Patients should use OMNARIS Nasal Spray at regular intervals since its effectiveness depends on its regular use. In clinical trials, the onset of effect was seen within 24 to 48 hours with further symptomatic improvement observed over 1 to 2 weeks in seasonal allergic rhinitis and 5 weeks in perennial allergic rhinitis. Initial assessment of response should be made during this time frame and periodically until the patient's symptoms are stabilized. The patient should take the medication as directed and should not exceed the prescribed dosage. The patient should contact the physician if symptoms do not improve by a reasonable time or if the condition worsens.
Most likely due to a viral illness (most common) followed by bacterial super-infection (bacteria super-infection means when a bacterial infection occurs in setting where viral illness is also present). Less common is bacterial infection alone. A viral component is most likely present if symptoms do improve partially with antibiotics followed by immediate recurrence of symptoms after antibiotics completed resulting in repeated courses of antibiotics. In this scenario, it is best to avoid antibiotics unless the child is quite ill as only time will allow for the viral illness to resolve which is the main problem. Conservative care with saline spray to the nose followed by bulb suctioning is recommended. Daily Xlear Nasal Spray may also be helpful.