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What Causes Cold Symptoms After Abrupt Discontinuation Of Fluticasone Furoate Nasal Spray?

Posted on Wed, 25 Jan 2017

Question: Dr XXXXXXX

Just another thing, I tapered prednisolone for one tablet a day for 5 days and I finished the dose on 25th Dec and I also stopped all other medication as well.
The doctor has asked me to continue fluticasone furoate nasal spray for 21 days but I think I was not religious one some days and missed it.Off later (this is after 10 days of stopping),I have caught cold since a day.
Is it something related to withdrawal symptoms (or) it just happened because of the cold weather.
Can I use any medications. I have a runny and blocked nose. Thank you

Answered by Dr. Priyanka Aggarwal (10 hours later)

Brief Answer:
DEVIATED NASAL septum

Detailed Answer:
Hi XXXX
Welcome again,

According to me, your deviated nasal bone due to which you are having cold so frequently.. You concurred it so early again might be because u stopped nasal spray so early and abruptly..it has to be used for at least 3 weeks and than tapered off..

Sometimes DNS is not so marked anteriorly and so not visible on examination...either a nasal endoscopy or a CT scan of PNS is to be done..

For now, just take spray and an antiallergic medication..
You can send me your CT films if you get it done..
It would be a pleasure to assist you in future too

Thanks and regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Priyanka Aggarwal (8 hours later)

Thank you doctor. I have restarted the nasal spray.
Nasal spray is the only one that was prescribed for 21 days. So I will continue this for the next 21 dsys and stop.

All other oral medication, I have completed the full course.
Any prescription for anti-allergy tables and what mg, dosage?

Answered by Dr. Priyanka Aggarwal (13 minutes later)

Brief Answer:
DNS

Detailed Answer:
Hi
the nasal spray also needs to be tapered off
use it twice a day for 2 weeks and then once a day for another one week
take tablet montelukast 10mg and levocetrizine 5 milligrams in combinations once every day for 10 days..
Take care
regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Priyanka Aggarwal (23 hours later)

Dr XXXXXXX

Since last 2-3 days I observed that I am having a burning sensation in my right nostril and it pains a lot while I breathe in and out. I see there is lot of dryness inside and outside of it with some runny mucus. I will continue with the spray as suggested.
What does this imply. Thank you again for your clarifications.

Answered by Dr. Priyanka Aggarwal (7 minutes later)

Brief Answer:
VESTIBULITIS?

Detailed Answer:
Hi XXXX
is there any swelling or any pain if u touch the tip if nose and move it sideways..if yes, u have developed vestibulitis maybe due to a pulled nasal hair while a recent shaving or something else..stop spray and take steam inhalation..apply ointment neomycin inside the nostril..if it increases u should get it examined..or let me know..
Contact me for any assistance..
Get well soon

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Priyanka Aggarwal (2 hours later)

Dr XXXXXXX

Yes there is pain at the tip of the nostril just above the upper lip.
The skin has become somewhat rough and dry and painful. No pulled hair that I remember of.

I have that sharp burning slightly painful sensation in the right nostril when I breathe. But I do not feel any block and it is quite free.

So can i go ahead with what you have suggested prescribing, Thanks got your advice.

Answered by Dr. Priyanka Aggarwal (33 minutes later)

Brief Answer:
Vestibulitis

Detailed Answer:
Hi
this is vestibulitis..go as per advise, hopefully it will be cured without oral antibiotics but if symptoms increase, contact me..
Get well soon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D