What is the recommended dose of Nasonex (mometasone furoate)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 6, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

The recommended dose of Nasonex (mometasone furoate) nasal spray for adults and children 12 years and older is 2 sprays in each nostril once daily, which delivers 100 micrograms of medication per spray (total daily dose of 200 micrograms), and for children aged 2-11 years, the recommended dose is 1 spray in each nostril once daily (total daily dose of 100 micrograms) 1.

Key Considerations

  • The dosage is based on the most recent and highest quality study available, which provides guidance on the use of intranasal corticosteroids for allergic rhinitis 1.
  • It is essential to follow the recommended dosage to minimize the risk of local side effects, such as nasal irritation, bleeding, and nasal septal perforation 1.
  • Patients should be instructed on proper administration technique, including priming the bottle before first use, shaking the bottle gently before each use, and clearing nasal passages of mucus before spraying.

Administration Guidelines

  • Before first use, the bottle should be primed by pumping 10 times until a fine mist appears.
  • If the spray hasn't been used for more than 7 days, it should be reprimed with 2 sprays.
  • Patients should avoid spraying directly onto the nasal septum and should not exceed the recommended dosage.
  • Consistent daily use is crucial, as the medication works by reducing inflammation in the nasal passages, and full therapeutic effect may take 1-2 weeks to develop 1.

From the FDA Drug Label

Use one spray in each nostril once daily. Users age 12 or older Use two sprays in each nostril every day. The recommended dose of Nasonex (mometasone furoate) is:

  • For children age 2 to 11: one spray in each nostril once daily.
  • For users age 12 or older: two sprays in each nostril every day 2.

From the Research

Nasonex Dose

The recommended dose of Nasonex (mometasone furoate) is not explicitly stated in the provided studies. However, the following information can be gathered:

  • In the study 3, all children received mometasone furoate nasal spray once daily, but the dose is not specified.
  • In the study 4, mometasone furoate nasal spray was administered at a dose of 200 microg once daily.
  • In the study 5, a novel formulation of olopatadine/mometasone furoate was used, with mometasone furoate at a dose of 25 µg.
  • In the study 6, intranasal mometasone furoate was used, but the dose is not specified.
  • In the study 7, mometasone furoate was used as a nasal steroid, but the dose is not specified.

Key Points

  • The dose of Nasonex (mometasone furoate) may vary depending on the specific formulation and treatment regimen.
  • Mometasone furoate nasal spray has been administered at doses ranging from 25 µg to 200 microg once daily in various studies.
  • The optimal dose of Nasonex for the treatment of allergic rhinitis and other conditions may need to be determined on an individual basis, taking into account factors such as disease severity and patient response to treatment.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.