Fluticasone Nasal Spray Dosage and Treatment Duration for Allergic Rhinitis

Age-Specific Dosing Recommendations

The American Academy of Otolaryngology-Head and Neck Surgery recommends that for allergic rhinitis, fluticasone propionate nasal spray should be administered at a dosage of 2 sprays per nostril (200 mcg total) once daily for adults, and 1 spray per nostril (100 mcg total) once daily for children ages 4-11 years 1
Fluticasone propionate is not FDA approved for children aged 2-3 years, but fluticasone furoate (Veramyst) is approved for ages ≥2 years at 1-2 sprays per nostril daily 1

Common side effects of fluticasone propionate nasal spray include headache, pharyngitis, epistaxis (nose bleeds), nasal burning or irritation, nausea or vomiting, asthma symptoms, and cough 1

The American Academy of Otolaryngology-Head and Neck Surgery notes that fluticasone propionate is contraindicated in patients with a history of hypersensitivity to fluticasone or its components 1

Fluticasone furoate (Veramyst) is an alternative formulation, approved for ages ≥2 years, with a dosage of 27.5 mcg per spray 1
For patients with both allergic rhinitis and nasal polyps, the American Academy of Otolaryngology-Head and Neck Surgery suggests considering mometasone furoate, which is specifically indicated for both conditions 1