Any good alternatives to rhinicort aqua? Works amazingly for me, but I have a perforated nasal septum and am worried it'll make my condition worse.

Not really. Of all the sprays that we use inside people's noses for nasal problems Rhinocort Aqua is probably the least likely to cause inflammation or irritation. That being said, having a perforation makes any nasal steroid a potential issue. Antihistamines and decongestants can be tried to avoid directly inflaming your nose.