Mometasone Nasal Spray: Uses, Dosage & Side Effects in Pakistan

Mometasone Nasal Spray Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

2. What is Mometasone Nasal Spray? (Nasomet/Nasonex kya hai)

Mometasone Nasal Spray (Nasomet / Nasonex) is a potent nasal corticosteroid prescribed in Pakistan for nasal allergy, hayfever (hay fever), and nasal polyps. Its active ingredient Mometasone Furoate reduces nasal mucosal inflammation, oedema, and mucus secretion. Very low systemic absorption (<0.1%) occurs — so systemic corticosteroid side effects are practically absent at standard doses. Peak effect comes after 1–2 weeks of regular use — this is not an immediate relief spray.

3. Uses (Fayde / Kis kaam aata hai)

• Allergic rhinitis — seasonal
• Allergic rhinitis — perennial
• Non-allergic rhinitis (perennial non-allergic)
• Nasal polyps
• Prevention: start 2 weeks before allergy season (prophylactic use)

4. How It Works (Kaam kaise karta hai)

Mometasone is a potent topical glucocorticoid. In the nasal mucosa it suppresses inflammatory cytokines, reduces mast cell and eosinophil activity, and as a result nasal inflammation, oedema, and mucus secretion are reduced. Systemic absorption via the nasal route is very low (<0.1%) — so systemic corticosteroid effects are practically absent at standard doses. Onset of effect takes ~12 hours; full effect is achieved after 1–2 weeks of consistent daily use.

5. Who Should Take (Kis ko lena chahiye)

• Patients with seasonal allergic rhinitis (hayfever)
• Patients with year-round nasal allergy or non-allergic rhinitis
• Patients with rhinitis and nasal polyps
• Those who want preventive treatment before allergy season

6. When NOT to Take (Kab nahi lena chahiye)

• Known allergy to Mometasone Furoate or any ingredient
• Active untreated nasal infection (fungal, bacterial, viral) — treat first
• Without consulting your doctor, with strong CYP3A4 inhibitors (ketoconazole, ritonavir)

7. Dosage (Kitni leni hai)

• As prescribed — typically 2 sprays each nostril once daily

• Can be reduced to 1 spray per nostril when symptoms are controlled

• Do not exceed the prescribed dose; follow your doctor's instructions

• If you miss a dose, take it as soon as you remember. If the next dose is close, skip the missed dose. Never take a double dose.

8. How to Take — Correct Technique (Sahi tarika — zaroori hai)

• Prime the bottle before first use or after not using it for a few days

• Angle the nozzle NOT towards the nasal septum, but towards the outer wall — to prevent septum perforation

• Tilt your head slightly forward — not too far back

• Gently breathe in while spraying — avoid hard sniffing

• Use once daily — do not stop even when symptoms feel better

9. Best Time (Kab lena chahiye)

• Regular morning use

• Same time every day — build a routine

10. With Food or Empty Stomach

• Nasal spray has no relation to eating — use at the correct time regardless of meals.

11. Warnings (Ihtiyat)

• It does not provide immediate relief. Full effect comes after 1–2 weeks of regular use. Do not stop within the first 2–3 days.
• Does not act immediately — full effect comes after 1–2 weeks of regular use
• Regular (daily) use is required, not only when symptoms worsen
• Do not spray towards the nasal septum — spray towards the outer wall (to prevent septum perforation)
• Nosebleed (epistaxis) — most common side effect; can be reduced with correct technique
• Systemic exposure increases with strong CYP3A4 inhibitors (ketoconazole, ritonavir)

• Spray towards the outer wall — incorrect technique can cause nasal septum perforation

• Expected and manageable. Blow your nose before use; use correct technique. If severe, see a doctor.

12. Precautions (Ahm ehtiyaat)

• Minimum effective dose; growth monitoring is essential with long-term use

• Store below 30°C; upright position; protect from frost
• Keep out of the reach of children

13. Side Effects (Nuksanat)

• Epistaxis (nosebleed) — most common; improves with correct technique
• Nasal irritation / burning
• Throat irritation
• Headache

• Nasal septal perforation
• HPA axis suppression (extremely rare at standard doses)
• Glaucoma / cataracts (very rare — excessive prolonged use)
• Growth suppression in children

14. When to See Doctor (Kab doctor ke paas jayein)

• Persistent / severe nosebleed that does not stop
• Whistling sound from the nose
• Vision changes or eye pain (very rare — excessive use)
• No improvement even after 4 weeks of regular use

15. Drug Interactions (Dawaon ke sath reaction)

• CYP3A4 inhibitors (ketoconazole, ritonavir) — systemic mometasone exposure increases — clinically less relevant at standard nasal doses but always inform your doctor
• Multiple corticosteroids (multiple sites) — additive systemic effect
• Inform your doctor of all medicines

16. Alternatives (Sasti Dusri Dawaein)

17. Price in Pakistan (Price kitni hai)

18. FAQs (Aksar poochay jane walay sawalat)

Q: Mometasone nasal spray kis kaam aata hai?

A: Mometasone nasal spray (Nasomet/Nasonex) is used for nasal allergy (allergic rhinitis), hayfever, perennial rhinitis, and nasal polyps. It reduces nasal inflammation and mucus production.

Q: Mometasone nasal spray ke side effects kya hain?

A: The most common side effect is nosebleed (epistaxis) — it can be prevented with correct technique. Nasal irritation, throat irritation, and headache may also occur. Serious side effects are rare.

Q: Mometasone nasal spray kaise use karein?

A: Shake the bottle, prime if new. Tilt your head slightly forward, angle the nozzle towards the outer wall (away from the septum), gently breathe in. Follow your doctor's instructions.

Q: Mometasone nasal spray price Pakistan mein?

A: Price varies by pharmacy. Check the updated price at dawaai.pk or a local pharmacy. It is an Rx medicine — a doctor's prescription is required.

Q: Mometasone nasal spray foran asar karta hai?

A: No — it does not provide immediate relief. Full effect comes after 1–2 weeks of regular daily use. Antihistamines are for immediate relief; mometasone is for preventive and regular treatment.

19. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-06-17

20. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.