Intranasal corticosteroid + antihistamine
Mometasone with olopatadine
Brand names: Ryaltris
Adult dose
Dose: 2 sprays each nostril BD
Route: Intranasal
Frequency: BD
Clinical pearls
- Moderate-severe allergic rhinitis where mono-therapy inadequate
Contraindications
- Hypersensitivity
Side effects
- Bitter taste
- Epistaxis
- Headache
- Nasal irritation
Interactions
- Strong CYP3A4 inhibitors
Reference: BNF; BSACI rhinitis guideline; https://bnf.nice.org.uk/drugs/mometasone-furoate-with-olopatadine/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020