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BNSSG Paediatric Joint Formulary

12.2 Nose

Last edited: 08-02-2024

First line drugs Second line drugs Specialist drugs Secondary care drugs

12.2.1 Nasal Congestion


Xylometazoline 0.1% drops/spray (TLS Green)

  • Nasal drops licenced from 6 years-11 years as 0.05% and 0.1% from 12 to 17 years, nasal spray from 12 years (0.1%)


12.2.2 Nasal inflammation, nasal polyps and rhinitis


Beclometasone nasal spray (TLS Green)

Betamethasone 0.1% drops (TLS Green)

Mometasone nasal spray (TLS Green)

Alternatives: (TLS Blue)

Budesonide nasal spray

Specific indication: (TLS Blue)

Fluticasone furoate spray (Avamys®)

  • Fluticasone nasal spray may be used in patients who experience adverse effects whilst using beclometasone nasal preparations.



Azelastine nasal spray (Rhinolast®) (TLS Green)


12.2.3 Nasal staphylococcal infection

Mupirocin 2% nasal ointment (Bactroban Nasal®) (TLS Green)

Chlorhexidine 0.1% / Neomycin 0.5% cream (Naseptin®) (TLS Green)