Q: How long can my patient use intranasal steroid sprays?

Intranasal steroid sprays are safe for long-term use, and there is little evidence to indicate they cause significant systemic side effects. However, patients with chronic rhinitis who might use them for long periods should be advised to use them only intermittently and at the lowest dose that controls their symptoms. Patients who regularly use steroid sprays should undergo examination of the nasal cavity at least annually to check for damage to the septum. Children using intranasal steroid sprays should be prescribed the newer-generation formulations, use low doses, and have their growth monitored regularly.