ciclesonide nasal

What is the most important information I should know about ciclesonide?

Use only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies.

What is ciclesonide?

Ciclesonide (for the nose) is a steroid medicine used for the treatment of allergies.

Zetonna is used to treat nasal symptoms (congestion, sneezing, runny nose) caused by seasonal allergies and nasal symptoms caused by 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 at least 6 years old and nasal symptoms caused by year-round allergies in adults and children who are at least 12 years old.

Ciclesonide may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before using ciclesonide?

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 worsening an infection you already have. Tell your doctor about any illness or infection you had within the past several weeks.

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

How should I use ciclesonide nasal?

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.

To use the nasal spray:

• With your head upright insert the tip of 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.

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

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.

What happens if I miss a dose?

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

What happens if I overdose?

What should I avoid while using ciclesonide nasal?

Avoid being near 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 in people who are using ciclesonide nasal.

What are the possible side effects of ciclesonide nasal?

• 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.

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

• runny or bloody nose, crusting inside the nose, whistling sound when you breathe, 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, trouble 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 may include:

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

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

What other drugs will affect 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.

Where can I get more information?

Your doctor or pharmacist can provide more information about ciclesonide nasal.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2023 Cerner Multum, Inc. Version: 4.01. Revision date: 3/22/2023.