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Introduction About NEZAFLO D 70MD NASAL SPRAY
NEZAFLO D Nasal Spray is a corticosteroid and decongestant combination used for relief from allergic rhinitis symptoms including nasal congestion, sneezing, runny nose, and watery eyes.
This nasal spray Should be administered by the intranasal route only. Consult your doctor if you are pregnant or breastfeeding.
Patients are advised to consult their doctor before taking this medicine if they have high blood pressure, heart disease including angina, diabetes, thyroid disease, hepatic or renal disorders, narrow angle glaucoma or a male patient with difficulty urinating due to enlarged prostate gland.
It is not recommended for children below 4 years of age. The most commonly reported adverse reactions include sore throat, headache and dry nose. Consult your doctor in case of it persists.
Key Composition
- Fluticasone Propionate (a corticosteroid)
- Oxymetazoline hydrochloride (a nasal decongestant).
Uses Of NEZAFLO D 70MD NASAL SPRAY
- Manages Allergic rhinitis with nasal congestion
Benefits of NEZAFLO D 70MD NASAL SPRAY
- Provides quick and sustained relief from nasal congestion and allergy symptoms
- Reduces nasal swelling and irritation through corticosteroid action
- Improves breathing comfort by opening nasal passages with decongestant effect
- Supports improved quality of life during allergy seasons or perennial symptoms.
How NEZAFLO D 70MD NASAL SPRAY Works
- Fluticasone Propionate in NEZAFLO D works by binding to glucocorticoid receptors in nasal tissues, inhibiting the release of inflammatory mediators such as prostaglandins and leukotrienes that cause swelling, redness, and irritation in allergic rhinitis.
- Oxymetazoline is an alpha-adrenergic receptor agonist that causes vasoconstriction (shrinks blood vessels) in the nasal mucosa, reducing blood flow and swelling to relieve nasal congestion quickly.
- Together, these offer a combination of long-term anti-inflammatory benefits with fast-acting relief of blocked nasal passages, improving breathing and decreasing allergy symptoms.
How to use NEZAFLO D 70MD NASAL SPRAY
Directions for Use: NEZAFLO D Nasal Spray
- Use the nasal spray exactly as prescribed by your healthcare provider.
- Gently blow your nose before use to clear nasal passages.
- Shake the bottle gently before each use.
Recommended Dosage Schedule
- Insert the tip of the spray bottle into one nostril, closing the other nostril gently with a finger.
- While inhaling gently through the nostril, press the pump to release the spray.
- Repeat the process for the other nostril.
- Typically used once or twice daily as directed by your doctor, do not exceed prescribed dosage.
How to Use NEZAFLO D Nasal Spray Correctly
- Keep your head upright and avoid spraying directly onto the nasal septum (center cartilage).
- Breathe in gently during spray application to ensure the medicine reaches deep inside the nasal passages.
- Replace the cap tightly after use to maintain hygiene and medicine integrity.
Step-by-Step Administration Instructions
- Prepare the spray by shaking gently.
- Blow your nose gently to clear nostrils.
- Tilt your head slightly forward and insert nozzle into one nostril.
- Close the other nostril with a finger.
- Spray once while gently inhaling through the nostril.
- Repeat in the other nostril if instructed.
- Wipe the nozzle clean and recap securely.
Important Precautions for Safe Use
- Do not exceed the recommended treatment duration to avoid rebound congestion or irritation.
- Avoid sharing the spray to prevent infections.
- Inform your doctor if you have recent nasal surgery, injury, or infections.
- Use caution in children, pregnant or breastfeeding women – consult your healthcare professional.
- Watch for side effects like nasal irritation, nosebleeds, or headaches and report persistent symptoms to your doctor.
What if I forgot to take NEZAFLO D 70MD NASAL SPRAY
- If you miss a dose, use it as soon as you remember.
- If it is close to the next dose, skip the missed dose.
- Do not double the dose to catch up.
Overdose
Overdosing is unlikely harmful, although it is best not to exceed the prescribed amount. Seek emergency medical attention or call your doctor if you notice any unusual symptoms, or anyone has accidentally swallowed the medication or if you suspect that you may have overdosed of Nezaflo-D Nasal Spray. Overuse or prolonged use beyond prescribed periods may cause rebound nasal congestion and other side effects.
Side Effects Of NEZAFLO D 70MD NASAL SPRAY
Common side effects
- Nasal irritation
- Dryness
- Nosebleeds
- Headache
- Sore throat
- Dizziness
When to consult a doctor?
- difficulty breathing, severe nosebleeds
- vision changes, or allergic reactions
- complications like nasal septum damage or infections.
Warning & Precautions
Pregnancy
Consult your doctorThere are no adequate data from the use of fluticasone furoate in pregnant women. If you are pregnant or planning pregnancy, inform your doctor before using Nezaflo-D Nasal Spray. Your doctor may prescribe this medicine if the benefits outweigh the risks.
Breastfeeding
Consult your doctorConsult your healthcare provider before use if you are breastfeeding.
Driving and Using Machines
Use with CautionUse caution when driving or operating machinery, dizziness or blurred vision may occur rarely.
Alcohol
Consult your doctorAvoid alcohol consumption as it may increase adverse effects
Kidney
Consult your doctorIt is advised to consult the doctor before taking Nezaflo-D Nasal Spray if you have kidney disorders.
Liver
Consult your doctorIt is advised to consult the doctor before taking Nezaflo-D Nasal Spray if you have liver disorders.
Allergy
ContraindicatedAvoid using NEZAFLO D if allergic to its ingredients or similar nasal sprays.
Lungs
Consult your doctorConsult your healthcare provider before use of Nezaflo-D Nasal Spray if you have respiratory infections.
Heart Disease
Consult your doctorConsult your doctor if you have high blood pressure or heart disease before using NEZAFLO D
Use In Pediatrics
ContraindicatedChildren under 4 years should not use this nasal spray. Growth should be monitored in children with prolonged use.
Other Warnings for NEZAFLO D 70MD NASAL SPRAY
Before using Nezaflo-D Nasal Spray consult your doctor if you:
- have diabetes
- have thyroid disorders,
- have narrow-angle glaucoma
- have undergone recent trans-nasal surgery.
- Are male with enlarged prostate gland
Safety Advice
- You are recommended to remove nasal fluids before applying this spray, by blowing the nose.
- Avoid sharing this medicine with other people to prevent the spread of infection.
- It is recommended to avoid smoking and alcohol consumption as it may increase adverse effects
Drug - Drug interaction
- CYP3A4 inhibitors such as ritonavir, ketoconazole, itraconazole, and cobicistat-containing medicines. These drugs can increase fluticasone levels, potentially enhancing corticosteroid-related side effects.
- Simultaneous use with other corticosteroids may increase systemic corticosteroid effects.
- Oxymetazoline, as a nasal decongestant, should not be combined with other sympathomimetic agents to avoid excessive vasoconstriction.
- Inform your doctor about all medications, supplements, or herbal products you use to avoid harmful interactions.
Synopsis
|
Drug |
: |
Fluticasone Propionate, Oxymetazoline hydrochloride |
|
Pharmacological Category |
: |
Corticosteroid, Nasal decongestant |
|
Therapeutic Indication |
: |
Allergic rhinitis with nasal congestion |
|
Dosage Forms |
: |
Nasal spray |
More Information
Comparison with similar sprays
|
Feature |
NEZAFLO D Nasal Spray |
Azelastine Nasal Spray |
Fluticasone Nasal Spray |
Combination Azelastine + Fluticasone Spray |
|
Active Ingredients |
Fluticasone Propionate + Oxymetazoline |
Azelastine Hydrochloride |
Fluticasone Propionate |
Azelastine + Fluticasone |
|
Mechanism of Action |
Corticosteroid (anti-inflammatory) + nasal decongestant (vasoconstrictor) |
Antihistamine |
Corticosteroid (anti-inflammatory) |
Antihistamine & corticosteroid combo |
|
Symptom Relief |
Nasal congestion, sneezing, runny nose, itchy & watery eyes |
Nasal allergy symptoms, itching, sneezing |
Nasal inflammation, congestion, sneezing |
Enhanced relief for nasal allergy symptoms |
|
Onset of Action |
Fast relief of congestion, sustained anti-inflammatory effect |
Faster onset (within 30 min) |
Gradual (several hours to days) |
Quicker symptomatic relief with sustained effect |
|
Common Side Effects |
Nasal dryness, irritation, nosebleeds, headache |
Bitter taste, nasal irritation |
Nasal dryness, irritation |
Similar to individual components |
|
Usage Restrictions |
Avoid prolonged use due to rebound congestion |
Generally safe for children & glaucoma patients |
Caution in children & prolonged use |
Safety profile depends on constituents |
|
Usage Frequency |
Usually twice daily |
Usually twice daily |
Usually once or twice daily |
Usually twice daily |
|
Additional Benefits |
Combines corticosteroid and rapid decongestant effect |
Non-steroidal, less systemic effect |
Effective anti-inflammatory nasal spray |
Combines benefits, fewer doses needed |
|
Price and Availability |
Moderately priced, available in multiple markets |
Varies, often comparable |
Widely available, generic options |
Varies, generally higher due to combination |
FAQs About NEZAFLO D 70MD NASAL SPRAY
Q: What is NEZAFLO D Nasal Spray used for?
A: It is used to relieve symptoms associated with allergic rhinitis such as sneezing, runny or blocked nose, nasal congestion, and itchy or watery eyes.
Q: How long does it take for NEZAFLO D Nasal Spray to work?
A: Symptom relief varies; some experience improvement within a few days, while full benefits may take up to two weeks of regular use.
Q: How should I use NEZAFLO D Nasal Spray?
A: Blow your nose gently, insert the spray tip into a nostril, close the other nostril, and spray while gently inhaling. Repeat for the other nostril as directed by your doctor.
Q: What should I do if I miss a dose?
A: Use the missed dose as soon as you remember unless it is close to the next dose. Do not double doses.
Q: Are there any side effects?
A: Common side effects include nasal irritation, nosebleeds, headache, and dryness. If side effects persist or worsen, consult your doctor.
Q: Can I use NEZAFLO D Nasal Spray during pregnancy or breastfeeding?
A: Consult your healthcare provider before use to assess potential risks and benefits.
Q: Can I share NEZAFLO D Nasal Spray with others?
A: No, to prevent the spread of infections, the spray should not be shared.
Q: What precautions should I keep in mind?
A: Avoid overuse to prevent rebound congestion, and inform your doctor about any nasal injuries, infections, or surgeries.
References
- KD. Tripathi. Drugs for Cough and Bronchial Asthma. Essentials of Medical Pharmacology. Seventh Edition. 2013. Page 228.
- R S Kumar, Manish Kumar Jain, Jitendra Singh Kushwaha. Efficacy and Safety of Fluticasone Furoate and Oxymetazoline Nasal Spray: A Novel First Fixed Dose Combination for the Management of Allergic Rhinitis with Nasal Congestion. NIH National Library of Medicine. National Centre for Biotechnology Information. PMC PubMed. June 2022. [Accessed on 1st Novemebr 2025]

- Luckyspharma. FURATE – OX Nasal Spray [Accessed on 1st November 2025]

- Cafoli. Flutialfa O Nasal Spray. [Accessed on 1st November 2025]













