Skip to main content

Table 1 Summary of intranasal corticosteroids available in Canada, including indication, bioavailability, fragrance, and cost

From: The subtle nuances of intranasal corticosteroids

Intranasal Corticosteroid Indications [1, 2] Bioavailability [1, 3] Fragrance Cost per Bottle Brand (Generic) Cost per Spray Brand (Generic)
Beclomethasone dipropionate@ Beconase AQ (50 mcg) • Allergic rhinitis
• Non-allergic rhinitis
• Chronic rhinosinusitis with NP
44% Scented $31 ($14) 16¢ (7¢)
Budesonide@ Rhinocort Aqua (64 mcg,1 100 mcg2)
Pulmicort nebule (0.253,0.54, 1 mg5)
Rhinocort Turbuhaler* (100 mcg6-off market)
• Allergic rhinitis
• Non-allergic rhinitis
• Chronic rhinosinusitis with nasal polyposis
• Wet nasal congestion (Turbuhaler)
Spray: 31%
Turbuhaler: 22%
Non-scented 1. $13 ($12)
2. $26 ($22)
3. $11(N/A)*
4. $23 (N/A)*
5. $42 ($32)*
6. $29 (N/A)
*per box of 20
1. 11¢ (10¢)
2. 16¢ (13¢)
3. 54¢ (43¢)*
4. $1.15 (N/A)*
5. $2.10 ($1.60)*
6. 15¢ (N/A)
*cost per nebule
Ciclesonide Omnaris (50 mcg)@ • Perennial allergic rhinitis
• Seasonal allergic rhinitis
• Dry nasal congestion
< 1% Non-scented $32 ($N/A) 27¢ (N/A)
Flunisolide Rhinalar (25 mcg) • Seasonal allergic rhinitis 49% Non-scented N/A (N/A) N/A (N/A)
Fluticasone – azelastine Dymista (137 mcg/50 mcg) • Seasonal allergic rhinitis 0.8% Non-scented $120 (N/A) $1 (N/A)
Fluticasone furoate Avamys (27.5 mcg) • Allergic rhinitis
• Non-allergic rhinitis
0.5% Non-scented $33 (N/A) 27¢ (N/A)
Fluticasone propionate Flonase (50 mcg) • Allergic rhinitis
• Non-allergic rhinitis
0.5% Scented $36 ($25) 30¢ (20¢)
Mometasone furoate@ Nasonex (50 mcg) • Allergic rhinitis
• Acute sinusitis
• Chronic rhinosinusitis with nasal polyposis
• Adenoid hypertrophy
• Wet nasal congestion
0.5% non-scented
(was previously scented)
$36 ($24) 30¢ (20¢)
Triamcinolone acetonide@ Nasacort AQ (55 mcg) • Allergic rhinitis 46% Non-scented $24 ($22) 20¢ (19¢)
  1. Cost data from October 2020 based on averaged information from two Ontario pharmacies. Does not include dispensing fee. @ indicates coverage by Ontario Drug Benefit.