A variety of corticosteroid delivery systems have been considered for the t
reatment of nasal polyposis. Safety considerations favour local delivery of
the drug to the nasal cavity. No topical delivery system is entirely witho
ut problems, however, and formulations must address issues of microbiologic
al quality, drug stability, reproducible drug delivery and adequate drug di
stribution at site, while also offering environmental and patient acceptabi
lity. Fluticasone propionate has been formulated in a new nasal drop prepar
ation. As a highly water-insoluble compound, the active fluticasone propion
ate requires micronization to an optimal particle size and subsequent dispe
rsion with a surface-active wetting agent. The product is presented in a un
it dose low-density polyethylene container, manufactured by a blow-fill-sea
l process and stored in an aluminium foil over-wrap. Micronized active has
been used to promote optimal local drug delivery, and excipients have been
selected for low irritancy potential and high formulation stability. There
is no microbiological risk with fluticasone propionate unit dose nasal drop
s 400 mu g and therefore no need to include a preservative in the preparati
on. They provide a convenient and effective treatment option for patients w
ith nasal polyposis.