Final answer:
A doctor may recommend neti pot nasal irrigation to help clear nasal passages or consider switching the patient to a different steroid nasal spray like budesonide. Proper use of the medication should also be confirmed.
Step-by-step explanation:
If a patient continues to experience nasal congestion and rhinitis despite using Flonase (fluticasone), there are several options a doctor might consider. First, it's essential to ensure the patient is using the medication correctly and consistently, as incorrect use can lead to persistent symptoms. If proper usage is confirmed and symptoms persist, the doctor might suggest neti pot nasal irrigation as an adjunct therapy to help clear nasal passages and reduce congestion. This can physically remove mucus and allergens, providing symptomatic relief.
Alternatively, the doctor could consider switching the patient from fluticasone to another steroid nasal spray, like budesonide (Rhinocort), though this should be based on individual patient response as both medications have similar mechanisms of action. Other considerations might include evaluating for other possible causes of rhinitis, such as infections or allergies, and treating those underlying conditions accordingly.