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A steroid nasal spray for sinus symptoms that have lasted around 10 days or more, prescribed after an online consultation with a UK prescriber.
For sinus symptoms that have lasted around 10 days or more without improving. If you have a severe headache, swelling or redness around the eye, changes in your vision or confusion, do not wait for a consultation: get urgent medical help by calling 111, or 999 in an emergency.
Order before 3pm — same-day dispatch (MON - FRI)
~5 min consultation
Secure & confidential · Reviewed by a UK prescriber
Suitable age
18 years +
Max per order
2 packs
Consultation
Yes, online (included in the price)
Beclometasone dipropionate (sometimes spelt beclomethasone) is a corticosteroid (steroid) nasal spray. It reduces the swelling and inflammation inside the nose that stop the sinuses from draining, which eases a blocked nose, congestion and the feeling of pressure in the face. It is not an antibiotic. Most sinusitis is caused by a virus and clears within two to three weeks, and antibiotics do not help with viral infections.
Beclometasone is licensed in the UK for hay fever and other types of rhinitis. Using it for sinusitis is outside its licence, which is known as off-label use. NICE recommends a 14-day course of a high-dose steroid nasal spray for sinus symptoms that have lasted around 10 days or more, and names mometasone nasal spray and fluticasone for this.
Beclometasone works in the same way and has the longest track record of the nasal steroids, so it is a well-established alternative where mometasone hasn’t suited you or you have used beclometasone before without problems. Your prescriber will explain this before prescribing, and will only prescribe it if it is right for you.
After a short online consultation, a GPhC-registered pharmacist independent prescriber reviews your answers. If beclometasone is suitable, it is dispensed by our UK pharmacy and sent in plain packaging. If it is not, the prescriber will explain why and tell you where to get the right care. Our guide to beclometasone nasal spray for sinusitis covers who it suits and how to use it.
| Active ingredient | Beclometasone dipropionate 50 micrograms/spray |
| Type | Corticosteroid (steroid) nasal spray |
| Used for | Sinusitis lasting around 10 days or more (off-label). Licensed for allergic and vasomotor rhinitis |
| Typical dose | 2 sprays in each nostril twice a day, usually for 14 days (maximum 8 sprays a day) |
| Pack size | 1 bottle (standard 200-spray bottle) |
| Prescription | POM — reviewed by a UK prescriber |
| How supplied | After an online consultation with a UK prescriber |
| Delivery | Orders approved before 3pm, Monday to Friday, are dispatched the same day by either Royal Mail Tracked 24, 48 or Special Delivery |
A steroid nasal spray is the usual next step when sinus symptoms have lasted around 10 days or more without getting better. Typical symptoms are a blocked or runny nose, pain or pressure around the cheeks, eyes or forehead, and a reduced sense of smell. For the first 10 days, most people only need rest, fluids, pain relief and saline rinses, and our guide on how to relieve sinus pressure at home covers what helps.
For sinusitis, prescribers usually start with mometasone, because NICE names it and much less of it is absorbed into the bloodstream. Beclometasone is a good alternative if mometasone hasn’t suited you or you have used beclometasone before without problems. Our guide to the best nasal spray for sinusitis compares the two.
Beclometasone may not be the right choice if:
You are very unwell, with a high temperature, severe pain in your face or symptoms that suddenly get worse after starting to improve. You may need to be seen in person, and a prescriber will consider whether an antibiotic is needed;
Your symptoms have lasted more than 12 weeks, or keep coming back. This needs a GP assessment, and our guide to sinusitis that won’t go away explains why;
You are pregnant. We don’t prescribe it for sinusitis in pregnancy online, and will direct you to your GP or midwife;
Your symptoms are mainly sneezing and itching that come back in the same season each year. That sounds more like hay fever. We supply Beconase and Nasobec for hay fever through our hay fever treatments, which have their own consultation.
Mometasone or beclometasone?
NICE names mometasone for sinusitis, but not beclometasone.
Both are used as 2 sprays into each nostril twice a day, usually for 14 days.
Under 1% of mometasone reaches the bloodstream, compared with about 44% of beclometasone, mostly from the part that is swallowed.
An unpleasant taste or smell is common with beclometasone.
A mometasone bottle holds 140 sprays. A beclometasone bottle holds 200.
Mometasone is licensed for hay fever, allergic rhinitis and nasal polyps. Beclometasone is licensed for hay fever and other types of rhinitis.
Get urgent help (call 111, or 999 in an emergency) if you have a severe headache, swelling or redness around the eye, double or reduced vision, a stiff neck or confusion.
Beclometasone (sometimes spelt beclomethasone) is a steroid nasal spray licensed in the UK for hay fever and other types of rhinitis. It is also used for sinus symptoms that have lasted around 10 days or more. This is an off-label use, which your prescriber will explain.
No. It is licensed for hay fever and other types of rhinitis. Using it for sinusitis is outside its licence, which is known as off-label use. NICE recommends a steroid nasal spray for sinusitis lasting around 10 days or more and names mometasone and fluticasone. A prescriber only prescribes beclometasone for sinusitis after checking it is right for you.
It usually takes a few days to start easing congestion and pressure, with the full benefit building over one to two weeks of regular use. Use it every day for the full course rather than only when symptoms are bad. If you are no better after the course, speak to a GP.
The usual dose is 2 sprays into each nostril twice a day, morning and evening, which is 400 micrograms a day. For sinusitis it is usually used for 14 days. Do not use more than 8 sprays a day, and always follow the dose on your label.
Both reduce the swelling that blocks the sinuses. Mometasone nasal spray is usually the first choice for sinusitis, because NICE names it and much less of it is absorbed into the bloodstream. Beclometasone is a well-established alternative. Our guide to the best nasal spray for sinusitis compares them.
Usually not. Most sinusitis is caused by a virus, and antibiotics do not help with viral infections. A steroid spray is the usual next step when symptoms last around 10 days or more. Antibiotics are kept for people who are very unwell or at higher risk of complications. Our guide to steroid sprays vs antibiotics explains how prescribers decide.
Yes. It can be used with saline rinses, paracetamol or ibuprofen, and an antibiotic if one has been prescribed. A decongestant nasal spray such as xylometazoline can help with severe blockage for a few days, but must not be used for more than 5 days. Tell the prescriber about all the medicines you take.
If you live in England and are aged 12 or over, you may be able to get sinusitis treatment free from a local pharmacy through the NHS Pharmacy First service, or from your GP. Waiting times and availability vary. Our private vs NHS prescription guide compares the options.
If you are no better after the 14-day course, your symptoms get worse, or they last more than 12 weeks, see a GP. Get urgent help for a severe headache, swelling around the eye, changes in vision or confusion. Our guide to sinusitis that won’t go away explains the possible causes.
Yes, after an online consultation. A GPhC-registered pharmacist independent prescriber reviews your answers and only prescribes it if it is suitable for you. It is then dispensed by our UK pharmacy and sent in plain packaging.
Helpful articles and clinical guides related to this treatment category.
Free consultation
Online review by a UK prescriber
Next-day delivery
Order before 3pm where offered
Discreet packaging
Plain outer packaging