We have nasal inhalers as well and not just oral inhalers. If we’re going to use a steroid nasally, we’re trying to treat sinus reactions or what we could call allergic rhinitis (inflammation; difficulty breathing). Some particular nasal inhalers cannot be found on the market anymore because they were propellant inhalers and the government forced them off the market because it was harmful to the ozone and now they must only be made of an aqueous solution. It’s a pump spray as opposed to an aerosolized spray. You have to provide the power instead by pressing down hard. Many patients will complain that these aqueous solutions will burn and are not as comfortable to use but we have no other choice.