults and 1 injection for children;
• after achieving a therapeutic effect for adults, you can reduce the dosage - 1 injection once.

Dosage

The drug is used only intranasally. In order for the therapeutic effect of treatment to be achieved as quickly as possible, it is necessary to adhere to a certain regimen. Before starting to use the medication, it is better to consult your doctor. In order for Avamys nasal spray to give results, the instructions must be studied especially carefully. It is indicated here that the first dynamics can be noticed only after 8 hours after the first use of the spray. And the maximum effect can be noticeable only after a few days. There are many negative reviews associated with the effect of the drug. Patients should understand that the medicine really helps eliminate allergic swelling of the nasal mucosa. But quality treatment takes time.

For the treatment of year-round and seasonal rhinitis, which is allergic in nature, adults are recommended to initially inject the medicine twice into each nostril. Children from 2 to 12 years old are prescribed one injection. The drug is used only once a day. If the patient notices positive dynamics, he can reduce the dosage. Avamis spray can be used for a long time. Reviews from patients show that the drug is not addictive. The general course of treatment can be 10-14 days.

Features of the drug Avamis

Many patients are afraid to use this medicine because the active substance in it is stronger. However, after the first use, there is no trace of fear, since the drug relieves severe nasal congestion that has plagued them for a long time.

Most adult patients are completely satisfied with the effectiveness of Avamys. This drug has the following advantages:

• The use of this medicine gives very quick results. The patient feels relief within a minute after using the spray.
• Economical. Spray consumption is minimal.
• Avamis does not cause any discomfort after use.
• The drug has a long-lasting effect. A single use of the medicine provides protection against runny nose for several hours.

The disadvantages of this hormonal drug include its far from affordable price compared to other drops for the common cold, and minor nosebleeds. The latter occur very rarely and are non-systemic side effects.

Nasonex is similar in action to Avamis, but has a milder effect, so it is often prescribed for preventive purposes. This spray has the following advantages:

1. More convenient dispenser.
2. Good economy. No more than one dose per nostril per day.
3. Perfectly relieves swelling of the nasal mucous membranes.
4. It does not cause irritation to the mucous membrane and does not dry it out.

It's no secret that cheap vasoconstrictor drops are addictive. You can cope with this addiction using Nasonex spray. This drug also effectively copes with a runny nose that appears when the nasal septum is deviated. The disadvantages of Nasonex include the cost, which is 2 times higher than the price of Avamys.

The choice in favor of Nasonex or Avamis must be made taking into account the individual characteristics of the individual patient’s body. Therefore, before going to the pharmacy, you should definitely consult with your doctor.

When buying this or that drug, you need to focus not on its cost, but on the recommendations of a specialist. In this case, the drug will provide the desired therapeutic effect, and the patient will not have to deal with side effects.

What can replace the product?

The closest substitutes for Avamis are considered hormonal drugs:

• Nasonex;
• Flixonase;
• Sinoflurin;
• Nazarel.

If necessary, Avamis can be replaced with Nasonex. The effect on the body of both drugs is identical, both have a high therapeutic effect and do not cause addiction to the components of the drug. But it should be borne in mind that Nasonex has a greater number of contraindications, and Avamis is a cheaper drug. Medicines are based on different active ingredients.

Flixonase, Sinoflurin and Nazarel - these 3 drugs contain fluticasone propionate, so they are absolute structural analogues of each other. Avamis does not contain propionate, but furoate.

There is no big difference between them, because... the structural structure of the molecules of these substances has much in common, but it has been proven that Avamis, containing furoate, has a more powerful anti-inflammatory effect, works well for protracted illness, and cures chronic forms of the disease, especially stage 2 adenoids.

Differences between Nasonex and Avamis

The active ingredients in the medications are different: Nasonex has mometasone, Avamis has fluticasone.

They are produced by different companies: Avamis - GlaxoSmithKline (UK), Nasonex - Schering-Plough Labo (Belgium).

The British drug Avamis acts faster and more efficiently, because the concentration of the main substance in it is higher.

Despite similar pharmacodynamics, the British drug acts faster and more efficiently, since the concentration of the main substance in it is higher. In addition, unlike mometasone, the effect of fluticasone on tissue is stronger. Based on this, Nasonex is a more gentle drug that is prescribed more often for preventive purposes.

Doctors also recommend using the medicine in complex therapy for sinusitis, as it speeds up recovery.

What is different about Flixonase?

Flixonase is another popular hormonal intranasal spray that is used to treat and prevent allergic rhinitis. It contains fluticasone propionate, which is very similar to Avamis spray and is often considered its absolute analogue. But Avamis is actually the source of fluticasone furoate.

The main differences between Flixonase and Avamys:

• Flixonase can be produced by a Polish or Spanish pharmaceutical company.
• The active component of Avamys (fluticasone furoate) is structurally different from the main component of Flixonase (fluticasone propionate), due to which it has a longer and more intense anti-inflammatory effect (proven by clinical studies).

Avamis is considered more modern and effective than Flixonase, although both drugs provide a lasting therapeutic effect. The cost of such drugs is approximately the same.

Side effects of Nasonex and Avamis

Side effects of the 2 glucocorticosteroid drugs are similar and observed with the same frequency. These include:

• anaphylactic shock;
• Quincke's edema;
• the appearance of urticaria;
• formation of bronchospasm;
• hyperemia of the skin;
• itching, burning;
• irritation of mucous membranes;
• headache;
• nosebleeds;
• unpleasant taste in the mouth;
• feeling of dryness in the nose;
• increased intraocular pressure (rare).

If adverse reactions occur, you should quickly stop taking the medication and consult an allergist for advice.

Treatment with hormonal drugs always has consequences for the entire body as a whole. Long-term treatment leads to decreased hormone synthesis. This leads to the need to constantly take medications. The drugs Avamis and Nasonex have a local effect, and their amount in liquid media is minimal. Thus, the development of addiction and unwanted effects is minimized.

The action of the two drugs is based on inhibition of arachidonic acid metabolism and suppression of the release of inflammatory mediators. Due to this, tissue swelling is effectively reduced. In terms of their effectiveness, Avamis and Nasonex are very similar. Due to the lower concentration of active ingredients in Nasonex, it is more appropriate to use it for prevention; it has the most gentle effect.

Side effects

Deterioration in the patient’s well-being due to the use of Avamys spray may be associated with an overdose or individual intolerance to the drug. Most often, side effects manifest themselves in the form of nosebleeds. An unpleasant symptom can be noticed if the dosage of the drug is incorrect. Treatment should not be canceled. You just need to reduce the daily dose of medication. Bleeding in children may occur when using the spray for more than six weeks.

Hypersensitive people may experience allergic reactions such as skin rashes and itching. Such symptoms, although not dangerous, require immediate discontinuation of the drug. The most dangerous phenomenon is considered to be allergic Quincke's edema. This symptom requires an immediate emergency call.

It is not recommended to use Avamys nasal spray for more than 10 weeks. The instructions state that if there is no positive dynamics from using the product, you should consult a doctor. Long-term use of the drug can lead to the appearance of small ulcers on the nasal mucosa.

Contraindications

Nasonex is not recommended for use in the following cases:

• individual intolerance to the active substance;
• age up to 2 years;
• viral, bacterial or fungal infections;
• for tuberculosis;
• when the upper respiratory tract and organs of vision are affected by the herpes simplex virus;
• after recently undergoing surgery in the nasal cavity.

Nasonex is not recommended for viral, bacterial or fungal infections.

Avamis has fewer contraindications. These include:

• hypersensitivity to the main component of the drug;
• severe liver dysfunction;
• simultaneous use of the drug with Ritonavir.

During pregnancy and breastfeeding, taking medications is allowed only when the benefit to the mother outweighs the risk to the child.

The active ingredient in Nasonex is mometasone, which is an adrenal steroid hormone. It has anti-inflammatory, antipruritic, antiallergic effects, and prevents the active production of mucus in the nasal cavity. Avamis contains fluticasone, which is also a hormone.

These drugs are used in the following cases:

• for prolonged allergic rhinitis;
• with adenoids;
• in acute rhinosinusitis, if there is no concomitant bacterial infection;
• with sinusitis.

Nasonex for adenoids is prescribed to patients if there is excessive nasal congestion, loss of smell and other symptoms. A distinctive feature of this medicine is its preventive use. Avamis is not used to prevent rhinitis.

What medicine is best to use for adenoids? To resolve this issue, you need to pay attention to the contraindications of the drugs; they are slightly different.

Nasonex is contraindicated for children:

• less than 2 years old;
• having viral and infectious diseases;
• with fungal diseases of the respiratory system;
• who have undergone surgery in the nasal cavity and sinuses.

Avamis is prohibited for children under 6 years of age if there is a history of liver disease.

Compound similarities

What Nasonex and Avamys have in common are the following:

• classified as second generation synthetic glucocorticosteroid drugs;
• are produced in the form of a spray with a special dosing system;
• the main indication is allergic rhinitis, some doctors recommend using them for inflammation of the adenoids;
• allowed for children (from 2 years);
• have low concentrations of active substances, due to which they do not lead to addiction;
• the therapeutic effect is cumulative;
• When taken correctly, hormones are practically not observed in the blood.

Composition and release form

The medicine has the form of a homogeneous ghostly suspension. Avamis nasal spray is available in pharmacies in a convenient plastic bottle. The main active ingredient is fluticasone furoate. Additionally, elements such as dispersible cellulose, purified water, polysorbate 80, disodium edetate, and dextrose are used.

The medicine packaging has a convenient spray device. Thanks to this, you can use the medicine in any convenient place. To use the drug you do not need to take a horizontal position. If necessary, you can inject the spray even in transport. This benefit has already been noticed by many patients who suffer from allergic reactions. Swelling of the mucous membrane can happen unexpectedly. And the Avamys spray fits easily into a purse or trouser pocket.

What should you be wary of?

Patients are very worried when a doctor prescribes a hormonal drug. Concerns are especially strong if this spray is prescribed in childhood. Will the child's growth stop after taking Nasonex or Avamys? Will I gain extra weight after using this drug? Can the use of these drugs cause damage to the gastric mucosa?

Doctors answer these questions in the negative. The very low concentration of the hormone, which appears after swallowing mucus and saliva, does not affect healthy organs and tissues. There is no systemic effect of this drug. This means there is no need to worry about stunted growth, obesity and ulcers. Follow the dosage and spray the drug according to the instructions for use. In this case, you will avoid side effects.

But hormones are serious drugs. And some negative aspects of their use always remain. Let's list them:

1. nosebleeds;
2. ulcerations of the nasal mucosa;
3. burning in the nose, sneezing;
4. headache.

Such reactions often go away on their own and do not require discontinuation of the drug. But in any case, you must inform your doctor about their appearance.

Uncontrolled use of Nasonex and Avamis medications is unacceptable. The drugs are prescribed only by a doctor; regular monitoring of the nasal mucosa is required.