Beclomet Nasal Aqua

Beclomethasone dipropionate.

Each mL of 50- and 100-mcg dose nasal spray contains beclomethasone dipropionate 0.555 mg and 1.11 mg, respectively.
Beclomet Nasal Aqua is a white or almost white aqueous suspension of beclomethasone dipropionate for nasal use. It forms a fine mist when sprayed.

Beclomethasone dipropionate is a synthetic steroid derivative. It has a potent anti-inflammatory and antioedemic effect on the mucous membrane when administered into the nose. Beclomethasone acts topically and the absorption from the nasal mucous membrane is slight. Thus, it acts in the superficial layers of the tissue, and with the recommended dosage, it is devoid of systemic effects.
Beclomethasone dipropionate is absorbed from the nasal mucosa. Part of the nasally administered dose of beclomethasone can pass the nose with inhaled air and is retained in the pharynx where it may be swallowed. This fraction undergoes a rapid first-pass in the liver to inactivate metabolites. The drug that is absorbed from the nasal mucosa avoids this metabolism, but is ultimately metabolized in the liver.
Beclomethasone dipropionate is metabolized to beclomethasone monopropionate and free beclomethasone, and metabolites are mainly excreted in the faeces.
As an aqueous suspension, Beclomet Nasal Aqua is an alternative to nasal aerosols, especially for patients suffering from dryness of nose caused by nasal aerosols.

Seasonal and perennial allergic rhinitis: Vasomotor rhinitis. Prevention of recurrence of nasal polyps after surgical removal.

Beclomet Nasal Aqua is intended for nasal use only. For optimum results, Beclomet Nasal Aqua spray should be used regularly. The therapeutic effects occur after a few days' treatment. Treatment should not be continued beyond 3 weeks in the absence of significant symptomatic improvement. When the desired clinical effect is obtained, the maintenance dose should be reduced to the smallest amount necessary to control the symptoms.
Adults: 100 mcg/dose: 2 sprays once daily or 1 spray twice daily into both nostrils (total daily dose 400 mcg). Maximum Daily Dose: 10 sprays (1 mg/day).
Children >6 years: 50 mcg/dose: 1 spray into each nostril 2-4 times daily according to clinical response.
100 mcg/dose: 1 spray 1-2 times daily into both nostrils.
Children <12 years: Maximum Daily Dose: 0.5 mg/day.

When used at excessive doses, systemic corticosteroid effects eg, hypercorticism and adrenal suppression may occur. If such changes occur, Beclomet Nasal Aqua should be discontinued slowly, consistent with acceptable procedures of discontinuing oral steroid therapy. The acute toxicity of beclomethasone dipropionate is low.

Patients with a history of hypersensitivity to any of the components of Beclomet Nasal Aqua.

Patients suffering from tuberculosis should be treated with care. Sinusitis may be treated properly.
Patients should be taught the proper use of Beclomet Nasal Aqua to ensure the good clinical efficacy. They should also be aware that Beclomet Nasal Aqua has to be used regularly for optimal benefit. Patients should be advised that Beclomet Nasal Aqua will not provide immediate symptomatic relief and use of topical nasal decongestant or oral antihistamines may be necessary until the effects of intranasal beclomethasone dipropionate are fully manifested. Infections of the nasal passages and paranasal sinuses should be appropriately treated but do not constitute a specific contraindication to treatment with Beclomet Nasal Aqua.
Care must be taken while transferring patients from systemic steroid treatment to Beclomet Nasal Aqua if there is any reason to suppose that their adrenal function is impaired.
A heavy challenge of summer allergens may, in certain instances, necessitate appropriate additional therapy, particularly to control eye symptoms.
In the continuous long-term treatment with intranasal steroids, the nasal mucosa should be inspected regularly, at least once a year. Intranasal corticosteroid should be used with caution until healing occurs in patients with recent nasal septal ulcers, nasal surgery or nasal trauma, since the drug may inhibit wound healing.
Use in Pregnancy & Lactation: Administration of corticosteroids to pregnant animals can cause abnormalities of fetal development, including cleft palate and intrauterine growth retardation. There may therefore be a very small risk of such effects in the human fetus. It should be noted, however, that the fetal changes in animals occur after relatively high systemic exposure; direct; intranasal application ensures minimal systemic exposure.
The use of beclomethasone dipropionate during pregnancy requires the possible benefits of Beclomet Nasal Aqua be weighed against the possible hazards. It should be noted that the drug has been in widespread use for many years without apparent ill consequence.
The use of beclomethasone dipropionate in mothers breastfeeding their babies requires that the therapeutic benefits of Beclomet Nasal Aqua be weighed against the potential hazard to the mother and baby.
Use in Children: Use of Beclomet Nasal Aqua is not recommended for children <6 years.
Controlled clinical studies have shown that intranasal corticosteroids may cause a reduction in growth velocity in pediatric patients. This effect has been observed in the absence of laboratory evidence of hypothalamic-pituitary-adrenal (HPA) axis suppression, suggesting that growth velocity is a more sensitive indicator or systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA axis function. The long-term effects of this reduction in growth velocity associated with intranasal corticosteroids, including the impact on final adult height, are unknown. The potential for "catch up" growth following discontinuation of treatment with intranasal corticosteroids has not been adequately studied. The growth of pediatric patients receiving intranasal corticosteroids should be monitored routinely (eg, via stadiometry). The potential growth effects of prolonged treatment should be weighed against clinical benefits obtained and the availability of safe and effective noncorticosteroid treatment alternatives. To minimize the systemic effects of intranasal corticosteroids, each patient should be titrated to his/her lowest effective dose.

Use in Pregnancy & Lactation: Administration of corticosteroids to pregnant animals can cause abnormalities of fetal development, including cleft palate and intrauterine growth retardation. There may therefore be a very small risk of such effects in the human fetus. It should be noted, however, that the fetal changes in animals occur after relatively high systemic exposure; direct; intranasal application ensures minimal systemic exposure.
The use of beclomethasone dipropionate during pregnancy requires the possible benefits of Beclomet Nasal Aqua be weighed against the possible hazards. It should be noted that the drug has been in widespread use for many years without apparent ill consequence.
The use of beclomethasone dipropionate in mothers breastfeeding their babies requires that the therapeutic benefits of Beclomet Nasal Aqua be weighed against the potential hazard to the mother and baby.

The most common side effects are dryness and irritation of the nose and throat and sneezing. Unpleasant taste and smell can occur. In some cases, nasal secretion containing blood has been observed. Nasopharyngeal candidiasis is possible. Epistaxis has been reported rarely.
Cases of growth suppression have been reported for intranasal corticosteroids (see Use in children under Precautions).

There are no known interactions with other drugs. However, if used synergistically with systemic or orally inhaled corticosteroids, the suppressive effect on adrenal function may be potentiated.

Store at room temperature between +15°C to +25°C.
Shelf-Life: 3 years.

Nasal Decongestants & Other Nasal Preparations

R01AD01 - beclometasone ; Belongs to the class of topical corticosteroids used for prophylaxis and treatment of allergic rhinitis.

E-D