HIVATE NASAL

*Prophylaxis and treatment of allergic rhinitis:* Adult & Children above 12 yrs: 100 mcg (2 spray) daily, increased if necessary up to 200 mcg (4 spray) daily, into each nostril; reduced to 50 mcg (1 spray) into each nostril daily when control achieved Children 6-11 years: 50 mcg (1 spray) daily into each nostril. *Nasal polyps:* Adult: Initially 100 mcg (2 spray) daily into each nostril, for 5-6 weeks, then increased if necessary to 100 mcg (2 spray) twice daily into each nostril, consider alternative treatment if no improvement after further 5-6 weeks, reduce to the lowest effective dose when control achieved.

Avoid in pulmonary tuberculosis, avoid after nasal surgery (until healed), avoid in the presence of untreated nasal infections (treat infection first), patients transferred from systemic corticosteroids may experience exacerbation of some symptoms, caution in conditions of stress, trauma, surgery, infection, pregnancy and lactation. Monitor patients for signs of adrenal insufficiency, monitor growth in adolescents in prolong therapy

Ketoconazole,

Aggression and anxiety (in children), headache, dryness, epistaxis, hypersensitivity reactions, nasal and throat irritation, nasal ulceration, sleep disturbances, smell disturbances, taste disturbances. Rare: Bronchospasm, anaphylaxis