Zetonna

Generic name: Ciclesonide Nasal
Brand names: Zetonna
Drug class: Nasal steroids

Usage of Zetonna

Zetonna (ciclesonide nasal spray) belongs to a class of medications called corticosteroids. Ciclesonide works by preventing and decreasing the release of substances in the body that cause inflammation (swelling that can cause other symptoms) in the nose.

Zetonna nasal spray is used to treat nasal symptoms (congestion, sneezing, stuffy. itchy, runny nose) caused by seasonal allergies in adults and children 12 years of age and older.

Zetonna is also used to treat nasal symptoms caused by perennial allergies (occurs all year round) in adults and children who are at least 12 years old.

Zetonna side effects

Get emergency medical help if you have: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

You may get infections more easily, even serious or fatal infections. Call your doctor right away if you have 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 occur if nasal steroid medicine is absorbed into your bloodstream. To make sure Zetonna is safe for you, tell your doctor if you have:

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.

Zetonna may cause serious side effects. Call your doctor at once if you have:

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 Zetonna 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.

Before taking Zetonna

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

To make sure Zetonna is safe for you, 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.

It is not known if ciclesonide nasal spray 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 Zetonna.

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

Relate drugs

How to use Zetonna

Usual Adult Dose of Zetonna for Allergic Rhinitis:

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 of Zetonna for Allergic Rhinitis:

Seasonal and perennial allergic rhinitis: 12 years and older: -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

Warnings

Before using Zetonna nasal spray, tell your doctor if you have asthma, glaucoma, tuberculosis or other infection of the lungs, an open sore inside your nose, or a recent nose injury or surgery. Tell your doctor if you are or have been using any other steroid medications: oral, inhaled, or injected.

Zetonna comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

It may take 1 to 2 days before your symptoms improve. Keep using Zetonna as directed and tell your doctor if your symptoms do not improve after 2 to 5 weeks of treatment.

If you stopped using another steroid medication when you started using Zetonna, you may have steroid withdrawal symptoms. These symptoms include joint or muscle pain, depression, and weakness. Do not stop using any steroid medication without first talking to your doctor. You may need to use less and less before you stop Zetonna completely.

Although it is not likely that your body will absorb enough ciclesonide, when receiving doses of Zetonna nasal spray, to cause serious side effects, tell your doctor if you have any steroid-related symptoms such as irregular menstrual periods, acne, increased hair growth, swelling, rapid weight gain, roundness of the face, increased sweating, depression, anxiety, or unusual thoughts or behavior.

Call your doctor at once if you have sores or white patches inside or around your nostrils, or if you have any vision problems, such as tunnel vision.

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 steroid medication such as Zetonna.

What other drugs will affect Zetonna

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

Disclaimer

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