Skip to product information
1 of 1

  • Images are for illustration purposes only

Nasonex (Mometasone) Nasal Spray 50mcg (140 Dose)

Nasonex (Mometasone) Nasal Spray 50mcg (140 Dose)

  • 1. Ozempic®️-equivalent therapy now available for weight management
  • 2. Average weight loss of 17%, with 1 in 3 patients achieving over 20%
  • 3. May help reduce osteoarthritis-related pain
  • 4. Wegovy®️ is not expected to impact the effectiveness of oral contraceptives
  • 5. Supports cardiovascular risk reduction
  • 6. Over 22 million patients treated with semaglutide-based therapies since 2018

  • ✔️ Targets nasal inflammation directly for non-drowsy relief
  • ✔️ Relieves hay fever congestion, sneezing, and runny nose
  • ✔️ 140 doses per bottle — ideal for full allergy season
  • ✔️ Effective for both seasonal and perennial allergic rhinitis
  • ✔️ Low systemic absorption makes it suitable for daily use

Price Checker

Regular price £9.99
Sale price £9.99
Sale Sold out
  • Lowest price guarantee
  • Includes FREE private prescription
View full details

 

What Is Mometasone Nasal Spray and How Does It Help?

 

If you've ever struggled through hay fever season with a blocked, streaming nose and constant sneezing, you'll know how much it can disrupt daily life. Mometasone nasal spray — sold under the brand name Nasonex — is a corticosteroid nasal spray that targets inflammation directly inside the nasal passages, providing effective relief from the symptoms of allergic rhinitis. Each actuation delivers 50mcg of mometasone furoate, and this 140-dose bottle gives you a generous supply to see you through the season. You can explore the full range of allergy and hay fever treatments available at Cured Pharmacy if you're looking for a broader approach to managing your symptoms.

Mometasone furoate has been used clinically for decades and is well-established in the management of both seasonal and perennial allergic rhinitis, as well as nasal polyps. It works locally in the nasal tissue, meaning very little of the active ingredient is absorbed into the bloodstream — which is one reason it's considered a well-tolerated option for ongoing use.

 

How Does Nasonex Mometasone Nasal Spray Work?

 

Allergic rhinitis occurs when your immune system overreacts to airborne allergens such as pollen, dust mites, or pet dander. This triggers a cascade of inflammation in the nasal lining. Mometasone furoate works by binding to glucocorticoid receptors inside nasal cells, suppressing the release of inflammatory chemicals — including histamine, prostaglandins, and leukotrienes — that cause your symptoms.

  • Reduces swelling and congestion in the nasal passages
  • Decreases mucus production, easing a runny nose
  • Suppresses the sneezing reflex triggered by allergen exposure
  • Provides relief from itching inside the nose

Because it acts locally rather than systemically, it doesn't cause the drowsiness associated with antihistamine tablets — making it a practical choice for people who need to stay alert at work or while driving.

 

Who Should Use Nasonex Nasal Spray?

 

Nasonex is suitable for adults aged 18 and over who experience nasal symptoms related to allergic rhinitis. It's particularly useful if antihistamine tablets alone aren't giving you enough relief, or if nasal congestion is your most troublesome symptom. It can be used for both seasonal allergic rhinitis (such as hay fever triggered by grass or tree pollen) and perennial allergic rhinitis (year-round symptoms caused by dust mites or animal dander).

  • Adults aged 18 and over with seasonal allergic rhinitis
  • Those with perennial (year-round) allergic rhinitis
  • People who find antihistamines alone insufficient
  • Individuals who prefer a non-drowsy treatment option

It is not recommended for use in children under 18 without medical supervision in an OTC setting. Always read the patient information leaflet before use.

 

How Does Nasonex Compare to Other Nasal Sprays?

 

Feature Nasonex (Mometasone 50mcg) Beconase (Beclometasone 50mcg)
Active ingredient Mometasone furoate Beclometasone dipropionate
Doses per bottle 140 doses 200 doses
Systemic bioavailability Less than 0.1% Approximately 44%
Suitable for nasal polyps Yes (with medical guidance) No (OTC indication)

 

Is Nasonex Suitable for Long-Term Use and How Should It Be Stored?

 

For people with perennial allergic rhinitis, mometasone nasal spray may be used over longer periods under the guidance of a GP or pharmacist. For OTC use in seasonal allergic rhinitis, it should not be used for more than three months without seeking medical advice. If you're managing multiple allergy-related conditions — for example, if your eyes are also affected — you might also want to look at our eye care range for complementary relief.

Store the bottle upright at room temperature, below 25°C. Do not freeze it, and keep it out of direct sunlight. Always replace the cap after use to keep the nozzle clean. Check the expiry date before each use, and discard the bottle 6 months after first opening.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Nasonex (Mometasone) Nasal Spray 50mcg (140 Dose) specifications
Treatment category Allergic rhinitis, nasal polyps
Mechanism of action Intranasal corticosteroid — suppresses nasal inflammation
Effective for Seasonal and perennial allergic rhinitis, nasal polyps
Suitable for Adults aged 18 and over
Active ingredient Mometasone furoate 50mcg per actuation
Pack size 140 metered doses
Strength 50mcg per spray
UK classification Pharmacy (P) medicine
Drug class Corticosteroid (glucocorticoid)
Preparation Aqueous nasal suspension
Route of administration Intranasal

Specifications of Nasonex (Mometasone) Nasal Spray 50mcg (140 Dose)

 

What Is Nasonex Nasal Spray and What Is It Used For?

 

Nasonex Mometasone Nasal Spray 50mcg is an intranasal corticosteroid used to treat the symptoms of seasonal and perennial allergic rhinitis in adults aged 18 and over. It is also used, under medical supervision, for the treatment of nasal polyps. Each spray delivers 50mcg of mometasone furoate directly into the nasal passages, where it reduces inflammation and relieves symptoms including nasal congestion, sneezing, a runny nose, and nasal itching. The NHS recognises corticosteroid nasal sprays as a first-line treatment for allergic rhinitis because they address the underlying inflammation rather than just masking symptoms.

 

What Do You Need to Know Before Using Nasonex Mometasone Spray?

 

Before using this spray, it's important to check whether it's appropriate for you. Do not use Nasonex if any of the following apply:

  • You are allergic to mometasone furoate or any other ingredient in the spray
  • You have had recent nasal surgery or a nasal injury — wait until healing is complete
  • You have an active or untreated nasal or sinus infection
  • You are under 18 years of age (OTC use)
  • You are pregnant or breastfeeding — seek medical advice first

The following medicines may interact with mometasone furoate and should be discussed with your pharmacist or GP:

  • Ketoconazole and other strong CYP3A4 inhibitors — may increase mometasone levels in the blood
  • Other corticosteroids (oral, inhaled, or topical) — combined use may increase the risk of systemic steroid effects
  • Ritonavir and other HIV protease inhibitors — potential for increased systemic exposure

If you are already using other steroid-containing medicines, speak to your pharmacist before starting this spray. You can also browse our ear, nose and throat range for additional products that may support your treatment.

 

How Should You Use Nasonex Mometasone Nasal Spray?

 

Using the spray correctly makes a real difference to how well it works. Follow these steps each time:

  1. Shake the bottle gently before use
  2. Blow your nose to clear the nasal passages
  3. Remove the dust cap from the nozzle
  4. Tilt your head slightly forward — do not tilt it back
  5. Close one nostril with a finger and insert the nozzle into the other
  6. Press the pump once while breathing in gently through your nose
  7. Breathe out through your mouth
  8. Repeat for the other nostril
  9. Replace the dust cap after use

If you are using the spray for the first time, or if it hasn't been used for more than a week, prime the pump by pressing it several times until a fine mist appears.

Indication Age Group Dose Frequency
Seasonal allergic rhinitis Adults 18+ 2 sprays per nostril (200mcg total) Once daily
Perennial allergic rhinitis Adults 18+ 2 sprays per nostril (200mcg total) Once daily
Maintenance (once controlled) Adults 18+ 1 spray per nostril (100mcg total) Once daily
Nasal polyps Adults 18+ (medical supervision) 2 sprays per nostril (200mcg total) Once or twice daily

 

What Are the Possible Side Effects of Nasonex Nasal Spray?

 

Like all medicines, Nasonex can cause side effects, although not everyone experiences them. Most side effects are mild and localised to the nose and throat.

Common side effects (may affect up to 1 in 10 people):

  • Nosebleeds (epistaxis)
  • Nasal irritation or burning sensation
  • Headache
  • Throat irritation or soreness

Less common side effects (may affect up to 1 in 100 people):

  • Nasal ulceration
  • Altered or reduced sense of smell (anosmia)
  • Nasal septal perforation (rare — particularly with long-term use)
  • Raised intraocular pressure or glaucoma (rare)
  • Hypersensitivity reactions including rash, urticaria, or angioedema

If you experience a severe nosebleed, vision changes, or signs of an allergic reaction, stop using the spray and seek medical attention promptly. Long-term use of any corticosteroid nasal spray should be monitored by a healthcare professional. You may also find it helpful to explore our cold and flu range if nasal symptoms are accompanied by other upper respiratory complaints.

 

How Should You Store Nasonex Nasal Spray?

 

  • Store below 25°C — do not refrigerate or freeze
  • Keep the bottle upright at all times
  • Store away from direct sunlight and heat sources
  • Keep out of the reach and sight of children
  • Do not use after the expiry date printed on the label
  • Discard the bottle 6 months after first opening, even if product remains
  • Do not dispose of medicines via wastewater or household waste — return to your pharmacy

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Nasonex nasal spray online in the UK?

You can buy Nasonex Mometasone Nasal Spray 50mcg (140 dose) directly from Cured Pharmacy, a GPhC-registered UK online pharmacy. It is available as a Pharmacy (P) medicine for adults aged 18 and over without a prescription for seasonal allergic rhinitis. Simply add it to your basket and complete a short eligibility check at checkout to ensure it's suitable for you.

How does mometasone nasal spray work in the body?

Mometasone furoate is a corticosteroid that binds to glucocorticoid receptors in the cells lining your nasal passages. This action suppresses the release of inflammatory chemicals — including histamine, prostaglandins, and leukotrienes — that your immune system produces in response to allergens like pollen or dust mites. The result is a reduction in nasal swelling, congestion, mucus production, and sneezing, without causing the drowsiness that oral antihistamines can bring.

How do I use Nasonex nasal spray step by step?

Start by shaking the bottle gently and blowing your nose to clear the passages. Tilt your head slightly forward, close one nostril, and insert the nozzle into the other — then press the pump once while breathing in gently through your nose. Repeat for the other nostril, breathe out through your mouth, and replace the cap. If you're using it for the first time, prime the pump by pressing it several times until a fine mist appears before your first dose.

What is the correct dose of Nasonex for adults?

The standard adult dose for seasonal or perennial allergic rhinitis is two sprays into each nostril once daily, giving a total daily dose of 200mcg of mometasone furoate. Once your symptoms are well controlled, your doctor or pharmacist may advise reducing this to one spray per nostril once daily as a maintenance dose. Do not exceed the recommended dose without medical advice.

How long does it take for Nasonex to start working?

Some people notice an improvement in nasal symptoms within 12 hours of their first dose, but the full anti-inflammatory effect of mometasone nasal spray typically builds up over several days of consistent use. For seasonal allergic rhinitis, it's worth starting the spray a couple of weeks before your usual allergy season begins to get ahead of the inflammation. Using it every day — even on days when symptoms feel mild — gives the best results.

What are the common side effects of Nasonex mometasone spray?

The most commonly reported side effects include nosebleeds, nasal irritation or a burning sensation, headache, and throat soreness. These tend to be mild and often improve after the first week or two of use as your nasal tissue adjusts. If nosebleeds are frequent or heavy, or if you develop any unusual symptoms, stop using the spray and speak to your pharmacist or GP.

Who should not use Nasonex nasal spray?

Nasonex should not be used by anyone who is allergic to mometasone furoate or any of the other ingredients listed in the patient information leaflet. It should also be avoided by people who have had recent nasal surgery or a nasal injury, as the spray may interfere with healing. Those under 18, pregnant women, and breastfeeding mothers should seek medical advice before use. You can find more information about suitable allergy and hay fever treatments on our website.

Can I use Nasonex nasal spray during pregnancy?

If you are pregnant or planning to become pregnant, you should not use Nasonex without first speaking to your GP or midwife. While systemic absorption of mometasone from a nasal spray is very low, corticosteroids as a class require caution during pregnancy, and a healthcare professional needs to weigh up the benefits and risks for your individual situation. Do not self-medicate with this spray during pregnancy.

What happens if I miss a dose of Nasonex?

If you forget to use your spray, take the missed dose as soon as you remember — unless it's almost time for your next scheduled dose, in which case simply skip the missed one. Never use a double dose to make up for a forgotten one. Consistency matters with corticosteroid nasal sprays, so try to use it at the same time each day to build and maintain the anti-inflammatory effect.

How long can you use Nasonex nasal spray for?

For OTC use in seasonal allergic rhinitis, Nasonex should not be used for more than three months without consulting a doctor or pharmacist. For perennial allergic rhinitis or nasal polyps, longer-term use may be appropriate but should be supervised by a GP. Regular check-ups help ensure the spray continues to be safe and effective for you over time.

Does Nasonex cause drowsiness?

No — unlike many oral antihistamine tablets, mometasone nasal spray does not cause drowsiness because it acts locally in the nasal passages and very little of the active ingredient enters the bloodstream. This makes it a practical option for people who need to drive, operate machinery, or stay focused at work during allergy season. It's one of the reasons corticosteroid nasal sprays are recommended as a first-line treatment for allergic rhinitis by the NHS.

Can I use Nasonex with antihistamine tablets?

Yes, mometasone nasal spray can generally be used alongside non-sedating antihistamine tablets such as cetirizine or loratadine, and this combination is sometimes recommended for people with moderate to severe allergic rhinitis. However, you should always check with your pharmacist before combining medicines to make sure there are no interactions with anything else you're taking. If your eyes are also affected by allergies, our eye care range includes antihistamine eye drops that can complement your nasal treatment.

What are the alternatives to Nasonex nasal spray?

Other corticosteroid nasal sprays available in the UK include beclometasone (Beconase), fluticasone (Flixonase), and budesonide (Rhinocort). Each has a slightly different pharmacological profile, but all work by reducing nasal inflammation. Your pharmacist can help you choose the most appropriate option based on your symptoms, medical history, and any other medicines you're taking.

Is Nasonex the same as a prescription mometasone spray?

The active ingredient — mometasone furoate 50mcg per actuation — is the same whether the spray is dispensed on prescription or purchased over the counter. The OTC version (Nasonex) is licensed specifically for adults aged 18 and over with seasonal allergic rhinitis, while prescription versions may be used for a broader range of indications including perennial rhinitis and nasal polyps under medical supervision. The formulation and dose are identical.

What are the latest findings on mometasone nasal spray for hay fever?

Clinical evidence consistently supports intranasal corticosteroids, including mometasone furoate, as the most effective single treatment for allergic rhinitis, outperforming oral antihistamines for nasal congestion in particular. The NHS and NICE guidelines both recommend corticosteroid nasal sprays as first-line therapy for moderate to severe allergic rhinitis. Research also suggests that starting treatment before the pollen season begins — rather than waiting for symptoms to appear — can significantly improve overall symptom control throughout the season.

How Should You Use Nasonex Mometasone Nasal Spray?

Using your nasal spray correctly is essential for it to work properly. Before your very first use — or if the spray hasn't been used for more than a week — you'll need to prime the pump by pressing it several times until a fine mist appears.

Follow these steps each time you use the spray:

Avoid blowing your nose immediately after using the spray, as this can reduce how much of the medicine is absorbed into the nasal lining.

What Is the Correct Dose of Nasonex Nasal Spray?

The dose you need depends on your condition and how well your symptoms are controlled. Always follow the instructions in the patient information leaflet or the advice of your pharmacist or GP.

The table below summarises the recommended doses:

When Is the Best Time to Use Nasonex Nasal Spray?

There is no strict requirement to use Nasonex at a specific time of day, but choosing a consistent time — such as each morning — helps you build a routine and reduces the chance of forgetting a dose. Many people find it easiest to use the spray as part of their morning routine, before heading outdoors during pollen season.

If you experience particularly bad symptoms in the morning, using the spray the evening before may help, as the anti-inflammatory effect builds gradually. The key is consistency — using it at the same time every day gives the best long-term symptom control.

How Long Can You Use Nasonex Nasal Spray For?

For OTC use in seasonal allergic rhinitis, Nasonex should not be used for longer than three months without seeking advice from a doctor or pharmacist. If your symptoms persist beyond this period, or if you need the spray year-round for perennial rhinitis, a GP can review your treatment and advise on longer-term management.

Long-term use of any corticosteroid nasal spray should be monitored by a healthcare professional to check for any effects on the nasal lining or, rarely, systemic steroid effects. Do not stop and restart the spray repeatedly without guidance — a consistent, supervised approach is always safer and more effective.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

How Should You Use Nasonex Mometasone Nasal Spray?

Using your nasal spray correctly is essential for it to work properly. Before your very first use — or if the spray hasn't been used for more than a week — you'll need to prime the pump by pressing it several times until a fine mist appears.

Follow these steps each time you use the spray:

Avoid blowing your nose immediately after using the spray, as this can reduce how much of the medicine is absorbed into the nasal lining.

What Is the Correct Dose of Nasonex Nasal Spray?

The dose you need depends on your condition and how well your symptoms are controlled. Always follow the instructions in the patient information leaflet or the advice of your pharmacist or GP.

The table below summarises the recommended doses:

When Is the Best Time to Use Nasonex Nasal Spray?

There is no strict requirement to use Nasonex at a specific time of day, but choosing a consistent time — such as each morning — helps you build a routine and reduces the chance of forgetting a dose. Many people find it easiest to use the spray as part of their morning routine, before heading outdoors during pollen season.

If you experience particularly bad symptoms in the morning, using the spray the evening before may help, as the anti-inflammatory effect builds gradually. The key is consistency — using it at the same time every day gives the best long-term symptom control.

How Long Can You Use Nasonex Nasal Spray For?

For OTC use in seasonal allergic rhinitis, Nasonex should not be used for longer than three months without seeking advice from a doctor or pharmacist. If your symptoms persist beyond this period, or if you need the spray year-round for perennial rhinitis, a GP can review your treatment and advise on longer-term management.

Long-term use of any corticosteroid nasal spray should be monitored by a healthcare professional to check for any effects on the nasal lining or, rarely, systemic steroid effects. Do not stop and restart the spray repeatedly without guidance — a consistent, supervised approach is always safer and more effective.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

Customer Reviews

Be the first to write a review
0%
(0)
0%
(0)
0%
(0)
0%
(0)
0%
(0)

What Are the Most Common Side Effects of Nasonex Nasal Spray?

Most people who use Nasonex tolerate it well, and side effects are generally mild and localised to the nose and throat. They often improve after the first week or two as your nasal tissue adjusts to the spray.

  • Nosebleeds (epistaxis) — the most frequently reported side effect
  • Nasal irritation, burning, or stinging sensation
  • Headache
  • Throat irritation or soreness
  • Sneezing immediately after use

What Are the Less Common Side Effects of Nasonex Mometasone Spray?

Less common side effects occur in fewer people but are worth being aware of, particularly if you are using the spray over a longer period. If you notice any of the following, speak to your pharmacist or GP.

  • Nasal ulceration or crusting inside the nose
  • Altered or reduced sense of smell (anosmia)
  • Altered sense of taste
  • Nasal septal perforation (a hole in the wall between the nostrils) — rare, associated with long-term use
  • Raised intraocular pressure or worsening of glaucoma — rare
  • Cataracts — rare with prolonged use

What Are the Serious Side Effects of Nasonex Nasal Spray?

Serious side effects are uncommon but require prompt medical attention. Because mometasone furoate has very low systemic absorption when used as a nasal spray, systemic corticosteroid effects are rare — but they can occur, particularly with high doses or prolonged use.

Seek immediate medical help if you experience signs of an allergic reaction, including skin rash, swelling of the face, lips, tongue or throat, difficulty breathing, or a sudden drop in blood pressure. Vision changes — such as blurred vision or seeing halos around lights — should also be assessed by a doctor without delay, as these may indicate raised eye pressure.

What Should You Do If You Experience Side Effects of Nasonex?

If you develop a mild nosebleed, try pinching the soft part of your nose for 10–15 minutes and breathing through your mouth. Ensuring the nozzle is angled away from the nasal septum when you spray can help reduce the frequency of nosebleeds. For persistent or heavy nosebleeds, stop using the spray and consult your pharmacist or GP.

You can report suspected side effects of any medicine in the UK directly to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk. This helps improve medicine safety for everyone.

Can Nasonex Interact With Other Medicines?

Mometasone furoate is metabolised by the CYP3A4 enzyme in the liver. Medicines that inhibit this enzyme — such as ketoconazole, itraconazole, ritonavir, and other HIV protease inhibitors — can increase the amount of mometasone in your bloodstream, potentially raising the risk of systemic corticosteroid effects. Using other corticosteroid medicines at the same time (oral, inhaled, or topical) may also increase this risk.

Always tell your pharmacist about all medicines, supplements, and herbal remedies you are taking before starting Nasonex. This includes prescription medicines, over-the-counter products, and anything you buy online.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Frequently Asked Question


Nasonex is used to treat allergic rhinitis (hay fever), non-allergic rhinitis, and nasal polyps. It helps reduce inflammation, congestion, sneezing, and runny nose.


Some people feel relief within 12–24 hours, but full effectiveness may take a few days of consistent use.


Yes. It is designed for daily use as prescribed. Continuous use helps maintain symptom control.


When used at the recommended dose, Nasonex is generally safe long-term. However, regular medical reviews are advised if used for extended periods.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

We’re a safe and
regulated UK service

Registered Pharmacy Badge

Lowest Price Guarantee

We're convinced you won't find your treatment cheaper, but if you do we'll refund the difference.

Find out more

100% discreet packaging

We're convinced you won't find your treatment cheaper, but if you do we'll refund the difference.

Find out more

Agent

Need help?
Talk to our friendly experts now

How our service works

Service Setup

Service setup

Discreet Packaging

Discreet packaging

Express Delivery

Express delivery

What is Nasonex Nasal Spray used for?


Nasonex is used to treat allergic rhinitis (hay fever), non-allergic rhinitis, and nasal polyps. It helps reduce inflammation, congestion, sneezing, and runny nose.

How long does Nasonex take to work?


Some people feel relief within 12–24 hours, but full effectiveness may take a few days of consistent use.

Can I use Nasonex every day?


Yes. It is designed for daily use as prescribed. Continuous use helps maintain symptom control.

Is Nasonex safe for long-term use?


When used at the recommended dose, Nasonex is generally safe long-term. However, regular medical reviews are advised if used for extended periods.