1 What is Nasacort?

Brand: Nasacort, Tri-Nasal

Generic: Triamcinolone

Nasacort nasal spray is used in treating symptoms of perennial and seasonal hay fever, such as the runny or itchy nose or sneezing.

This drug is a steroid that works by stopping the inflammation that comes with the reactions. Triamcinolone can only be availed with a doctor’s prescription.

2 What To Know Before Using

If you are about to start using Nasacort, speak with your doctor about what you need to know. When using this medicine, the risks and benefits the medicine offer must be weighed.

Before using Nasacort, you and your doctor must consider the following:

  • Allergies: If you have any unusual reaction to any medicine, be sure to tell your doctor about it. Additionally, disclose other types of allergies - foods, preservatives, animals, or dyes, if there are any. Read the package ingredients carefully and make sure you are not allergic to any of its ingredients.
  • Pediatric: Studies show that the usefulness of this drug won’t be limited when used in children 2 years old and above. For children below 2 years of age, safety and efficacy are not established.
  • Geriatric: No specific information is provided about the use of this medicine in the elderly. It is not determined if the medicine works exactly the same way as it does in younger adults.
  • Pregnancy: Animal studies show that using this drug in pregnant animals may have an adverse effect on the unborn fetus.
  • Breastfeeding: Although there are no adequate studies in lactating mothers that determine potential risk in an infant when breastfeeding, the benefits should be weighed against the risks before taking this medication.
  • Drug Interactions: Some drugs have adverse effects when used together. Make sure to inform your doctor about other drugs you are taking, so that alterations and precautions will be made if necessary.Before using triamcinolone nasal spray, talk to your doctor about possible interactions if you are taking other medications. It is also important to inform your doctor if you are smoking tobacco or drinking alcohol since these may interact with the drug’s effectiveness.Inform your doctor about any drug you are using, prescription or nonprescription, as well as vitamin and herbal supplement.If you just had rotavirus vaccine, using triamcinolone is not recommended. Moreover, using this drug together with aldesleukin, dabrafenib, ceritinib, idelalisib, nilotinib, pixantrone, piperaquine, and ritonavir is not advised.
  • Other Medical Problems: If you have other medical conditions, how you use this drug may be affected. For instance, if you have adrenal problems, asthma, cataracts, or glaucoma, the use of this drug may make them worse.Additionally , if you have chickenpox, including a recent exposure to the virus, herpes simplex infection of the eye, measles, tuberculosis, and other infections, using this drug may reduce your ability to fight off infection. Using this product may prevent proper healing if you have an injury to the nose, nose surgery, or ulcers or sores on the nose. Inform your doctor about any other medical condition prior to using this medicine.

3 Proper Usage

To use Nasacort properly, you must follow all instructions given by your doctor. Do not increase dosage or use it more often; doing so may heighten your risk for side effects.

Use only in the nose, do not get the product into the eyes or mouth. Rinse off right away in case of contact with mouth or eyes. Do not use with any other problems in the nose unless advised by your doctor.

  • Gently shake the spray bottle before each use. When using the spray for the first time, priming the spray is required.
  • To prime, pump 5 times or more until a fine spray of the medicine comes out. If you haven’t used the medicine for 14 days or more, prime it again.
  • Blow your nose gently to clear the nostrils before using the spray.
  • Stand up or sit up straight with your head tilted slightly forward.
  • Insert the tip of the spray into one of your nostrils. Spray.
  • Gently breath inward through the nose and then exhale through the mouth.
  • Repeat procedure on the other nostril.
  • After using, wipe the tip of the spray bottle with a clean cloth or tissue. Replace cap.

The package comes with a check-off chart that you use to monitor the number of sprays you had. After 120 sprays, throw it away.


The use of triamcinolone spray depends on the patient's age, weight, and symptoms, as well as the strength of the medicine. Do not change the dosage the doctor indicated unless he or she told you otherwise. The number of doses and the number of hours between doses generally depend on the reason why you are using this drug.

Generally, dosage will be as follows:

In treating perennial and seasonal allergic rhinitis in teens and adults, the usual dose is two sprays per nostril per day. Dosage may be adjusted as per your doctor’s advice.

For children 6-12 years old, one spray per nostril, once a day. Two sprays may be given to some children as directed by the doctor. For children 2-5 years old, one spray per nostril per day. Not recommended for use in children below 2 years old.

Missed Dose

Take the missed dose as soon as possible. In case it is almost time for the next dose, skip the missed one and follow your regular dosing schedule. Never take double doses.


Keep the medicine in an airtight container at normal room temperature. Keep it away from direct light, heat, and moisture. Do not let it freeze. Keep the medicine out of children’s reach. After using 120 sprays from the bottle, throw the bottle away, regardless if it still has some medicine left in it.

4 Precautions to Take

In using Nasacort, you must be careful and take some precautions as advised by your doctor. Regular visit to the doctor is important to make sure the medicine is working properly and to see if the patient should continue using it. If symptoms persist after 3 weeks of using, or if symptoms get worse, consult your doctor.

Using this nasal spray may increase your chance of unwanted side effects in the nose. If side effects, such as sores inside the nose, bloody mucus, whistling sound when breathing, or unexplained nosebleeds, occur while using this medicine, call your doctor immediately.

Using this medicine may cause a type of fungus infection called thrush in the throat or nose. If you have white patches in the throat, or feeling of pain while eating or swallowing, inform your doctor right away. If you experience difficulty reading, blurred vision, eye pain, or any changes in vision during or after treatment, inform your doctor. Your doctor may request that your eyes be checked by a specialist.

While using this medicine, you may be more prone to infections. Avoid contact with sick people or people with infections like chickenpox or measles, especially if you never had these diseases or have not been immunized. Inform your doctor if you have been exposed to measles or chickenpox.

Using this medicine may make your adrenal glands less active than normal. Consult your doctor if you notice darkening of the skin, skin rash, dizziness, fainting, diarrhea, loss of appetite, nausea, vomiting, mental depression, or unusual weakness or tiredness.

The use of this medicine in children may cause slower growth, if this is your concern, talk with your doctor before using the medicine on your child.

5 Potential Side Effects

As with many medications, there are several potential side effects associated with Nasacort. While not all the side effects listed below may occur, you may want to consult your doctor if any of these take place, especially when they become bothersome or persist after a few days of using this drugs.

Side effects may include:

  • Pain or aches in different parts of the body
  • Joint pain
  • Chills
  • Fever
  • Diarrhea
  • Hoarseness
  • Congestion
  • Dryness or soreness of the throat
  • General feeling of illness or discomfort
  • Trouble sleeping
  • Runny nose
  • Sweating
  • Headache
  • Increased cough
  • Loss of appetite
  • Nausea
  • Vomiting
  • Shivering
  • Tender, swollen glands in the neck
  • Unexplained nosebleeds
  • Trouble with swallowing
  • Unusual weakness or tiredness
  • Voice changes
  • Shortness of breath
  • Breathing difficulty
  • A cough producing mucus
  • Noisy breathing
  • Tightness in the chest

While most of these side effects usually diminish as the body adjusts to the drug, calling your doctor may be needed. Some patients may experience side effects not listed above. If you want to report side effects, you may do so by calling the FDA at 1-800-FDA-1088.