What are the efficacy and effects of fluticasone propionate nasal spray?
Generally, fluticasone propionate nasal spray, as a commonly used intranasal corticosteroid, exerts its therapeutic effects primarily through anti-inflammatory and decongestant actions, relieving nasal congestion, reducing nasal itching and sneezing, improving olfactory function, and preventing recurrence of allergic rhinitis. The detailed analysis is as follows:

1. Anti-inflammatory and anti-edema effects: This medication inhibits the activation of inflammatory cells and release of inflammatory mediators in the nasal mucosa, thereby reducing mucosal congestion and swelling. It is suitable for treating nasal mucosal inflammation caused by conditions such as allergic rhinitis and chronic rhinitis. By modulating inflammatory responses and decreasing mucosal sensitivity, it alleviates nasal discomfort at its source.
2. Relief of nasal congestion: For nasal obstruction caused by swollen nasal mucosa, the drug helps clear nasal passages by reducing inflammation. Whether the congestion results from allergic or infectious causes, the medication improves airflow by reducing mucosal swelling, thus facilitating easier breathing.
3. Reduction of nasal itching and sneezing: For symptoms such as nasal itching and paroxysmal sneezing caused by allergic rhinitis, the drug suppresses the release of allergic mediators and reduces the nasal mucosa's reactivity to allergens. After use, it decreases the frequency of sneezing and relieves nasal itching, thereby improving quality of life.
4. Improvement of olfactory function: When nasal or sinus inflammation leads to swelling and blockage of the olfactory region, causing hyposmia, the drug can eliminate inflammation and reduce swelling, thereby re-exposing the olfactory area. As nasal mucosal function recovers, olfactory sensitivity gradually improves.
5. Prevention of allergic rhinitis recurrence: Regular use before peak allergy seasons can enhance the protective barrier function of the nasal mucosa and reduce its sensitivity to allergens. This effectively decreases the frequency of rhinitis episodes and reduces symptom severity during flare-ups.
The use of this medication should strictly follow the instructions provided in the package insert or as directed by a physician, with careful attention to dosage and treatment duration. Individuals with hypersensitivity should verify the drug’s components in advance and avoid prolonged self-administration to ensure both safety and efficacy.