Rhinocort 64mcg Aqua Nasal Spray

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Rhinocort 64mcg Aqua Nasal Spray is supplied as a nasal spray, with Budesonide 64mcg per spray. It is supplied in a pack size of 120 doses.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

Gently blow your nose before use, shake the bottle lightly, and prime the pump if using for the first time or after a period of non-use by spraying a few times into the air until a fine mist appears; tilt the head slightly forward, insert the nozzle into one nostril, close the other nostril, and spray while breathing in gently, avoiding direct contact with the nasal septum or eyes.

Dosage

The typical adult dose is 2 sprays into each nostril once daily, or as an alternative regimen 1 spray into each nostril twice daily, though a doctor may adjust the dose once symptoms are controlled; the spray should be used regularly as directed rather than only when symptoms flare up, for the best effect.

Shelf Life

Once opened, Rhinocort 64mcg Aqua Nasal Spray is generally recommended to be discarded after the period stated on the packaging (commonly around 6 months), even if some liquid remains; always check the manufacturer’s expiry date and in-use discard period on the carton.

Storage Instructions

Store the nasal spray upright at room temperature below 30°C, away from direct heat and sunlight, and do not freeze the bottle; keep the cap on between uses and out of the reach of children.

Side Effects

  • Headache
  • Nausea or upset stomach
  • Throat irritation (with inhaled forms)
  • Cough or hoarseness
  • White patches in the mouth (oral thrush)
  • Increased risk of infections
  • Dizziness
  • Acne or skin thinning (with prolonged use)

Contraindications

  • Untreated nasal or sinus infection
  • Recent nasal surgery or nasal injury that has not fully healed
  • Known hypersensitivity to budesonide or any spray ingredient
  • Active, untreated tuberculosis or untreated fungal, bacterial, or viral infections affecting the nose
  • Use with caution in patients recently switched from oral corticosteroids

Drug / Food Interactions

  • Strong CYP3A4 inhibitors (such as ketoconazole or ritonavir) may increase systemic absorption of budesonide and the risk of corticosteroid-related side effects
  • Concurrent use with other nasal or systemic corticosteroids should be discussed with a doctor to avoid excessive total steroid exposure
  • No significant food interactions are typically expected with intranasal use

Quick Tips

  • Use Rhinocort regularly as prescribed, not only when symptoms are bad, for the best long-term control
  • Aim the spray slightly away from the centre of the nose (away from the septum) to reduce irritation
  • Do not share your nasal spray device with others
  • Report any nosebleeds, crusting, or nasal discomfort that does not settle to your doctor
  • Attend follow-up review if using for more than a few months, especially in children

Ingredients / Active Ingredients

  • Budesonide 64mcg per spray
  • Microcrystalline cellulose
  • Carmellose sodium
  • Dextrose
  • Polysorbate 80
  • Potassium sorbate
  • Purified water

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Because Rhinocort is a corticosteroid nasal spray intended for prescription use, doctor supervision helps ensure the correct diagnosis, appropriate duration of treatment, and monitoring for the rare but recognised risks of long-term intranasal steroid use, such as nasal irritation or effects on growth in children; do not exceed the prescribed dose or duration without medical advice.

Frequently Asked Questions

Product Specifications

BrandJohnson & Johnson
ManufacturerJohnson & Johnson
ClassificationNon-prescription
Ingredients / Active IngredientsBudesonide
Form120 doses

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