Do you consider the efficacy of different nasal sprays when prescribing for allergic rhinitis or conjunctivitis?
We generally consider all steroid nasal sprays equivalent, along with intranasal antihistamines. This study attempted to compare different formulations and their effect on rhinitis and conjunctivitis.
When it comes to prescribing or recommending different nasal sprays for rhinitis, I tend to focus on the other considerations rather than efficacy, as for the most part all of the intranasal steroids are effective. The differences that I might highlight and/or consider include odor, drippiness, cost...