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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.