Learn more about usage, cautions, and possible side effects .
Chemical Name: CICLESONIDE (sye-KLES-oh-nide)
This medicine is a corticosteroid nasal spray used to treat itching, sneezing, congestion, and runny nose due to allergy and other causes.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking azole antifungals (such as ketoconazole), delavirdine, or HIV protease inhibitors (such as ritonavir). DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including an ulcer or sore of the nasal septum, recent nasal surgery or injury, an infection (such as bacterial, fungal, parasitic, viral), measles, chickenpox, herpes infection in or around the eye, active or inactive tuberculosis (TB), recent vaccinations, a history of asthma, glaucoma, or cataracts, positive TB skin test, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
Follow the directions for using this medicine provided by your doctor. This medicine may come with a patient information leaflet. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. BEFORE USING THIS MEDICINE for the first time, you must prime the pump. Do this by gently shaking the bottle, then pressing down on the pump 8 times. If this medicine is not used for 4 days in a row, you must reprime the pump. Do this by gently shaking the bottle, then pressing down on the pump 1 time or until a fine spray mist appears. SHAKE THE BOTTLE GENTLY before each dose. TO USE THIS MEDICINE, gently blow your nose. Then, sit down and tilt your head forward slightly. Remove the dust cover and place the tip of the nasal applicator into the nose. Using a finger from your other hand, press against the opposite nostril to close it off. Breathe gently through the open nostril and squeeze the spray container. AVOID SPRAYING THIS MEDICINE INTO YOUR EYES or directly onto the nasal septum (the wall between your nostrils). If you are using more than 1 spray, wait for 1 to 2 minutes between sprays. After using the medicine, rinse the tip of the spray unit in hot water and dry with a clean tissue and replace the dust cover to prevent contamination. IF THIS MEDICINE BECOMES BLOCKED, do not try to unblock it with a pin or other sharp object. Gently remove the dust cap and the nasal applicator from the bottle. Wash the dust cap and the nasal applicator with warm water. Dry completely and replace the nasal applicator onto the bottle. Reprime by shaking gently and pressing down on the pump 1 time or until a fine spray mist appears. Replace the dust cap. Throw away this medicine after 120 sprays (not counting the 8 sprays used to prime the pump) or 4 months after it is removed from the foil pouch, whichever comes first. STORE THIS MEDICINE at room temperature 77 degrees F (25 degrees C), away from heat, moisture, and light. Do not freeze. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Use this medicine regularly to receive the most benefit from it. Using this medicine at the same time each day will help you to remember. IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT use 2 doses at once.
DO NOT USE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. This medicine is for use in the nose only. Do not get it in your eyes or mouth. If you get it in any of these areas, rinse right away with cool water. IT MAY TAKE SEVERAL DAYS for this medicine to work and you may not receive the full benefit of this medicine for several weeks. If your symptoms do not improve after several weeks or if they become worse, check with your doctor. DO NOT EXCEED THE RECOMMENDED DOSE or use this medicine for longer than prescribed without checking with your doctor. USE CAUTION if you switch from an oral steroid (such as prednisone) to this medicine. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, a sudden asthma attack, or severe fluid or electrolyte loss. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (such as prednisone) again. Carry a card at all times that says you may need an oral steroid (such as prednisone) if any of these events occur. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. IF YOU HAVE NOT HAD CHICKENPOX, SHINGLES, OR MEASLES and you have not been vaccinated against them avoid contact with anyone who has any of these diseases. Contact your doctor right away if you are exposed to anyone with these conditions. IF YOU USE THIS MEDICINE FOR A LONG PERIOD OF TIME (such as several months), your doctor may need to perform nasal check-ups to check for side effects such as infection. CORTICOSTEROID MEDICINES MAY AFFECT growth rate in children and teenagers in some instances. They may need regular growth checks while using this medicine. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.
SIDE EFFECTS that may occur while using this medicine include ear pain; headache; nose or throat irritation; or nosebleed. If they continue or become bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience changes in menstrual periods; rounded face; muscle weakness; unusual weight gain; severe or persistent nose or throat irritation or redness; severe, persistent, or repeated nosebleed; shortness of breath; unusual or severe acne; vision changes; or wheezing. An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions
IF OVERDOSE IS SUSPECTED, contact your local poison control center or emergency room immediately. Symptoms of overdose may include muscle weakness, rounded face, and unusual weight gain.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF YOU WILL BE USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, be sure to obtain necessary refills before your supply runs out.
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