Brand Names of Intranasal Cromolyn Sodium
The evidence provided does not specify brand names for intranasal cromolyn sodium formulations currently available in the United States or other markets.
Available Formulation Information
The only formulation detail mentioned in the guidelines is that a 4% pump spray solution of cromolyn sodium, United States Pharmacopeia, is available for topical intranasal treatment of seasonal and perennial allergic rhinitis. 1
Clinical Context for This Patient
For a patient with hypertension and diabetes experiencing common cold symptoms, intranasal cromolyn sodium represents an excellent safety choice due to its lack of systemic absorption and absence of drug interactions. 1
Key Safety Advantages
Cromolyn sodium has minimal systemic absorption, making it suitable for patients with comorbidities including hypertension and diabetes. 2, 3
The medication has no significant drug interactions, which is particularly important for patients on antihypertensive and diabetes medications. 1
Side effects are usually mild and local, including only sneezing and nasal stinging or burning, with no cardiovascular effects. 1
Important Limitations for Common Cold
Intranasal cromolyn is NOT indicated for common cold symptoms. There is no evidence that intranasal cromolyn will benefit patients with vasomotor rhinitis or non-allergic conditions. 1 Cromolyn works by preventing mast cell degranulation and is effective only for allergic rhinitis, not viral upper respiratory infections. 1
Better Alternatives for This Patient's Common Cold
Intranasal ipratropium bromide (Atrovent nasal spray) is specifically effective for rhinorrhea associated with the common cold and has minimal systemic effects. 1
Intranasal corticosteroids are the safest and most effective option for nasal congestion in hypertensive patients. 4
Oral decongestants like pseudoephedrine should be avoided in patients with uncontrolled hypertension. 4, 5