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Drugs reference index «Nasonex»

Nasonex
Nasonex


Nasonex

Generic Name: mometasone (Nasal route)

moe-MET-a-sone

Commonly used brand name(s):

In the U.S.

  • Nasonex

Available Dosage Forms:

  • Spray

Therapeutic Class: Anti-Inflammatory

Pharmacologic Class: Adrenal Glucocorticoid

Uses For Nasonex

Mometasone belongs to the family of medicines known as corticosteroids (cortisone-like medicines). Corticosteroids belong to the family of medicines called steroids. Mometasone is sprayed into the nose to help relieve the stuffy nose, irritation, and discomfort of hay fever and other allergies. Mometasone is also used to treat nasal polyps in adults.

In Canada, mometasone can also be used along with certain antibiotics to treat sinusitis.

This medicine is available only with your doctor's prescription.

Before Using Nasonex

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Studies on this medicine have been done only in adult patients and there is no specific information comparing use of nasal mometasone in children up to 3 years of age for relief of stuffy nose and children up to 18 years of age for nasal polyps with use in other age groups.

Geriatric

Although there is no specific information comparing use of nasal corticosteroids in the elderly with use in other age groups, they are not expected to cause different side effects or problems in older people than they do in younger adults.

Pregnancy

Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Ketoconazole

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Cataracts—Long-term use of nasal corticosteroids may cause cataracts
  • Glaucoma—Long-term use of nasal corticosteroids may worsen glaucoma by increasing the pressure within the eye
  • Herpes simplex (virus) infection of the eye or
  • Infections (virus, bacteria, or fungus)—Nasal corticosteroids may cover up the signs of these infections or cause a serious course of infection
  • Injury to the nose (recent) or
  • Nose surgery (recent) or
  • Sores in the nose—Nasal corticosteroids may prevent proper healing of these conditions
  • Kidney problems or
  • Liver problems—Studies on the effects of nasal mometasone on the kidney or liver have not been done.
  • Sensitivity to mometasone or other nasal corticosteroids
  • Tuberculosis (active or history of)—Nasal corticosteroids may cover up the signs of this infection or cause it to start up again

Proper Use of Nasonex

This medicine usually comes with patient directions. Read them carefully before using the medicine.

Before using this medicine, clear the nasal passages by blowing your nose. Then, with the nosepiece inserted into the nostril, aim the spray towards the inner corner of the eye.

In order for this medicine to help you, it must be used regularly as ordered by your doctor. This medicine usually begins to work in about 2 days, but up to 2 weeks may pass before you feel its full effects.

Use this medicine only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of absorption through the lining of the nose and the chance of unwanted effects.

Check with your doctor before using this medicine for nasal problems other than the one for which it was prescribed, since it should not be used on many bacterial, viral, or fungal nasal infections.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For nasal spray dosage form:
    • For allergies:
      • Adults and children 12 years of age and older—2 sprays in each nostril once a day.
      • Children 3 and 11 years of age— 1 spray in each nostril once a day.
      • Children younger than 3 years of age—Use and dose must be determined by your doctor.
    • For nasal polyps:
      • Adults—2 sprays in each nostril twice a day.
      • Children and teenagers—Use and dose must be determined by your doctor.
    • For sinusitis:
      • Adults and children 12 years of age and older—2 sprays in each nostril twice a day.
      • Children younger than 12 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Do not refrigerate. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using Nasonex

Avoid close contact with anyone who has chickenpox or measles . This is especially important for children. Tell your doctor right away if you think you have been exposed to chickenpox or measles.

Infants born to mothers receiving corticosteroids should be carefully monitored for hypoadrenalism (light-headedness, loss of appetite, sweating, weakness, and weight loss).

Check with your doctor if your symptoms do not improve or if your condition gets worse.

Nasonex Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

More common
  • Bloody mucus or unexplained nosebleeds
  • cold or flu-like symptoms
  • increased abdominal pain and cramping during menstrual periods
  • muscle or bone pain
  • stuffy or runny nose or headache
  • viral infections
Less common
  • Chest pain
  • cough
  • discharge or redness in the eye, eyelid, or inner lining of the eyelid
  • earache
  • shortness of breath, troubled breathing, tightness in chest, or wheezing
Rare
  • Sores inside nose
  • white patches inside nose or mouth
Incidence not known
  • Difficulty swallowing
  • dizziness
  • fast heartbeat
  • hives
  • itching, puffiness, or swelling of the eyelids or around the eyes, face, lips or tongue
  • large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, sex organs
  • skin rash
  • unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
  • Cough
  • headache
  • sore throat
Less common
  • Diarrhea
  • joint or muscle ache or pain
  • nausea
  • nasal burning or irritation
  • runny or stuffy nose
  • sneezing
  • stomach upset or discomfort following meals
Incidence not known
  • Bad, unusual or unpleasant (after)taste or smell
  • change in taste or smell

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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  • Nasonex Prescribing Information (FDA)
  • Nasonex Detailed Consumer Information (PDR)
  • Nasonex Spray MedFacts Consumer Leaflet (Wolters Kluwer)
  • Nasonex Consumer Overview

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