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Rhinocort Aqua (budesonide) Nasal Spray
My Doctor Just Prescribed RHINOCORT AQUA

Your Immune System

Your immune system is your body's defense against invading agents, such as bacteria, viruses, and parasites. These agents are called antigens. White blood cells are your main defense against these antigens. Your body makes many different types of white blood cells that work 24 hours a day to keep you healthy.

One important type of white blood cell is a lymphocyte. These are made in the marrow of your bones. You may have as many as 2 trillion lymphocytes in your bloodstream at any one time. Two major types of lymphocytes involved in protecting your body against invaders are T lymphocyte cells and B lymphocyte cells. T lymphocyte cells destroy cells that have been infected or damaged by the antigens. B lymphocytes are found in immunity-related organs such as the lymph nodes. They direct the making of immunoglobulin E, called IgE. IgE is a special disease-fighting protein known as an antibody. It binds to an antigen in your body, such as bacteria, rendering it harmless.

Antibodies such as IgE are very specific. Much like a lock-and-key system, they only work on particular antigens. If, for instance, a flu virus enters your body, special flu antibodies attack it. Each time you're exposed to a new invading agent, or antigen, your body creates different antibodies to fight it.

What Happens During an Allergy Episode?

When you have nasal allergies, your body sees harmless substances, including pollen, mold, or pet dander, as dangerous invaders. Your immune system immediately goes into action, releasing IgE. Each of these IgE antibodies is made especially for the particular type of allergen. For instance, your body produces one type of IgE antibody for ragweed pollen and another type for oak pollen.

The IgE antibodies attach tightly to the membrane of your body's mast cells and a kind of blood cell known as a basophil. Thus the allergen, the IgE antibody, and the mast cell or basophil form a complex. The basophils circulate in the bloodstream and gather in the tissues of your nose, skin, stomach, and lungs. The mast cells remain stationary. The next time these complexes come in contact with the same allergen, the mast cells or basophils release a powerful chemical called histamine to fight the invader.

Histamine causes:

  • Smooth muscles to relax. These are in your lungs, stomach lining, and other areas.
  • Your blood vessels to open up, causing more blood to flow
  • Fluids containing more defensive chemicals to flow more easily from your bloodstream into individual cells

As the small blood vessels in your nose widen, fluids leak out into the surrounding tissues, causing your runny nose, watery eyes, itching, swelling, and other symptoms of nasal allergies.

This entire process is called the allergic inflammatory response. It's an effective way to fight invading agents. Unfortunately, when the agent is harmless, it's a wasted effort that only results in misery for you.

Next: What Can I Do to Reduce My Nasal Allergy Symptoms?

Indication and Important Safety Information

RHINOCORT AQUA (budesonide) is for the management of seasonal and year-round nasal allergy symptoms in adults and children 6 years of age and older.

The most commonly observed side effects associated with the use of RHINOCORT AQUA in clinical studies were nosebleed, sore throat, nasal irritation, cough and breathing difficulties such as wheezing, chest tightening or coughing due to airway constriction.

Your doctor may prescribe RHINOCORT AQUA at a dose of 1 to 4 sprays per nostril once daily. Take RHINOCORT AQUA exactly as directed.

Your nasal allergy symptoms may begin to improve within 10 hours after first using RHINOCORT AQUA. In one group of patients that were studied, RHINOCORT AQUA and the nasal spray mometasone furoate (a medication used for comparison in the study) both improved nasal allergy symptoms within 8 hours. However, you must continue to take your medication every day, as directed by your doctor. Your nasal allergy symptoms will continue to improve over the first few days, and maximum relief may take about 2 weeks to achieve.

Please click here for full Prescribing Information

This product information is intended for US consumers only. RHINOCORT AQUA is a registered trademark of the AstraZeneca group of companies.

©2008 AstraZeneca LP. All rights reserved. 257666 2/08

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

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