Many patients have bad associations when they mention hormones, and they feel that they are afraid of hormones. Some patients think that hormones have a lot of side effects, and they are even unwilling to cooperate with doctors in medication treatment. In outpatient clinics, some patients often ask, “Doctor, will I get fat if I use hormones for a long time?” Some parents worry that their children will not grow taller with hormones, so is it safe to use hormones in the nose? Today, we will give you a piece of mind.
In fact, there is a misconception about the concern of nasal hormones. The hormones that we usually come into contact with mostly refer to the systemic use of glucocorticoids (injections or oral), and the side effects really cannot be underestimated. For example, the dose of the commonly used nasal hormone Nesuna Spray is about 1‰ of the oral or injectable dose, and the amount of the drug that can really enter the whole body is less than 0.1% of the dose used, so the drug is approved by the FDA for use in children over 2 years old, and Studies have shown that the use of recommended doses of nasal hormones such as endosonar has no effect on the growth of children, so the safety of nasal hormones is very high.
Intranasal spray glucocorticoids are currently an effective treatment for allergic rhinitis, nasal polyps and chronic rhinitis before and after surgery.
Do intranasal glucocorticosteroids have no side effects at all?
A few patients may experience local adverse reactions such as nasal dryness and nasal bleeding. Some nasal oils and mucosal lubricants can be applied to reduce or alleviate the side effects, such as compound mint nasal drops and seawater nasal spray. However, patients who have just experienced nasal bleeding often need special caution because dryness of the nasal mucosa may induce nasal bleeding again. Among several common domestic medications, the incidence of nasal dryness caused by endosulfan is relatively low. Very few patients have the risk of septal perforation after long-term use of nasal hormones, but this phenomenon is mostly related to incorrect nasal spraying methods.
How to use nasal glucocorticoids correctly?
1. Before use, if there is snot in the nasal cavity, blow the snot out of the nose first; 2. Gently shake the bottle, spray the right nostril with the left hand and the left nostril with the right hand, and use the fingers of the other side to press the nasal wing on the side of the spray; 3. 4.
4, press the button according to the prescribed dose, after spraying the head slightly raised, using the nose to suck in, or after spraying bend over and lower the head, try to make the nostrils face the sky, about 1 minute and then restore. This allows the drug to be distributed more evenly backward in the nasal mucosa, fully playing the role of drug therapy.
5. Repeat once for the opposite side of the nose. Clean the nozzle after use and cover with a dust cap.
Note: Nasal rinsing and nasal spraying cannot be carried out at the same time. If nasal rinsing and nasal spraying are carried out simultaneously, pay attention to the time interval. After rinsing the nasal cavity, at least wait for the nasal rinse to be drained before spraying the nose, usually one hour later before spraying the nose again. Otherwise, the drug sprayed on the surface of the nasal cavity liquid, will dilute the drug and reduce the efficacy of the drug. Similarly, if you spray the nose first, you should also wait for a period of time to wait for the drug to work before rinsing the nasal cavity.