Nasonex is a corticosteroid spray that reduces inflammation and swelling. It’s primarily used for allergic problems like rhinitis (hay fever).
Nasal infections are often caused by the bacteria Staphylococcus aureus, and depending on the severity of your symptoms, you might need antibiotics.
Although Nasonex can’t treat the infection, it can help relieve the symptoms you get with an infection, like nasal congestion and swelling.
How does Nasonex work?
Nasonex (mometasone) is a corticosteroid that works by reducing inflammation in the nasal passage. It suppresses the immune system’s inflammatory response, by stopping cells that cause inflammation from working. In doing this, it helps to relieve symptoms like nasal congestion and runny nose.[1]
It’s important to know Nasonex doesn’t treat the infection, but relieves the symptoms.
What doses of Nasonex are there?
Nasonex is only available in one dose of 50mcg. The typical dosage is one to two sprays in each nostril a day, but you should always take it as directed by the person who prescribed it for you. Your doctor might gradually lower your dose as your symptoms improve.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr. Joseph Palumbo on January 23, 2025. Next review due on January 23, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
NasonexMometasone furoate monohydrate
How to use Nasonex
Before using Nasonex, you’ll need to prime the bottle so it produces a fine mist. To prime it:
Shake the bottle a few times.
Place your fingers on the nozzle.
Pump the bottle a few times until a fine mist is produced.
To use Nasonex:
Shake the bottle and remove the cap.
Gently blow your nose.
Close one nostril and place the nozzle at the tip of the other nostril.
While breathing in slowly, pump the bottle once.
Repeat for the other nostril.
How long does Nasonex take to work?
Some people may feel relief within 12 hours, while others might take a few days to notice an improvement in their symptoms. If your symptoms do not improve after a week or if they worsen, inform your doctor.
I sprayed too much Nasonex, now what?
Like all medications, using more than the prescribed amount can increase the risk of side effects. But if you spray slightly more than you should with this treatment, this risk is very low. Nasonex only contains a small amount of corticosteroids and is applied directly to the site of the infection, so it shouldn’t affect you systemically because it’s not being taken up into the bloodstream.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr. Joseph Palumbo on January 23, 2025. Next review due on January 23, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
NasonexMometasone furoate monohydrate
Nasonex isn’t suitable for everyone, and there are some things that you need to be aware of when using it.
Here’s all the official info on it. If anything is unclear, let our clinician know, and they can talk with you about it.
NasonexMometasone furoate monohydrate
Nasonex: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
How does Nasonex compare with Flonase?
Answer:
Nasonex and Flonase are two nasal corticosteroids that can alleviate the symptoms of nasal infection. Although they contain different active ingredients – Nasonex contains mometasone and Flonase contains fluticasone – they work similarly.
When comparing their effectiveness, no significant difference was found in how well both treatments relieve symptoms.[1]
Is Nasonex available without a prescription?
Answer:
Yes, Nasonex is available over the counter, so you won't need a prescription for it. However, the pharmacist may ask a few questions to check if it's safe for you to use.
Is there a generic version of Nasonex?
Answer:
Yes, there's a generic version of Nasonex called Mometasone. They both contain the same active ingredient in the same concentrations, so its effectiveness should be comparable. Differences include the non-active ingredients, packaging and price. Usually, the generic one is more affordable.
Will I get side effects using Nasonex?
Answer:
You might experience some side effects while using Nasonex, such as:
headache,
sore nose,
sneezing,
nose bleeds,
Nose ulcers, and
respiratory tract infection.
The side effects should be temporary and go away once you stop using it.
If you experience symptoms like a swollen face and wheezing, it could be a sign of an allergic reaction. In this case, you should stop using Nasonex and seek medical help immediately.
Treated trusted source:
Mandl, M., Nolop, K. and Lutsky, B.N. (1997).Comparison of once daily mometasone furoate (Nasonex) and fluticasone propionate aqueous nasal sprays for the treatment of perennial rhinitis. 194-079 Study Group. Annals of Allergy, Asthma & Immunology: Official Publication of the American College of Allergy, Asthma, & Immunology, 79(4), pp.370–378.
Last updated on Jan 22, 2025.
How we reviewed this page:
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Jan 22, 2025
Published by: The Treated Content Team.Medically reviewed by: Dr. Joseph Palumbo, Senior Medical Adviser
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Dr. Joseph Palumbo
Senior Medical Adviser
Joseph joined Treated in 2023, and is one of the lead doctors providing prescribing services for the platform.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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