ask for forgiveness ciclesonide (Nasal route) sye-KLES-oh-nide Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Commonly used brand name(s) In the U.S. Omnaris Zetonna Available Dosage Forms: Aerosol Liquid Spray Therapeutic Class: Anti-Inflammatory Pharmacologic Class: Adrenal Glucocorticoid Slideshow Flonase: Avoid These Top 9 Mistakes Uses For ciclesonide Ciclesonide nasal spray is used to treat an itchy or runny nose, sneezing, or other symptoms caused by perennial (year-round) or seasonal hay fever (allergic rhinitis). It is a steroid (cortisone-like medicine) that works by preventing the inflammation that occurs with allergic reactions. ciclesonide is available only with your doctor's prescription. Before Using ciclesonide 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 ciclesonide, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to ciclesonide 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 Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of Zetonna in children 12 years of age and older with seasonal and perennial allergic rhinitis. However, safety and efficacy have not been established in children younger than 12 years of age. Appropriate studies have not been performed on the relationship of age to the effects of Omnaris in children younger than 6 years of age with seasonal allergic rhinitis, and in children younger than 12 years of age with perennial allergic rhinitis. Safety and efficacy have not been established in these age groups. Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of ciclesonide nasal spray in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution in patients receiving ciclesonide nasal spray. Pregnancy Pregnancy Category Explanation All Trimesters C Animal 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 Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking ciclesonide, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using ciclesonide with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Desmopressin Using ciclesonide with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Bemiparin Nadroparin Pixantrone 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 ciclesonide. Make sure you tell your doctor if you have any other medical problems, especially: Cataracts, history of or Glaucoma, history of Use with caution. May make these conditions worse. Chicken pox (includes recent exposure) or Herpes simplex infection of the eye or Infections (bacteria, fungus, virus, or parasite), active or untreated or Measles (includes recent exposure) or Tuberculosis, active or history of Can reduce the body's ability to fight infections. Injury to the nose or Nose surgery, recent or Sores or ulcers in the nose, recent May prevent proper healing of these conditions. Proper Use of ciclesonide Use ciclesonide only as directed . 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 side effects. ciclesonide comes with patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions. ciclesonide is only used in the nose . Do not get it in your eyes, on the nasal septum (the wall between the two nostrils), or on your skin. If it does get on these areas, rinse it off right away and call your doctor. In order for ciclesonide to help you, it must be used on a regular basis as ordered by your doctor. ciclesonide usually begins to work in about 2 days, but up to 2 weeks may pass before you feel the full effects. Do not use ciclesonide for any other nose problem without checking with your doctor first. To use the spray: Shake the canister gently before each use. When you use the Zetonna nasal spray for the first time or if you have not used ciclesonide for 10 days in a row, you must prime the spray. Press down fully on the top of the canister 3 times or until a fine spray comes out. Gently blow your nose before using the spray. Tilt your head back slightly and insert the tip of the nose piece into your nostril. Close the opposite nostril with a finger. Release 1 spray and at the same time, breathe in gently through the nostril. Hold your breath for a few seconds then breathe out slowly through your mouth. Spray the opposite nostril using the same steps. Do not blow your nose for 15 minutes after using the spray. Wipe the tip of the outside of the nose piece with a clean, dry tissue or cloth and put the cap back on. Do not wash or put any part of Zetonna nasal spray in water. After you prime the Zetonna nasal spray, there will only be 60 doses or sprays. At first, the display window will show a green color. A yellow color indicates that your medicine needs to be replaced soon. When the medicine is almost empty, the window will show a red color. If the Zetonna nasal spray is dropped, the dose counter may not work. Keep track of the number of sprays taken based on your records. Throw ciclesonide away after you use 60 sprays or when the window shows red and the dose indicator read zero "0". Dosing The dose of ciclesonide 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 ciclesonide. 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 dosage form (spray): For treatment of perennial allergic rhinitis: Adults and teenagers Omnaris : 2 sprays in each nostril once a day. Zetonna : 1 spray in each nostril once a day. Each spray contains 37 micrograms (mcg). However, the total dose is usually not more than 74 mcg in each nostril per day. Children younger than 12 years of age Use and dose must be determined by your doctor. For seasonal allergic rhinitis: Adults and teenagers Omnaris : 2 sprays in each nostril once a day. Zetonna : 1 spray in each nostril once a day. Each spray contains 37 micrograms (mcg). However, the total dose is usually not more than 74 mcg in each nostril per day. Children Omnaris : Children 6 years of age and older 2 sprays in each nostril once a day. Children younger than 6 years of age Use and dose must be determined by your doctor. Zetonna : Children younger than 12 years of age Use and dose must be determined by your doctor. Missed Dose If you miss a dose of ciclesonide, 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 canister at room temperature, away from heat and direct light. Do not freeze. Do not keep ciclesonide inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty. Ask your healthcare professional how you should dispose of any medicine you do not use. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Precautions While Using ciclesonide It is very important that your doctor check the progress of you or your child at regular visits . This will allow your doctor to see if the medicine is working properly and to decide if you or your child should continue to use it. If your or your child's symptoms do not improve within a few days or if they become worse, check with your doctor. ciclesonide may increase your risk of having some unwanted effects in the nose. Check with your doctor right away if you or your child have bloody mucus, sores inside the nose, unexplained nosebleeds, or a whistling sound when you breathe while you are using ciclesonide. You may get infections more easily while you are using ciclesonide. Avoid being around people who are sick or have infections such as chickenpox or measles or if you have never had these infections. This is especially important for children. Tell your doctor right away if you think you have been exposed to chickenpox or measles. ciclesonide may cause thrush (a type of fungus infection) in the nose or throat. Tell your doctor right away if you or your child have white patches in the throat, or pain when you eat or swallow. ciclesonide can cause a serious allergic reaction called angioedema. Call your doctor right away if you start to have swelling of your face, lips, tongue, throat, arms, or legs, or if you are having trouble swallowing or breathing while you are using ciclesonide. ciclesonide may cause children to grow more slowly than normal. This would cause a child not to gain weight or get taller. Talk with your doctor if you think your child is not growing properly or if you have any questions about this. ciclesonide may increase your risk of having an adrenal gland that is less active than normal. The adrenal gland makes steroids for your body. This is more likely for people who use steroids for a long time or use high doses. Check with your doctor right away if you or your child have any of the following symptoms: darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting. Rarely, menstrual cycle changes, acne, pimples, or weight gain (fat deposits) around the face, neck, and trunk may occur while taking ciclesonide. Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want you or your child to have your eyes checked by an ophthalmologist (eye doctor). ciclesonide 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 immediately if any of the following side effects occur: Less common Bloody nose fever headache muscle aches nasal discomfort sore throat stuffy or runny nose unusual tiredness or weakness Rare Acne or pimples blindness blistering, burning, crusting, dryness, or flaking of the skin bloody mucus or unexplained nosebleeds blurred vision change in vision darkening of the skin decreased vision diarrhea difficulty with breathing or troubled breathing difficulty with swallowing dizziness eye pain fainting hives itching, scaling, severe redness, soreness, or swelling of the skin loss of appetite loss of consciousness loss of vision menstrual changes mental depression nausea reddening of the skin, especially around the ears skin rash swelling of the eyes, eyelids, face, or inside of the nose tearing tightness in the chest vomiting weight gain around the face, neck, and trunk wheezing white patches inside the nose or throat 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: Less common Ear pain 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. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Truven Health and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. 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Next Side Effects Print this page Add to My Med List More about ciclesonide nasal Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions En Español 9 Reviews Add your own review/rating Drug class: nasal steroids Consumer resources Ciclesonide nasal Ciclesonide Nasal Aerosol Ciclesonide Nasal Spray Other brands: Omnaris , Zetonna Professional resources Ciclesonide eent (AHFS Monograph) Ciclesonide (Nasal) (Wolters Kluwer) Related treatment guides Allergic Rhinitis} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Drug Class Nasal steroids Related Drugs Allergic Rhinitis prednisone , Zyrtec , promethazine , fluticasone nasal , loratadine , cetirizine , Flonase , triamcinolone , montelukast , Claritin , Singulair , diphenhydramine , Benadryl , fexofenadine , budesonide nasal , Medrol , dexamethasone , Nasonex , methylprednisolone , azelastine nasal , mometasone nasal , levocetirizine , Allegra , More... Ciclesonide nasal Rating 9 User Reviews 8.1 /10 9 User Reviews 8.1 Rate it! Help and Support Looking for answers? Ask a question} } colour
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