• Monitor degree of nasal stuffiness, amount and color of nasal discharge, and frequency of sneezing.

» Patients on long-term therapy should have periodic otolaryngologic examinations to monitor nasal mucosa and passages for infection or ulceration.

» Monitor growth rate in children receiving chronic therapy; use lowest possible dose.

• Periodic adrenal function tests may be ordered to assess degree of hypothalamic-pituitary-adrenal (HPA) axis suppression in chronic therapy. Children and patients using higher than recommended doses are at highest risk for HPA suppression.