Budesonide Nasal Spray

What is budesonide nasal spray?

Budesonide nasal spray is a corticosteroid medicine used to reduce inflammation in the nasal passages. It is commonly sold under brand names like Benacort. It works by calming the immune response in the nose, helping to relieve symptoms caused by allergies or nasal polyps. It is available on prescription for adults and children aged 6 and over, but you can also buy it from pharmacies and shops for adults aged 18 and over[1]. 

You can also find advice here on budesonide rectal foam, budesonide for skin, and budesonide tablets, capsules, & granules. 

What is budesonide nasal spray used for?

Budesonide is used to treat a variety of nasal conditions like[1]: 

• Allergic rhinitis (e.g. hay fever) 

• Non-allergic rhinitis 

• Nasal polyps (small growths inside the nose) 

It helps relieve symptoms such as[1]: 

• Sneezing 

• Runny or blocked nose 

• Itchy nose 

• Nasal congestion 

How does budesonide nasal spray work?

Budesonide is a steroid that reduces inflammation by suppressing the immune system’s response in the nasal lining. This helps to reduce swelling, decrease mucus production and relieve nasal symptoms[1]. 

What is the typical dosage of budesonide nasal spray?

Most adults and children over 6 years can use budesonide nasal spray. However, it may not be suitable for everyone. Speak to a doctor first if you[1]: 

• Have a nasal infection, recent nasal surgery, or nose injury 

• Are taking other steroids 

• Have tuberculosis (TB), glaucoma, diabetes, or liver problems 

• Are pregnant or breastfeeding (consult your doctor or pharmacist) 

• Are allergic to budesonide 

Please tell your doctor or pharmacist about any conditions you may have or medication you take before you start treatment, and always follow the instructions in the Patient Information Leaflet[2].  

Who can take budesonide nasal spray?

Most adults and children over 6 years can use budesonide nasal spray. However, it may not be suitable for everyone. Speak to a doctor first if you[1]: 

• Have a nasal infection, recent nasal surgery, or nose injury 

• Are taking other steroids 

• Have tuberculosis (TB), glaucoma, diabetes, or liver problems 

• Are pregnant or breastfeeding (consult your doctor or pharmacist) 

• Are allergic to budesonide 

Please tell your doctor or pharmacist about any conditions you may have or medication you take before you start treatment, and always follow the instructions in the Patient Information Leaflet[2].  

How do you take budesonide nasal spray?

Proper technique helps ensure effectiveness and minimise side effects[1]: 

• Shake the bottle well 

• Prime the spray if it’s your first use or if not used for a few days 

• Blow your nose gently 

• Insert the nozzle into one nostril while closing the other 

• Spray while breathing in gently through the nose 

• Repeat for the other nostril 

• Wipe the nozzle and replace the cap 

Can you stop taking budesonide nasal spray?

You can usually stop nasal steroid sprays without problems, but your symptoms may return if stopped too early. Follow your doctor’s advice[1]. 

What do you do if you take too much budesonide nasal spray?

You can usually stop nasal steroid sprays without problems, but your symptoms may return if stopped too early. Always follow your doctor’s advice[1]. 

What do you do if you forget to take budesonide nasal spray?

Missing a dose is usually not serious. Here’s what to do[1]: 

• Take it as soon as you remember 

• If it’s nearly time for your next dose, skip the missed one 

• Do not double up to make up for a missed dose 

How do you store budesonide nasal spray?

To maintain effectiveness and safety, proper storage is important[1]: 

• Store below 30°C 

• Do not freeze 

• Keep the bottle upright and tightly closed 

• Discard after 3 months of opening 

What medicines can’t you take with budesonide nasal spray?

Budesonide can interact with other medications, so inform your doctor or pharmacist if you take[1]: 

• Antifungals (e.g. ketoconazole, itraconazole) 

• Antibiotics (e.g. clarithromycin) 

• HIV medicines (e.g. ritonavir) 

• Oestrogens (e.g. HRT or contraceptives) 

• Other corticosteroids (inhalers, creams, tablets) 

Always inform your doctor or pharmacist about all medications and supplements you take before you start a new medicine, and follow the instructions in the Patient Information Leaflet[2]. 

What are the side effects of budesonide nasal spray?

While most people tolerate budesonide well, side effects can occur. Common side effects include[1]: 

• Nosebleeds 

• Nasal irritation or dryness 

• Sneezing 

Rare but serious side effects[1]: 

• Vision problems 

• Signs of infection (fever, persistent sore throat) 

• Damage to your nose  

You should contact your GP if you experience any of these symptoms. In rare cases, the medicine may cause a serious allergic reaction (anaphylaxis). You should call 999 or visit A&E immediately if you believe this is happening[1]. 

Symptoms of anaphylaxis include[1]:  

• Difficulty breathing  

• Tightness in throat and chest  

• Swelling of the tongue or throat  

• Feeling faint or dizzy  

• Blue-grey skin or lips  

• Loss of consciousness 

If you experience any side effects, including those not listed, you are encouraged to report them via the Yellow Card Scheme or contact your doctor, pharmacist, or nurse. This information is intended as a summary for general awareness and does not replace professional medical advice. 

The information provided in the side effects section is not a comprehensive list of all possible side effects associated with this medication. For a complete list of side effects, please refer to the Patient Information Leaflet (PIL) provided with your medication or consult your healthcare professional[2]. 

Frequently asked questions about budesonide nasal spray

How long does budesonide nasal spray take to work? 
Usually within a few days. Full effect may take 1-2 weeks[1]. 

Can I use budesonide nasal spray long-term? 
Yes, under medical supervision[1]. 

Is it safe during pregnancy? 
Only if prescribed by a doctor[1]. 

Can I use budesonide nasal spray with antihistamines? 
Yes, they are often used together[1]. 

Does budesonide nasal spray cause drowsiness? 
No, it does not[1]. 

Can I drink alcohol while using it? 
Yes, alcohol doesn’t interact with it[1]. 

Is budesonide nasal spray addictive? 
No, but overuse can lead to side effects[1]. 

Can I use it for a cold? 
No, it is not effective for viral infections like the common cold[1]. 

For the official NHS guide to budesonide nasal spray, visit their website.