"Have been using Flonase for about 1 month.  Dosage 1 spray per nostril twice daily.  The only side effect noted has been a tiny amount of blood present when I blow my nose, but this is infrequent and is always a very small &quot;spot&quot;.  I have responded amazingly well to this medication and my ongoing problem with congestion is greatly improved.  The only reason I didn&#039;t rate Flonase as a 10 was that nothing is perfect and I allowed for the development of something that possibly, though unlikely, would perform better."