Posology : מינונים

4.2. Posology and method of administration
Posology

Adults and Adolescents 12 years of Age and older: The recommended starting and maximum dose is 220 micrograms as 2 sprays in each nostril once daily. Titrate an individual patient to the minimum effective dose to reduce the possibility of side effects. When the maximum benefit has been achieved and symptoms have been controlled, reducing the dose to 110 mcg per day (one spray in each nostril once a day) has been shown to be effective in maintaining control of the allergic rhinitis symptoms.

Children 6 to 12 years of age: The recommended starting dose is 110 micrograms per day given as 1 spray in each nostril once daily. Children not responding adequately to 110 mcg per day may use 220 mcg (2 sprays in each nostril) once daily. Once symptoms are controlled, patients should be maintained on the lowest effective dose once daily [see Warnings and Precautions (4.4) and Pharmacodynamic Properties (5.1)].

Children 2 to 5 years of age: The recommended and maximum dose is 110 mcg per day given as one spray in each nostril once daily. [see Warnings and Precautions (4.4) and Pharmacodynamic Properties (5.1)].

STERONASE AQ NASAL SPRAY is not recommended for children under 2 years of age.
Continuous use beyond 3 months in children under 12 years is not recommended.

4.2.1 Administration Information
Method of administration
STERONASE AQ NASAL SPRAY is for nasal use only.
It is important to shake the bottle gently before each use.
If adequate relief of symptoms has not been obtained after 3 weeks of treatment, STERONASE AQ NASAL SPRAY should be discontinued. Each actuation delivers 55 micrograms triamcinolone acetonide from the nose piece to the patient (estimated from in vitro testing) after an initial priming of 5 sprays until a fine mist is achieved. STERONASE AQ NASAL SPRAY will remain adequately primed for 2 weeks. If the product is unused for more than 2 weeks, then it can be adequately reprimed with one spray. The nozzle should be pointed away from you while you are doing this.
After using the spray: Wipe the nozzle carefully with a clean tissue or handkerchief, and replace the cap.
If the spray does not work and it may be blocked, clean it as follows. NEVER try to unblock it or enlarge the tiny spray hole with a pin or other sharp object because this will destroy the spray mechanism.
The nasal spray should be cleaned at least once a week or more often if it gets blocked.

TO CLEAN THE SPRAY
1. Remove the cap and the spray nozzle only* (pull off).
2. Soak the cap and spray nozzle in warm water for a few minutes, and then rinse under cold running tap water.
3. Shake or tap off the excess water and allow to air-dry.
4. Re-fit the spray nozzle.
5. Prime the unit as necessary until a fine mist is produced and use as normal.
* Part as indicated on diagram below.



Also, the bottle should be discarded after 120 actuations or within 2 months of starting treatment (16.5 g pack). Do not transfer any remaining suspension to another bottle.