Ciclesonide nasal

Ciclesonide (for the nose) is a steroid medicine used to treat allergies.

Zetonna is used to relieve nasal symptoms (congestion, sneezing, runny nose) from seasonal allergies and nasal symptoms from year-round allergies in adults and children who are at least 12 years old.

Omnaris is used to treat seasonal allergies in adults and children who are at least 6 years old, and nasal symptoms from year-round allergies in adults and children who are at least 12 years old.

Ciclesonide may also be used for other reasons not mentioned in this medication guide.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Never use ciclesonide in larger amounts or for longer than prescribed. Use the medicine exactly as directed.

If you take another steroid medicine, do not stop it suddenly. Ask your doctor about tapering your dose.

The usual dose of Omnaris is 2 sprays in each nostril once daily. The usual dose of Zetonna is 1 spray in each nostril once daily. Follow your doctor's dosing instructions very carefully.

Before your first use, gently shake Omnaris and prime it by spraying 8 times into the air, away from your face. Prime again if the nasal spray has not been used for more than 4 days, or if it has been dropped. Shake Omnaris gently before each use.

Before your first use, gently shake Zetonna and prime it by spraying 3 times into the air, away from your face. Prime again if the nasal spray has not been used for more than 10 days. If it has been dropped, spray just once into the air before use. Shake Zetonna gently before each use.

To use the nasal spray:

• With your head upright, insert the tip of the bottle into the nostril and press your other nostril closed. Breathe in and spray the medicine into your nose. Use in your other nostril if directed.
• If the spray gets in your eyes or mouth or on your skin, rinse with water.
• Do not blow your nose for a few minutes. Do not use the nasal spray more than 1 time in 24 hours.

Your symptoms may not improve for up to 1 to 5 weeks. Call your doctor if your symptoms do not improve or if they get worse.

If you use this medicine long-term, you may need frequent eye exams.

Store this medicine upright at room temperature, away from moisture and heat. Do not freeze. Keep the spray bottle clean and dry.

Keep the Zetonna canister away from open flame or high heat. Do not puncture or burn an empty canister.

Throw away the Omnaris nasal spray after you have used 120 sprays or 4 months after removing the bottle from the foil pouch, even if there is still medicine left in the bottle.

Throw away the Zetonna actuator and canister after you have used 60 actuations, even if there is still medicine left in the canister.

Use only as directed. Inform your doctor if you are using other medicines, have other medical conditions, or have allergies.

You should not use ciclesonide if you are allergic to it.

Tell your doctor if you have:

• asthma, tuberculosis, or other lung problems;
• any type of infection caused by bacteria, virus, fungus, or parasites;
• glaucoma, cataracts, or herpes infection of the eyes;
• a sore inside your nose that has not yet healed;
• a recent nose injury or surgery; or
• not been vaccinated for or not had chickenpox or measles.

Steroids can weaken your immune system, making it easier for you to get an infection or make an existing infection worse. Tell your doctor about any illness or infection you had within the past several weeks.

It is not known if ciclesonide nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Ask a doctor if it is safe to breastfeed while using ciclesonide nasal.

Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Get emergency medical help if you notice signs of an allergic reaction: hives; trouble breathing; swelling in your face, lips, tongue, or throat.

You may become more prone to infections, including serious or life-threatening ones. Contact your doctor immediately if you notice signs of infection such as:

• fever, chills, sore throat;
• mouth sores, red or swollen gums;
• pale skin, easy bruising, unusual bleeding; or
• chest discomfort, wheezing, dry cough or hack, rapid weight loss.

Side effects may happen if nasal steroid medicine enters your bloodstream. Inform your doctor if you experience:

• swelling, weight gain (especially in your face or upper back and torso);
• thinning skin, stretch marks, acne, increased facial hair;
• irregular menstrual periods, changes in sexual function; or
• memory issues, feeling irritable.

Ciclesonide nasal may lead to serious side effects. Contact your doctor immediately if you have:

• runny or bloody nose, crusting inside the nose, whistling sound when breathing, nasal ulcers;
• blurred vision, eye pain or redness, seeing halos around lights;
• signs of thrush (a fungal infection)—sores or white patches in your mouth or throat, difficulty swallowing; or
• decreased adrenal gland hormones—nausea, vomiting, stomach pain, loss of appetite, feeling tired or light-headed, muscle or joint pain, skin discoloration, craving salty foods.

Common side effects of ciclesonide nasal may include:

• headache, dizziness;
• nosebleed, nasal irritation;
• stuffy nose, sore throat; or
• ear pain.

This is not a full list of side effects and others may occur. Contact your doctor for medical advice about side effects. You can report side effects to the FDA at 1-800-FDA-1088.

Usual Adult Dose for Allergic Rhinitis:

Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)Maximum dose: 200 mcg (2 sprays in each nostril once a day)Nasal metered aerosol (37 mcg/actuation): 1 actuation in each nostril once a day (74 mcg)Maximum dose: 74 mcg per day (1 actuation in each nostril once a day)Use: Treatment of nasal symptoms associated with seasonal and perennial allergic rhinitis

Usual Pediatric Dose for Allergic Rhinitis:

Seasonal allergic rhinitis:6 years and older:-Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)Maximum dose: 200 mcg (2 sprays in each nostril once a day)Seasonal and perennial allergic rhinitis:12 years and older:-Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)Maximum dose: 200 mcg (2 sprays in each nostril once a day)-Nasal metered aerosol (37 mcg/actuation): 1 actuation in each nostril once a day (74 mcg)Maximum dose: 74 mcg per day (1 actuation in each nostril once a day)Use: Treatment of nasal symptoms associated with seasonal and perennial allergic rhinitis

Use the medicine as soon as you can, but skip the missed dose if it is close to the time for your next dose. Do not use two doses at the same time.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Avoid getting ciclesonide nasal in your eyes. If this happens, rinse your eyes with water. Also, do not spray this medicine directly on the tissue that separates your nostrils (nasal septum).

Avoid being around people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal for people using ciclesonide nasal.

Other drugs may affect ciclesonide nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.