The majority of side effects from topical steroids occur within the nose at the site of local application. These side effects commonly include nasal irritation and nose bleeds . Should these symptoms occur, a person should stop using the nasal steroid for a few days, and then re-start the medication using the appropriate technique . If bleeding and irritation continue to occur, the nasal steroid should not be used any longer. A person who continues to use a nasal steroid despite these local side effects is at risk for septal perforation .