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Techniques of intranasal steroid use.
Michael S Benninger1, James A Hadley, J David Osguthorpe
1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan 48202, USA. MBENNING@hfhs.org
Summary
Optimal technique for intranasal steroid (INS) sprays remains unclear. A review found no definitive evidence on best practices, leading to a recommended 7-step method for rhinitis treatment.
Area of Science:
- Otolaryngology
- Allergy and Immunology
- Pharmacology
Background:
- Intranasal steroid (INS) sprays are common treatments for allergic and nonallergic rhinitis.
- Patient instruction in optimal spray technique may be lacking, potentially limiting treatment effectiveness.
Purpose of the Study:
- To review existing evidence on intranasal spray application techniques.
- To determine if technique influences the efficacy and safety of INS and antihistamine nasal sprays.
- To identify and establish a preferred method for applying INS sprays.
Main Methods:
- A comprehensive literature search of MEDLINE was performed.
- Searched terms focused on INS and intranasal antihistamine sprays.
- 29 of 121 initial articles were selected for quality review.
Main Results:
- The analysis revealed no conclusive evidence on the optimal method for using INS or antihistamine nasal spray devices.
- Lack of definitive data regarding patient instruction for maximizing drug efficacy and safety was noted.
Conclusions:
- Despite a lack of clear evidence, a standardized 7-step technique for INS spray application was recommended.
- Further research may be needed to establish evidence-based guidelines for nasal spray administration.