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Qnasl Information

Qnasl (beclomethasone dipropionate) is an intranasal aerosol corticosteroid used for the treatment of seasonal and perennial allergic rhinitis. It works by reducing inflammation in the nasal passages, thereby providing relief from a variety of allergy symptoms, including nasal congestion, sneezing, a runny nose, and an itchy nose. Unlike traditional nasal sprays that are delivered as a liquid suspension, Qnasl is a dry aerosol spray. This unique formulation allows the medication to be delivered as a fine, microscopic mist of particles. These particles are designed to deposit in the upper nasal passages and sinuses, minimizing the drip that can occur with liquid sprays and allowing for more targeted and efficient delivery of the medication to the inflamed tissues. The active ingredient, beclomethasone dipropionate, is a potent anti-inflammatory agent. It works by binding to glucocorticoid receptors inside cells of the nasal mucosa. This action prevents the release of inflammatory substances and cells, such as cytokines, mast cells, and eosinophils, which are responsible for the symptoms of allergic rhinitis. By inhibiting this inflammatory cascade, Qnasl effectively reduces swelling and irritation in the nasal passages. As a result, it is particularly effective at treating nasal congestion. This symptom is often not adequately addressed by oral antihistamines.

Qnasl is a prescription medication available in Canada for adults and children 12 years of age and older. For optimal effectiveness, it is crucial to use the product consistently every day, rather than on an as-needed basis. While some symptom improvement may be noticeable within the first day, the full therapeutic benefit is typically achieved after several days of continuous use. The usual starting dose for adults and children 12 years of age and older is two sprays into each nostril once daily. Once symptoms are under control, the dose may be reduced to one spray into each nostril once daily for maintenance.

Qnasl Side Effects

While Qnasl is generally well-tolerated, it can cause some side effects, which are often mild and localized to the nasal area. The most common side effects reported include nosebleeds, nasal discomfort, and headache. Other common side effects may consist of a sore throat, cough, or dry mouth. These effects are often temporary and may improve with continued use.

However, more serious side effects can occur, although they are rare. If you experience any of the following, you should stop using the medication and consult a healthcare professional immediately:
• Serious Nasal and Respiratory Effects: Prolonged or high-dose use of corticosteroids can lead to more serious issues. This includes the potential for nasal septum perforation (a hole in the wall between the nostrils), which may manifest as a whistling sound in the nose. There is also a risk of localized infections in the nose and throat, such as Candida albicans (yeast) infection, which may require medical treatment. You should also be cautious of severe or frequent nosebleeds.

• Systemic Corticosteroid Effects: Although the systemic absorption of Qnasl is minimal, using it at higher-than-recommended doses or for prolonged periods can lead to systemic corticosteroid effects. This can result in hypercorticism, which is an excess of cortisol in the body, and adrenal suppression, where the body's natural production of cortisol is reduced. Symptoms may include fatigue, dizziness, and nausea.

• Vision-Related Effects: In rare cases, long-term use of intranasal corticosteroids has been associated with the development of cataracts and glaucoma, particularly in individuals with a history of these conditions. Any changes in vision or eye pain should be reported to a doctor immediately.

• Hypersensitivity Reactions: Though rare, a severe allergic reaction to Qnasl is possible. Symptoms of a severe allergic reaction may include a rash, hives, swelling of the face, lips, or tongue, and difficulty breathing.

Qnasl Precautions

Before using Qnasl, it is essential to have a thorough discussion with your doctor or pharmacist about your medical history and any other medications you are taking. Qnasl is not recommended for children under 12 years of age. You should also inform your healthcare provider if you have any pre-existing medical conditions, including recent nasal trauma, ulcers, or surgery that has not yet healed, as corticosteroids can inhibit wound healing. Individuals with eye conditions such as cataracts, glaucoma, or ocular herpes simplex should use this product with caution and under medical supervision. It is also important to disclose any untreated fungal, bacterial, or viral infections, as corticosteroids can potentially worsen these conditions. This is particularly important for individuals who have had or have been exposed to chickenpox, measles, or tuberculosis, as the immunosuppressing effects of corticosteroids can make these infections more serious. The recommended daily dosage should not be exceeded. If your symptoms do not improve after a few weeks of daily use, consult your doctor. It is also important to note that the growth rate of some children may be slowed while using this product. If your child requires long-term use, their doctor should monitor their growth. For pregnant or breastfeeding individuals, it is essential to consult a healthcare professional. The product should be stored at room temperature and kept out of reach of children.

Do I need a prescription to order Qnasl?

Yes, a prescription is required from your physician to order Qnasl.