Steroids and HBV/liver health

[ThomasTu]

Nasal sprays do not cross very efficiently into the bloodstream, so the risk of affecting your hepatitis B is quite low. This has been touched on by a previous thread:

EXPLAINER: Lab results and their interpretation

Hi @ Maja For your concern about Avamys , as @ Thomas has mentioned , the use of steroids that cause immunosuppression , according to AGA clinical practice guidelines for prevention and treatment of HBV reactivation ( Faisal et al. Gastroenterology 2025) , systemic corticosteroid and only intraarticular for local use that have increase risk of hepatitis B reactivation. Topical corticosteroid like Avamys that has good steroid receptors affinity in nasal mucosa and has low oral bioavailability, …

Hope this helps,

Thomas