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For adults , maximum total daily doses should not exceed 8 sprays in each nostril per day ( 464 mcg / day ) . He often put me through the responses of the Mass , he smiling often and pushing huge pinches of snuff up each nostril alternately . Sometimes he used to put me through the responses of the Mass , which he had made me learn by heart , and as I pattered he used to smile pensively and nod his head , now and then pushing huge pinches of snuff up each nostril alternately . He often put me through the responses of the Mass , smiling often and pushing huge pinches of snuff up each nostril alternately . I remember ( or rather dont remember ) on one occassion taking a dare from a friend to snort a gram line up each nostril simulaneously . Maximum daily doses should not exceed 4 sprays in each nostril per day ( total dose 232 mcg / day ) as the safety and efficacy of higher doses have not been established . Addition of intranasal beclomethasone ( two sprays in each nostril twice daily ) usually allows comfortable discontinuation of the offending vasoconstricting spray . Intranasal beclomethasone is recommended , beginning with two sprays in each nostril twice daily and then tapering to the lowest effective dose . Roaring may be limited to one nostril and can be determined by plugging each nostril alternately . One inhaled a pinch in each nostril from the base of the thumb , used a handkerchief to dab one 's nose and brush one 's collar , and at all times resisted sneezing . A starting dose of 2 sprays in each nostril twice daily is recommended . Children 6 to 12 Years of Age : Patients should be started with one inhalation in each nostril twice a day ; patients not adequately responding to 168 mcg or those with more severe symptoms may use 336 mcg ( two inhalations in each nostril ) . Nasal Polyps : Adults 18 years of Age and Older : The recommended dose for nasal polyps is two sprays ( 50 mcg of mometasone furoate in each spray ) in each nostril twice daily ( total daily dose of 400 mcg ) .