Combination nasal sprays
Sprays that combine actives such as azelastine and mometasone, or olopatadine, mometasone and montelukast, in a single bottle, at the strengths on your prescription.
ENT & ALLERGY · NASAL SPRAYS
Compounded nasal sprays,
made to your prescription.
When your prescriber wants several actives in a single nasal spray, or a medicated sinus rinse, a compounding pharmacy prepares it. We make each spray and rinse to order and ship it to your door, in all 50 states and the District of Columbia.
PCAB accredited · licensed in all 50 states + DC
Combination nasal spraysSinus irrigation capsulesShipped to all 50 states + DC423-975-0597
WHAT IT IS
One spray,
the actives your prescriber chooses.
If you would like to raise a compounded spray or rinse with your prescriber, our guide on how to ask your doctor about compounded medication can help you start that conversation.
A compounded nasal spray is a prescription spray that a pharmacy prepares for one patient, with the combination and strengths the prescriber writes. Many of the actives used in the nose are sold commercially only as separate products, so a patient might otherwise be juggling two or three sprays. Compounding lets a prescriber put the actives they choose into one.
A medicated sinus rinse is prepared differently. We put the active in a capsule with a xylitol base, and your label tells you how to add it to your saline rinse. Your prescriber sets those directions, and if they change the combination, we prepare the new one to match.
ENT specialists, allergy practices and primary care prescribers all write these, and so can a prescriber you see by telehealth. Prescribers who want to work through an ENT formulary with us can read about our compounding for ENT and allergy practices. Which actives, which strengths and how often are decisions for you and your prescriber.
HOW WE CAN HELP
What we prepare for you.
Sinus irrigation capsules
Capsules prepared in a xylitol base, including budesonide and levocetirizine preparations, for you to add to a saline sinus rinse as your label directs.
Combination irrigations
Rinse preparations that combine antibiotic and antifungal actives, when your prescriber writes for them.
Custom combinations
If your prescriber wants a combination that is not on a standard list, custom formulas are developed on request. A pharmacist reviews every formulation before it is made.
Directions on every label
Your label carries the directions your prescriber sets, so you know how to use each spray and how to add each capsule to your rinse.
Wherever you live
We are PCAB accredited and licensed in all 50 states and the District of Columbia, and we ship your spray or rinse to your home.
More for you: Our learning center · Transferring a prescription · What compounding is · Our quality standards · All our services
GETTING IT FILLED
Three steps,
and we handle the rest.
Your prescriber can send a new prescription to us, or we can transfer one you already have. Prescriber details are on our prescriber page.
- 01
Your prescriber sends us the prescription
Our details for prescribers are on our prescriber page. If you already have a prescription at another pharmacy, we can transfer it for you.
- 02
We confirm the details with you
A member of our team confirms the price with you before anything is processed, made, or shipped.
- 03
We compound it and ship it to you
We have a 48-hour compounding time on most preparations. Shipping time is additional.
QUESTIONS PATIENTS ASK US
The things
worth knowing.
Call 423-975-0597 for current pricing and shipping options for your state.
What is a compounded allergy nasal spray?
It is a prescription nasal spray that a compounding pharmacy prepares for one patient, combining the actives the prescriber chooses, such as azelastine with mometasone, in a single spray. It is made to order at the strengths on the prescription.
Can an online doctor prescribe a custom nasal spray?
Yes. A licensed prescriber, including one you see by telehealth, can send us a prescription for a compounded nasal spray or sinus rinse. Your prescriber decides whether it is right for you and what goes in it. We do not prescribe; we prepare what your prescriber orders.
How do I use a sinus irrigation capsule?
Follow the directions on your prescription label, which your prescriber sets. The capsule is prepared in a xylitol base for you to add to a saline sinus rinse. If anything on the label is unclear, call us at 423-975-0597 and our team will help.
What if my prescriber changes the combination?
Your prescriber sends the new prescription and we prepare the spray or rinse to match it. Your label carries the updated directions, so you always have the current instructions in hand.
Can you ship to my state, and how long does it take?
We are licensed in all 50 states and the District of Columbia. We have a 48-hour compounding time on most preparations. Shipping time is additional and varies by destination. A member of our team confirms the price with you before anything is processed, made, or shipped.
Compounded preparations are not reviewed or approved by the FDA for safety or efficacy. This page is for education and reflects what we see in clinical practice; it is not medical advice. Decisions about your care rest with your prescriber.